Westwood Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF584Aug 6, 2026

  Based on observations, staff interviews, and record review, the facility failed to provide maintenance services to maintain resident bedrooms in good repair for 1 of 11 sampled resident bedrooms. (room [ROOM NUMBER])The findings include:An observation of the wall near the window in room [ROOM NUMBER] was conducted on 8/3/26 at 3:01 PM. The wall was observed to be damaged and in disrepair. There was enough of a crack in the wall where the end on an ink pen could be inserted through the wall. Further observation of the wall in room [ROOM NUMBER] was conducted on 8/5/26 at 10:16 AM with the Maintenance Director. The Maintenance Director stated he was aware of the damage on the wall as the resident in the room had reported the damage to him about 2 weeks ago. […]

• No harm, potential for more than minimal, isolatedF688Aug 6, 2026

  Based on observation, resident interview, staff interviews, and record review, the facility failed to provide appropriate treatment and services to maintain and prevent further decrease in range of motion for 1 of 1 residents sampled for limited range of motion. (Resident #8) The findings include: The facility policy Prevention of Decline in Range of Motion (implemented 7/2/25) states, Residents who enter the facility without limited range of motion will not experience a reduction in range of motion unless the resident's clinical condition demonstrated that a reduction in range of motion is unavoidable. […]

• No harm, potential for more than minimal, isolatedF656Apr 25, 2025

  Based on observations, interviews, and record review, the facility failed to provide a comprehensive plan of care for 2 of 2 residents sampled for care plans. (Resident #21 and #24) The findings include: Resident #21 A record review of Resident #21's electronic medical record (EMR) revealed that the resident is dependent on staff for activities for daily living. A review of the care plan developed by the facility for Resident #21 did not include an intervention to address the need for assistance in activities for daily living. On 4/23/2025 at approximately 1:00 PM, an interview was conducted with the Minimum Data Set Coordinator (MDS) and Care Plan Coordinator. The Care Plan Coordinator confirmed that there was not a care plan for Resident #21 in regards to activities of daily living. […]

• No harm, potential for more than minimal, isolatedF686Sep 21, 2022

  Based on observation, record review, staff interviews, and policy review, the facility failed to ensure staff provide appropriate care and services to promote healing and prevent cross contamination of pressure ulcers for 1 of 1 sampled residents with pressure ulcers. (Resident #43) The findings include: A review of Resident #43's medical record was conducted which revealed she had a stage 3 pressure ulcer on her sacrum. An observation of wound care for Resident #43 was conducted on 9/20/2022 at 12:51 PM with Employee A (Licensed Practical Nurse). Employee A gathered supplies for the wound care from the treatment cart to include a bottle of wound cleanser dated 9/3/2022, took the supplies to the resident's room, and placed them on the over bed table with no barrier on the table. […]

• No harm, potential for more than minimal, isolatedF689Sep 21, 2022

  Based on observations, interviews, record review, and policy review, the facility failed to implement safety precautions related to smoking to ensure the resident environment remained as free of accident hazards as possible for 1 of 1 sampled residents who smoked tobacco products. (Resident #8) The findings include: An observation was conducted for Resident #8 on 9/19/2022 at 1:10 PM. The resident was outside on the smoking patio, which is located outside the dining room, smoking a cigarette. No staff were present on the patio at this time. He was observed to have his cigarettes and lighter in a plastic bag and lit his own cigarette. He was again observed to be smoking on the patio on 9/21/2022 at 8:50 AM with no staff present. […]