Westpark Rehabilitation and Living

In the surveyor’s words

From the most serious findings on record at Westpark Rehabilitation and Living, in the surveyor’s own words.

• Immediate jeopardy, patternF684May 12, 2023

  Based on observation, interview and record review, the facility failed to ensure the residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #4) of five residents reviewed for quality of care. The facility failed to retrieve results of an x-ray order of Resident #4's left hip in a timely manner, which resulted in delayed treatment of a dislocation for a period of approximately 28 hours. […]

• Immediate jeopardy, patternF777May 12, 2023

  Based on observation, interview and record review, the facility failed to promptly notify the ordering physician, physician assistant, nurse practitioner, or clinical nurse specialist of results that fall outside of clinical reference ranges in accordance with facility policies and procedures for notification of a practitioner or per the ordering physician's orders for one (Resident #4) of five residents reviewed for radiology services. The facility failed to retrieve results of an x-ray order of Resident #4's left hip in a timely manner, which resulted in delayed treatment of a dislocation for a period of approximately 28 hours. […]

• Immediate jeopardy, patternF600Jan 5, 2023

  Based on observation, interview and record review the facility failed to ensure residents had the right to be from abuse, neglect, misappropriation of resident property, and exploitation for six of 16 residents (Residents #2, #3, #4, #5, #6 and #7) reviewed for abuse. The facility failed to protect Residents #2, #3, #4, #5, #6 and #7 from Resident #1, who had a known history of physical and verbal aggression towards residents. An Immediate Jeopardy (IJ) situation was identified on 01/05/23. The IJ began on 11/04/22 and removed on 12/22/22. While the IJ was removed on 12/22/22, the facility remained out of compliance at a scope of potential for more than minimal harm that is not Immediate Jeopardy and a severity level of pattern, due to the facility's need to implement corrective systems. […]

• Immediate jeopardy, patternF600Nov 14, 2022

  Based on observation, interview and record review, the facility failed to provide a safe environment free from abuse for 4 (Resident #3, #12, #13, and #14) of 14 residents reviewed for abuse. The facility failed to protect and assure the safety of Residents #3, #12, #13, and #14 when verbal abuse was reported on 10/19/22 and 10/20/22. Resident #3 was verbally abused by staff (recorded on video footage) and Residents #12, #13, and #14 said they were verbally abused by CNA E. These failures placed residents, who resided in the facility, at risk of abuse, and mental anguish caused by fear. This failure resulted in an identification of an Immediate Jeopardy (IJ) situation on 10/24/22. […]

• Immediate jeopardy, patternF607Nov 14, 2022

  Based on observation, interview, and record review, the facility failed to implement their written policies and procedures that prohibit and prevent abuse of residents for 4 (Resident #3, #12, #13, and #14) of 14 residents reviewed for abuse. The facility failed to implement a policy and process for immediately investigating, protecting the residents, and reporting allegations of abuse when: 1. Resident #3's responsible party made allegations of abuse to CNA E on 10/19/22 and she did not report it to the Administrator and the facility did not investigate or implement measures to protect the resident from further abuse; and 2. […]