Deficiencies (last 3 years)
Deficiencies (over 3 years)
6.3 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
21% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 9
Date: Jan 31, 2025
Visit Reason
The inspection was conducted due to complaints and allegations of abuse, neglect, and failure to provide adequate care and supervision to residents, including failure to report resident-to-resident abuse and failure to provide prompt treatment after a change in condition.
Complaint Details
The complaint investigation was substantiated with findings that the facility failed to timely report resident-to-resident abuse, failed to implement effective care plans, and failed to provide prompt treatment for a resident with stroke symptoms, among other deficiencies.
Findings
The facility failed to timely report resident-to-resident abuse, failed to develop and implement effective care plans for residents with wandering and aggressive behaviors, failed to provide prompt treatment for a resident showing stroke symptoms, failed to ensure safe transfer and supervision practices, left hazardous areas unsecured, improperly disposed of garbage and refuse, and failed to ensure proper hand hygiene during meal service.
Deficiencies (9)
Failed to timely report resident-to-resident abuse within 24 hours for Resident #9 resulting in a hip fracture.
Failed to develop and implement a comprehensive person-centered care plan with measurable objectives for Resident #44, resulting in multiple resident-to-resident abuse incidents and immediate jeopardy.
Failed to provide prompt treatment for Resident #112 showing signs of stroke, delaying emergency room transfer by approximately 4 hours.
Failed to properly transfer Resident #41 after a fall, picking resident up without using a gait belt, risking injury.
Failed to ensure keys were not left unattended in janitor closet door where chemicals were stored.
Failed to ensure rear casters/wheels of mechanical lift were in unlocked position when raising and lowering Resident #8, risking tipping.
Failed to ensure beauty shop on secured unit was locked when not in use or when no staff present.
Failed to properly dispose of garbage and refuse, leaving dumpster gates open, trash exposed, and debris scattered around dumpster area.
Failed to ensure hand hygiene was performed during meal service; Nursing Assistant fed residents without sanitizing hands after touching clothes and other residents.
Report Facts
Residents reviewed for abuse and neglect: 3
Physical aggression incidents for Resident #44: 10
Staff trained on behavior interventions: 45
Staff interviewed for training verification: 30
Staff interviewed regarding care plans: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #13 | CNA | Mentioned in relation to Resident #44 behavior and hospital transfer |
| Certified Nursing Assistant #2 | CNA | Reported on altercation involving Resident #44 |
| Certified Nursing Assistant #1 | CNA | Observed Resident #44 behavior and staff monitoring |
| Licensed Practical Nurse #12 | LPN | Provided statements about Resident #44 interventions and hospital transfer |
| Director of Nursing | DON | Interviewed regarding Resident #44 care plan, abuse reporting, and training |
| Administrator | Administrator | Interviewed regarding abuse reporting, care plans, and beauty shop security |
| Medical Records Coordinator | Involved in picking up Resident #41 after fall | |
| Housekeeping Supervisor | Left keys in janitor closet door | |
| Dietary Manager | DM | Responsible for dumpster area and refuse disposal |
| Nursing Assistant #9 | NA | Observed failing to perform hand hygiene during meal service |
| Registered Nurse #14 | RN | Notified on Resident #112 condition and emergency room transfer |
| Advanced Practice Registered Nurse | APRN | Provided telehealth evaluation for Resident #112 |
| Medical Physician | MP | Involved in Resident #112 care and communication with DON |
| Beautician | Left beauty shop door open without key |
Inspection Report
Routine
Deficiencies: 8
Date: Jan 25, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, and facility operations at Westwood Health and Rehab, Inc.
Findings
The facility was found deficient in multiple areas including failure to provide weighted cups for hydration to a cognitively impaired resident, failure to post required contact information in the secure unit, unsafe and non-functional resident room conditions, inadequate personal hygiene care for several residents, failure to provide an ongoing activities program in the secure unit, unsafe storage of hazardous fluids in resident rooms, and failure to properly date and store oxygen equipment for residents on oxygen therapy.
Deficiencies (8)
Failure to provide weighted cup for fluids to prevent dehydration for Resident #13.
Failure to post contact information for State agencies and advocacy groups in the secure unit accessible to residents.
Failure to maintain resident rooms in a safe, functional, homelike manner due to disconnected trim and unsafe built-in drawers in 3 rooms.
Failure to provide adequate personal hygiene care including fingernail cleaning and shaving for multiple residents.
Failure to provide an ongoing program of activities for 15 residents in the secure unit.
Failure to ensure hazardous fluids were stored safely in resident rooms in the secure unit.
Failure to ensure fluids were always available for hydration for Resident #13.
Failure to ensure oxygen tubing, humidifier mask, and water bottle were dated and properly stored for Residents #3 and #13.
Report Facts
Residents affected: 1
Residents affected: 15
Rooms affected: 3
Residents affected: 2
Residents affected: 1
Residents affected: 15
Residents affected: 10
Residents affected: 12
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) #2 | Mentioned in relation to Resident #13 hydration deficiency and Resident #105 shaving care | |
| Director of Nursing (DON) | Director of Nursing | Interviewed regarding posting of contact information, fingernail care, and hazardous fluid storage |
| Activity Director | Mentioned in relation to Resident #13 hydration deficiency and activities program | |
| Social Worker | Mentioned in relation to Resident #13 hydration deficiency | |
| Maintenance Supervisor #1 | Interviewed regarding room trim and drawer repairs | |
| Licensed Practical Nurse (LPN) #1 | Licensed Practical Nurse | Interviewed regarding oxygen tubing dating and cleaning under nails |
| Administrator | Administrator | Interviewed regarding posting of contact information, hazardous fluid storage, and activities program |
| Director of Activities | Interviewed regarding activities program in secure unit |
Inspection Report
Routine
Census: 66
Deficiencies: 2
Date: Oct 20, 2022
Visit Reason
The inspection was conducted to assess compliance with care standards related to resident hygiene and dietary safety practices at Westwood Health and Rehab, Inc.
Findings
The facility failed to ensure proper nail care for a diabetic resident requiring assistance, resulting in minimal harm risk, and failed to ensure dietary staff washed hands properly and removed expired food items, posing potential foodborne illness risks to residents.
Deficiencies (2)
Failed to ensure a resident's fingernails were cleaned and trimmed to promote good personal hygiene and grooming for 1 of 7 sampled residents dependent on nail care.
Failed to ensure dietary staff washed their hands before handling clean equipment or food items and failed to promptly remove expired food items to prevent potential foodborne illness.
Report Facts
Residents affected: 7
Residents affected: 66
Residents affected: 21
Expiration date: May 3, 2022
Expiration date: Sep 28, 2022
Expiration date: Oct 17, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Assistant (CNA) #1 | Described resident's nail condition and responsibility for nail care | |
| Licensed Practical Nurse (LPN) #1 | Performed nail care on resident and provided information about nail care responsibilities and risks | |
| Dietary Employee (DE) #1 | Observed failing to wash hands before handling clean equipment and food | |
| Dietary Employee (DE) #2 | Observed failing to wash hands before handling clean equipment and food | |
| Dietary Supervisor | Provided list of residents affected and facility hand washing policy |
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