Westwood Health and Rehab, Inc

In the surveyor’s words

From the most serious findings on record at Westwood Health and Rehab, Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 31, 2025

  Based on observations, interviews, and record review, the facility failed to ensure a resident was free from resident-to-resident abuse for 1 (Resident #44) of 3 sampled residents reviewed for abuse. The lack of effective behavior monitoring resulted in Resident #44 having resident to resident abuse that occurred on 04/11/2024, 04/19/2024, 07/10/2024, 08/06/2024, 08/12/2024, 12/07/2024, 12/20/2024, 12/25/2024, and 01/09/2025. Of those incidents, Resident #9 was the physical aggressor for 3 instances. On 12/07/2024, Resident #9 hit Resident #44 in the stomach. On 12/20/24, Resident #9 pushed resident #44, resulting in the resident falling. On 01/08/2025, Resident #9 pushed Resident #44, resulting in the resident falling. […]

• Immediate jeopardy, isolatedF656Jan 31, 2025

  Based on observation, record review, and interview, the facility failed to ensure the comprehensive person-centered care plan included an objective for monitoring a resident with wandering behaviors who was at risk for resident-to-resident altercations for 1 (Resident #44) of 3 residents reviewed for abuse. The lack of effective interventions resulted in Resident #44 having resident-to-resident abuse that occurred on 04/11/2024, 04/19/2024, 07/10/2024, 08/06/2024, 08/12/2024, 12/07/2024, 12/20/2024, 12/25/2024, and 01/09/2025. All of the incidents took place on the locked unit and Resident #44 had been kicked, hit in the face, hit in an unknown area, pushed, punched in the hand, struck in the hand, punched in the stomach, pushed down numerous times, and hit in the head. […]

• No harm, potential for more than minimal, widespreadF812Aug 20, 2026

  Number of residents sampled: Number of residents cited: Based on observation, interview, and facility record review, the facility failed to ensure dietary staff consistently contained their hair under a hair net during active meal preparation for two of two meal services observed in the facility kitchen. The findings include:During an observation of the lunch meal preparation in the facility kitchen on 08/19/2026 at 11:23 AM, Dietary Aide #1 was observed working in the dish area and replacing clean dishes around the food preparation areas of kitchen during active meal preparation with their hairnet pushed up on the back of their head, resulting in approximately eight inches of hair hanging down uncovered. […]

• No harm, potential for more than minimal, widespreadF812Dec 15, 2022

  Based on observation and interview, the facility failed to ensure food items stored in the refrigerator and freezer were covered or sealed and dated, failed to ensure expired milk items were promptly removed/discarded by the expiration or use by dates, failed to ensure foods left out on the kitchen table were covered; and failed to ensure dry goods were labeled and dated to prevent potential for food borne illness for residents who received meals from 1 of 1 kitchen. This failed practice had the potential to affect 65 residents who received meals/trays from the kitchen according to a list provided by the Director of Nursing (DON) on [DATE] at 10:41 a.m. The findings are: 1. On [DATE] at 10:31 a.m. a metal bowl of uncooked chicken thighs was on the kitchen table, uncovered. […]

• No harm, potential for more than minimal, widespreadF812Oct 20, 2022

  Based on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items and expired food items were promptly removed/discarded by the expiration or use by dates to prevent potential for food bone illness. These failed practices had the potential to affect 66 residents who received meals from the kitchen and 21 residents who received snacks from the unit (total census: 66), as documented on a list provided by the Dietary Supervisor on [DATE]. The findings are: 1. On [DATE] at 8:20 AM, a half-gallon of sweet and sour sauce was on a shelf in the storage room with an expiration date of [DATE]. 2. On [DATE] at 11:29 AM, Dietary Employee (DE) #1 used a rag to wipe off the counter. […]