Deficiency Index

Westwood Healthcare and Rehabilitation

Statesboro, Georgia · CCN 115601

17 surveys since 2009, 7 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
76
Surveys
17
Harm or worse
7
Immediate jeopardy
5
The record, 2009–2025
’09’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
For profit - Corporation
Chain
Independent
County
Bryan
Medicare-certified since
1996

CMS ratings

Overall
2
Health inspection
3
Staffing
2
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 32 for-profit facilities with fewer than 66 beds in Georgia.

Last survey on record

May 4, 2025

554 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.243.34
Registered-nurse hours per resident day0.33—
Annual nurse turnover47.9%45.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD960.0%E426.7%F213.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 15 of the 76 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5611×

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF880Apr 2, 2023

    Based on interviews, record review, and review of facility policy titled Infection Prevention and Control Program the facility failed to maintain an effective infection prevention and control program that demonstrated ongoing surveillance, recognition, investigation, and control of infection to prevent the onset and spread of infection and failed to implement a procedure to reduce the risk of growth and spread of Legionella and other opportunistic pathogens in the building water system. […]

  • No harm, potential for more than minimal, widespreadF882Aug 26, 2021

    Based on staff interviews and review of facility policy titled Visitation and Infection Control Policy, the facility failed to designate a qualified infection preventionist who completed specialized training in infection prevention and control. The deficient practice placed all 49 residents at risk for potential transmission of COVID-19 infections and other communicable diseases. Findings include: Interview on 8/24/21 at 10:25 a.m. with Licensed Practical Nurse (LPN) CC revealed no clear knowledge of who the infection preventionist was for the facility. Interview on 8/24/21 at 10:45 a.m. with the Director of Nursing (DON) revealed the infection preventionist was the Assistant Director of Nursing (ADON). […]

  • No harm, potential for more than minimal, patternF584May 4, 2025

    Based on observations, staff interviews, and review of the facility policy titled Preventative Maintenance Program, the facility failed to maintain a safe and sanitary environment in nine rooms on two of two halls (Blue Hall and Red Hall). These deficient practices had the potential to place residents at risk of living in an unsanitary and unsafe living environment, and a potential for diminished quality of life. Findings include: Review of the facility's policy titled Preventative Maintenance Program, reviewed 4/1/2024, revealed the Policy section stated, A Preventative Maintenance Program shall be developed and implemented to ensure the provision of a safe, functional, and comfortable environment for residents, staff, and the public. […]

  • No harm, potential for more than minimal, patternF883Apr 2, 2023

    Based on interviews, record review, and review of facility policy titled Infection Prevention and Control Program the facility failed to provide evidence that residents were offered the Influenza and/or Pneumococcal vaccine for three residents (R#11, R#6, and R#50) of five sampled residents reviewed for immunizations. Findings include: Review of facility's policy titled Infection Prevention and Control Program with date implemented 2/2/2022: Influenza and Pneumococcal Immunization: a. Residents will be offered the influenza vaccine each year between October 1 and March 31, unless contraindicated or received the vaccine elsewhere during that time. b. […]

  • No harm, potential for more than minimal, patternF887Apr 2, 2023

    Based on interviews, record reviews, and review of facility policy titled Infection Prevention and Control Program the facility failed to ensure that three residents (R#6, R#11, and R#50) of five sampled residents were offered, received, and had documentation related to the COVID-19 vaccine. Findings include: Review of facility's policy titled Infection Prevention and Control Program with date implemented 2/2/2022: Policy: This facility has established and maintains an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Policy Explanation and Compliance Guidelines: 8. COVID-19 Immunizations: a. […]

Read 27 findings in full →The most serious and the most recent: 27 of 76 on record.

Every survey on record

FindingsAt actual harm or above

  • May 4, 2025Standard6 findings
  • Apr 2, 2023Standard3 findings
  • Sep 23, 2022Complaint2 findings
  • Aug 26, 2021Standard and complaint6 findings
  • Jul 13, 2021Complaint3 findings
  • Sep 24, 2020Complaint13 findings · 5 harm
  • Jul 1, 2020Infection control1 finding
  • Sep 20, 2018Standard4 findings
Show the 9 earlier surveys
  • Dec 21, 2017Standard and complaint4 findings
  • Aug 3, 2016Complaint4 findings
  • Jun 24, 2016Complaint9 findings
  • Aug 20, 2015Standard2 findings
  • May 21, 2015Complaint2 findings
  • Nov 20, 2014Standard6 findings
  • Jan 31, 2013—1 finding
  • Aug 11, 2011—8 findings · 2 harm
  • Jul 7, 2009Complaint2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction