CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Westgate Hills Rehab and Healthcare Ctr
View the most recent health deficiencies and inspection results for Westgate Hills Rehab and Healthcare Ctr. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Westgate Hills Rehab and Healthcare Ctr. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-31 | 2026-01-25 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-12-31 | 2026-01-25 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-10-09 | 2025-12-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-10-09 | 2025-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-09 | 2025-12-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-10-09 | 2025-12-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-10-09 | 2025-12-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-10-09 | 2025-12-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-10-09 | 2025-12-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-09 | 2025-12-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-03 | 2025-05-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-03 | 2025-05-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-04-03 | 2025-05-12 | N |
| Provide activities to meet all resident's needs. | Health | 2025-04-03 | 2025-05-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-04-03 | 2025-05-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-04-03 | 2025-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-03 | 2025-05-12 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-04-03 | 2025-05-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-03 | 2025-05-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-04-03 | 2025-05-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2025-04-03 | 2025-05-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-04-03 | 2025-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-03 | 2025-05-12 | N |
| Dispose of garbage and refuse properly. | Health | 2025-04-03 | 2025-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-03 | 2025-05-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-03 | 2025-05-12 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2025-04-03 | 2025-05-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-04-03 | 2025-05-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-04-03 | 2025-05-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-16 | 2025-02-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-16 | 2025-02-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-16 | 2025-02-28 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2025-01-16 | 2025-02-28 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-01-16 | 2025-02-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-16 | 2025-02-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-16 | 2025-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-16 | 2025-02-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-16 | 2025-02-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-01-16 | 2025-02-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-16 | 2025-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-16 | 2025-02-28 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-28 | 2020-09-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-28 | 2020-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-28 | 2020-09-25 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-28 | 2020-09-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-28 | 2020-03-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-02-28 | 2020-03-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-28 | 2020-03-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-28 | 2020-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-28 | 2020-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-28 | 2020-03-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-28 | 2020-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-28 | 2020-03-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-28 | 2020-03-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-28 | 2020-03-31 | N |
| 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. | Health | 2020-02-28 | 2020-03-31 | N |
| Post nurse staffing information every day. | Health | 2020-02-28 | 2020-03-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-02-28 | 2020-03-31 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-28 | 2020-03-31 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2020-02-28 | 2020-03-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-28 | 2020-03-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-28 | 2020-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-09 | 2018-12-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-09 | 2018-12-03 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-09 | 2018-12-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-08-09 | 2018-12-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-09 | 2018-12-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-09 | 2018-12-03 | N |
| Meet other general requirements. | Fire Safety | 2018-08-09 | 2018-12-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-09 | 2018-09-18 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-08-09 | 2018-09-18 | N |
| Provide or obtain dental services for each resident. | Health | 2018-08-09 | 2018-09-18 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-08-09 | 2018-09-18 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-08-09 | 2018-09-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-08-09 | 2018-09-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-08-09 | 2018-09-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-09 | 2018-09-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-09 | 2018-09-18 | N |
| Provide appropriate foot care. | Health | 2018-08-09 | 2018-09-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-09 | 2018-09-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-08-09 | 2018-09-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-09 | 2018-09-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-09 | 2018-09-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-09 | 2018-09-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-09 | 2018-09-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-08-09 | 2018-09-18 | N |