Westwood Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Apr 25, 2025

  Based on observations, record review and interviews, the facility failed to ensure residents received adequate supervision to prevent accidents for one (#45) of three residents reviewed out of 29 sample residents. Resident #45 was admitted on [DATE] for long-term care with a diagnosis of bipolar (mental illness), borderline personality disorder, intellectual disability and dysphagia/oropharyngeal phase (difficulty in swallowing due to issues in the part of the throat located behind the mouth). On [DATE] Resident #45 had an episode of choking after she grabbed a handful of leftover refried beans and shoved them into her mouth before the staff could stop her and she aspirated. […]

• Immediate jeopardy, isolatedF760Mar 7, 2024

  Based on record review and staff interviews, the facility failed to ensure residents were free of any significant medication errors for one (#6) of four residents out of 29 sample residents related to anticoagulants and insulin management. Resident #6 had several significant health conditions requiring close monitoring with personal care services including physician services and nursing assessment with medication and treatment administration to ensure the resident's highest optimal health condition possible. Resident #6 was at high risk for the development of life threatening blood clots that could cause blockages in the heart, lungs and other vital organs potentially shutting the organs down. […]

• Actual harm, isolatedF677Mar 7, 2024

  Based on observations, record review and interviews, the facility failed to ensure residents who were unable to carry out activities of daily living (ADL) received the necessary services to maintain good nutrition, grooming, personal and oral hygiene for one (#15) of four residents reviewed for ADL care assistance out of 29 sample residents. Resident #15 admitted to the facility for long term care on 2/28/22 with diagnoses of depression, quadriplegia (decreased or no movement of all four limbs), neurogenic bowel (decreased bowel movements), neuromuscular dysfunction of bladder (decreased bladder movement) and colostomy status (an opening into the colon from the outside of the body). The resident was dependent on staff for all of his ADLs. […]

• Actual harm, isolatedF690Mar 7, 2024

  Based on observations, interviews and record review the facility failed to consistently provide catheter care, treatment and services to minimize the risk of urinary tract infections for two (#15 and #11) of three residents reviewed for catheter care out of 29 sample residents. Resident #15 admitted to the facility for long term care on 2/28/22 with a diagnosis of depression, quadriplegia (decreased or no movement of all four limbs), neurogenic bowel (decreased bowel movements), neuromuscular dysfunction of bladder (decreased bladder movement) and colostomy status (an opening into the colon from the outside of the body). […]

• Actual harm, isolatedF692Mar 7, 2024

  Based on observations, record review and interviews, the facility failed to ensure two (#11 and #4) of two residents out of 29 sample residents received the care and services necessary to meet their nutrition needs to maintain their highest level of physical well-being. Resident #11 was admitted to the facility for long term care on 5/17/23 for long term care with diagnoses of quadriplegia (decreased or no control of all four limbs), neuromuscular dysfunction of the bladder (decreased movement of the bladder), hypoglycemia (low blood sugar), type I diabetes mellitus, neurogenic bowel (decreased bowel movement) and anxiety. Upon admission, Resident #11 weighed 188 pounds (lbs) and he reported he preferred to eat vegetarian meals. […]