Deficiency Records for Westwood Hills Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Westwood Hills Nursing and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-03 | 2023-11-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-25 | 2023-08-22 | 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 | 2023-07-25 | 2023-08-22 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-07-25 | 2023-08-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-25 | 2023-08-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-25 | 2023-08-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-25 | 2023-08-22 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-22 | 2022-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-22 | 2022-02-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-22 | 2022-02-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-22 | 2022-02-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-22 | 2022-02-04 | Y |
| 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 | 2021-12-22 | 2022-02-04 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-27 | 2022-02-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-12-22 | 2022-01-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-02 | 2019-10-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-02 | 2019-10-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-02 | 2019-10-30 | N |
