Westwood Center

In the surveyor’s words

From the most serious findings on record at Westwood Center, in the surveyor’s own words.

• Immediate jeopardy, patternF684Mar 20, 2023

  Based on observation, staff interview, resident interview, family interview, clinical record review, facility document review, the facility staff failed to provide wound management as evidenced by the absence of assessments, monitoring, and/or treatment for of 5 out 33 residents. This resulted in wound infections and/or wound deterioration for Resident #10, Resident #4, Resident #42, Resident #36, and Resident #149. The facility also failed to implement provider orders at the time they were ordered for 1 of 33 residents reviewed, Resident #199. On 3/15/23 at 3:50 PM, the surveyors notified the facility of the Immediate Jeopardy determination, Level IV Pattern. […]

• Immediate jeopardy, isolatedF684Aug 21, 2024

  Based on observation, staff interview, clinical record review and facility document review the facility staff follow physician's orders for 2 of 22 residents, Resident #9 and Resident #63. The findings included: 1. For Resident #9 the facility staff failed to administer the medication carvedilol per the physician's order. Resident #9's face sheet listed diagnoses which included but not limited to hypotension, anemia, and anxiety. Resident #9's most recent minimum data set with an assessment reference date of 08/08/24 assigned the resident a brief interview for mental status score of 15 out of 15 in section C, cognitive patterns. […]

• Immediate jeopardy, isolatedF678Oct 17, 2023

  Based on staff interview, clinical record review and facility document review the facility staff failed to provide basic life support, including cardiopulmonary resuscitation to one of 57, residents, Resident #2. The findings included: For Resident #2, an agency-contracted staff failed to check code status and failed to initiate basic life support, including cardiopulmonary resuscitation for Resident #2. Resident #2 expired at the facility. Resident #2's face sheet listed diagnoses which included but not limited to acute respiratory failure, chronic obstructive pulmonary disease, chronic kidney disease with heart failure, and diabetes mellitus-type II. […]

• Actual harm, isolatedF689Feb 27, 2025

  Based on staff interviews, clinical record review and facility document review, the facility staff failed to provide supervision to prevent an accident for 1 of 2 resident records reviewed. (Resident #1) The findings were: For Resident #1, facility staff failed to provide supervision to prevent a tissue injury to the bottom of the resident's feet resulting in admission to an acute care hospital and eventually admission to a burn center. Resident #1's medical diagnoses included but were not limited to, dementia, Alzheimer's disease with late onset, second degree burn left foot, second degree burn of right foot, local infections of the skin and subcutaneous tissue, difficulty walking, and diabetes mellitus. […]

• Actual harm, isolatedF689Aug 21, 2024

  Based on observations, staff interview, clinical record review and facility document review, the facility staff failed to provide supervision to prevent accidents for 2 of 6 closed record reviews, Resident #55 and Resident #209. This resulted in actual harm for resident #55 cited at past non-compliance. For resident #209, the facility failed to implement safety measures resulting in an elopement. The findings included: 1. For resident # 55 the facility staff failed to provide supervision as ordered by the physician and based on a recommendation by speech therapy, during meal times. Resident # 55's diagnoses included but were not limited to Alzheimer's Disease, history of a stroke, history of a traumatic brain injury and paranoid schizophrenia. […]