Westmoreland Care & Rehab CTR

In the surveyor’s words

From the most serious findings on record at Westmoreland Care & Rehab CTR, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 2, 2022

  Based on facility policy review, facility documentation review, observations, and interview, the facility failed to store food at the proper temperature, prevent contamination of food, and ensure the Dietary Department was maintained in a sanitary manner, affecting 89 of 93 residents in the facility. The findings include: Review of the facility's policy titled, Food Storage: Cold Foods, revised 4/2018, revealed, .All perishable foods will be maintained at a temperature of 41' [degrees] F [Fahrenheit] or below, except during necessary periods of preparation and service . […]

• No harm, potential for more than minimal, patternF550Mar 2, 2022

  Based on facility policy review, medical record review, observation, and interview, the facility failed to keep 1 of 93 sampled residents (Resident #8) who was wearing only a brief, covered, and the facility failed to ensure 3 of 7 sampled residents (Resident #33, #43 and #54) indwelling urinary catheter drainage bags were covered with a privacy cover. The findings include: Review of the facility's policy titled, Resident Rights, dated 8/16/18, revealed, .All residents have the right to be treated with respect and dignity .All residents will be treated in a manner and in an environment that promotes maintenance or enhancement of quality of life .The facility will make every effort to support each resident in exercising his/her right to assure that the resident is always treated with… […]

• No harm, potential for more than minimal, isolatedF684Mar 26, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure staff changed the central line dressing as ordered by the physician for 1 (Resident #84) of 5 sampled residents reviewed for medication regime review.Findings included:A facility policy titled, Dressing Change for Vascular Access Devices, dated 08/2021, revealed, Purpose To prevent local and systemic infection related to IV [intravenous] catheter. Policy 1. Short peripheral catheter dressings are changed every 7 days or when the integrity of the dressing is compromised. Change the dressing if moisture, drainage or blood is present or for further assessment if infection is suspected. 2. […]

• No harm, potential for more than minimal, isolatedF842Mar 26, 2026

  Based on interview and record review, the facility failed to ensure staff completed and accurately documented the status of resident care to be provided for 2 (Resident #59 and Resident #84) of 21 sampled residents.The findings included:1. A Resident Face Sheet revealed the facility admitted Resident #59 on 08/23/2025. According to the Resident Face Sheet, the resident had a medical history that included dysphagia and protein-calorie malnutrition.A quarterly Minimum Data Set (MDS), with Assessment Reference Date (ARD) of 03/18/2026, Resident #59 had a Staff Assessment for Mental Status (SAMS) that indicated the resident had severely impaired cognitive skills for daily decision making. […]

• No harm, potential for more than minimal, isolatedF880Mar 26, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure staff wore a gown and gloves when they provided care to residents on enhanced barrier precautions (EBP) for 2 (Resident #23 and Resident #84) of 5 sampled residents reviewed for infection control.The findings included: 1.A facility policy titled, Enhanced Barrier Precautions revised 03/25/2024, revealed This facility's infection control policies and practices are intended to facilitate maintaining a safe, sanitary, and comfortable environment and to help prevent and manage transmission of diseases and infections. The policy specified, 5. EBP are indicated for residents who have chronic wounds and or indwelling devices regardless of MRDO [multidrug-resistant organisms]. 2. […]