Westport Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Westport Rehabilitation and Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 22, 2025

  Based on observations, staff interview, resident interview, clinical document and facility document review, it was determined that the facility staff failed to provide a safe environment for two of 17 residents in the survey sample, Resident #9 (R9) and Resident #5 (R5). For Resident #9, the facility staff left the resident unattended, in an unsafe position, with the bed in the high position on 3/24/25. R9 rolled off the bed and suffered a hematoma. The resident was sent to the emergency room and found to have an occipital condyle fracture (1) thus causing harm to the resident.The findings include: 1. […]

• Actual harm, isolatedF689Dec 4, 2024

  Based on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to prevent an avoidable accident for one of six residents in the survey sample, Resident #1. This accident resulted in a fractured pelvis and intractable pain for Resident #1, constituting harm. The facility presented a plan of correction with an allegation of compliance date prior to survey entrance. The facility presented credible evidence that the plan of correction had been implemented, resulting in a finding of past noncompliance. The findings include: For Resident #1 (R1), the facility staff failed to correctly use the mechanical lift, resulting in a fall with a fractured pelvis for R1. […]

• Actual harm, isolatedF684Jan 31, 2023

  Based on staff interview, facility document review, and clinical record review, the facility staff failed to provide clinical services for a resident experiencing bowel dysfunction for one of 12 residents in the survey sample, Resident #7, resulting in harm. The findings include: The facility staff failed to identify Resident #7's (R7's) lack of a bowel movement for 10 days, and failed to administer a physician-ordered suppository to treat the lack of bowel movements. The resident developed an ileus (By definition, ileus is an occlusion or paralysis of the bowel preventing the forward passage of the intestinal contents, causing their accumulation proximal to the site of the blockage. 1), which required transfer to a local hospital. […]

• No harm, potential for more than minimal, patternF684Oct 22, 2025

  Based on staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide care and services to promote a resident's highest level of wellbeing for one of twelve residents, Resident #112 (R112).The findings include: The facility failed to monitor sexual / inappropriate behaviors for a resident who is listed on the sex offender registry. R112 was admitted to the facility on [DATE] with diagnosis that included but were not limited to ischemic cardiomyopathy, CHF (congestive heart failure), atrial fibrillation and LVAD (left ventricular assist device).The most recent MDS (minimum data set) assessment, an annual assessment, with an ARD (assessment reference date) of 11/8/25, coded the resident as scoring a 15 out of 15 on the BIMS… […]

• No harm, potential for more than minimal, patternF812Mar 11, 2025

  Based on observation, staff interview, and facility document review, the facility staff failed to prepare and serve food in a sanitary manner in one of one facility kitchen. The findings include: The facility staff failed to prepare and serve food in a sanitary manner for the lunch meal on 3/10/25. On 3/10/25 at 11:35 a.m., observation was made of the facility kitchen. OSM (other staff member) #4, a dietary aide, was observed obtaining holding temperatures of food on the steam table, ready for serving to residents. As OSM #4 took temperatures, she failed to sanitize the thermometer between foods. Instead of using an alcohol wipe, she used the same paper towel repeatedly. OSM #5, a dietary aide, was observed pushing a cart of clean silverware from the dish room. […]