Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Westlake Nursing And Rehab Center during CMS and state inspections, most recent first.
The facility failed to maintain its nurse call system per NFPA 99 standards. At both the West and East Nurse's Stations, required visual signals were missing, and several annunciator panels failed to light up or provide audible signals when tested. These issues were acknowledged by the Administrator and Maintenance Director.
The facility failed to maintain an effective pest control system, as live roaches were observed in the Main Dining Room during a lunch observation. Surveyors found debris and multiple roaches under a scale and behind vending machines. Pest control invoices noted previous roach activity, but there was no documentation of such activity before August 2024. The current Pest Control Technician was new, and the facility had recently changed pest control companies. The Administrator mentioned a Performance Improvement Plan, but there was no documentation of the Dining Room being part of it.
A resident with Alzheimer's disease, fully dependent on staff for feeding, was observed being fed by staff members standing over them, contrary to the facility's proper feeding techniques. Despite training, CNAs did not adhere to the expected practice of sitting beside the resident and feeding them slowly, as confirmed by interviews with the ADON and Administrator.
A facility failed to honor a resident's advanced directives by not updating their records to reflect a 'Do Not Resuscitate' (DNR) order, despite having a signed DNR in the resident's paper-based health record. Staff relied on outdated information from the face sheet, which indicated a 'Full Code' status, leading to a discrepancy in the resident's documented wishes.
A resident with a newly inserted pacemaker had their blood pressure taken on the left arm, contrary to a physician's order to avoid this due to the pacemaker placement. Despite the resident's reminders, staff continued to use the left arm, as confirmed by EHR entries and staff interviews. The DON acknowledged the need to follow physician orders, indicating a compliance issue.
A resident with severe cognitive impairment and chronic respiratory conditions was receiving continuous oxygen without a physician's order or a care plan in place. The facility's policy mandates that oxygen be administered per physician order, but this was not followed, as confirmed by observations and interviews with the DON.
The facility failed to manage and store medications properly, leading to expired medications being found in storage and improper medication administration practices. An LPN left medications unattended, and another disposed of a dropped pill incorrectly. The DON acknowledged these errors, emphasizing that staff should follow protocols.
A resident with broken and rotten teeth did not receive timely dental care due to a lack of follow-up and communication among staff. Despite the resident's request for a dental consultation during a care plan meeting, no care plan was initiated, and the resident was not included on the list for dental services. The Social Services Director/Activities Director admitted to missing the request, and the facility's administrator incorrectly stated that the resident had refused care.
The facility failed to implement its infection control program effectively, as evidenced by lapses in Enhanced Barrier Precautions (EBP) for residents with medical devices or wounds. A resident with a PEG tube and wound had no EBP signage, and a CNA misunderstood PPE requirements, not wearing a gown. Staff entered rooms with EBP signs without performing hand hygiene, and a CNA failed to perform hand hygiene after removing PPE. These issues highlight systemic problems in infection control practices.
Deficient Nurse Call System Maintenance
Penalty
Summary
The facility failed to maintain its nurse call system in accordance with NFPA 99 standards, as observed during a fire safety tour conducted on March 14, 2025. At the West Nurse's Station, which serves rooms 1-20, the required nurse call visual signal was missing at the corridor intersection near the nurse's station, where individual resident room doors are not directly visible. Additionally, the annunciator panel for Room 14 did not light up, and there was no audible signal when tested. Similarly, at the East Nurse's Station, which serves rooms 21-35, the required nurse call visual signal was also missing at the corridor intersection. The annunciator panels for Rooms 29, 31, and 32 did not light up, and there was no audible signal for Rooms 31 and 32 when tested. These deficiencies were acknowledged by the Administrator and the Maintenance Director during the observations and were reviewed with them at the exit conference.
Plan Of Correction
Facility denies and disputes the validity of this citation and completes this POC solely to meet the requirements of State licensure and Federal regulations. Facility further denies any and all statements, acknowledgements, confirmations, or comments attributed to facility staff as strictly hearsay. 1) What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice; Identified nurse call system visual signal on West and East Nurses station; quotes obtained by an outside vendor 2/19/2025. Parts ordered 3/31/2025 for the nurse call system in accordance with NFPA 99 to be completed by 4/14/2025 based upon vendor availability for installation. (2) How you will identify other residents having potential to be affected by the same practice and what corrective actions will be taken; Quality review completed by the ED/Maintenance designee r/t ensuring the nurse call light system is maintained according to NFPA 99 to be completed by 4/14/2025. (3) What measures will be put into place or what systematic changes you will make to ensure that the practice does not recur; Maintenance re-educated by the ED r/t ensuring the nurse call light system is maintained according to NFPA 99 to be completed by 4/14/2025. (4) How the corrective action(s) will be monitored to ensure the practice will not recur, i.e., what quality assurance program will be put in place; Ongoing quality monitoring to be completed by the ED/Maintenance/designee through visual observation to ensure the nurse call light system is maintained according to NFPA 99 weekly x 4 weeks, twice monthly x 2 weeks then monthly and PRN as indicated.
Pest Control Deficiency in Main Dining Room
Penalty
Summary
The facility failed to maintain an effective pest control system, as evidenced by the presence of live roaches in the Main Dining Room. During a lunch observation, surveyors noted two live roaches, and upon further inspection, an accumulation of residue and debris was found under a scale, along with multiple roaches. Additionally, debris and residue were observed around and under two vending machines, and upon moving them, numerous live roaches in various life stages were discovered. Pest control invoices indicated previous roach activity and recommendations for gel baits, but there was no documentation of roach activity in the facility prior to August 2024. Interviews revealed that the current Pest Control Technician was new to the facility, and the previous technician was no longer with the company. The technician's visit was prompted by concerns identified by the survey team. The facility's Administrator mentioned a Performance Improvement Plan related to pest control initiated in December 2024 and a change in pest control companies in November 2024. However, there was no documentation indicating that the Dining Room was included in the PIP, nor were there records of cleaning and inspecting the areas where the concerns were identified.
Failure to Maintain Resident Dignity During Feeding
Penalty
Summary
The facility failed to honor the dignity of a resident, identified as Resident #53, during dining assistance. Resident #53, who has Alzheimer's disease and other medical conditions, is fully dependent on staff for feeding. Observations revealed that staff members, identified as Staff L and Staff M, were standing over the resident while feeding him, which is not in accordance with the proper feeding techniques outlined by the facility. The care plan for Resident #53 emphasized the need for assistance with meals in a calm setting, yet this was not adhered to during the observed incidents. Interviews with the Assistant Director of Nursing (ADON) and the Administrator highlighted a disconnect between the expected feeding practices and the actions of the Certified Nurse Assistants (CNAs). The ADON stated that the proper feeding technique involves the resident sitting at a 90-degree angle with the CNA seated beside them, feeding small bites slowly. Despite the training provided to CNAs, the Administrator expressed confusion over the CNAs' failure to implement the correct feeding methods. This deficiency in maintaining the resident's dignity during feeding was identified through observations and interviews conducted by the surveyors.
Failure to Honor Resident's Advanced Directives
Penalty
Summary
The facility failed to honor a resident's choice for advanced directives, specifically regarding a 'Do Not Resuscitate' (DNR) order. Resident #3 was admitted to the facility and had a physician order indicating a 'Full Code' status. However, a review of the resident's paper-based health record revealed a DNR order signed by the resident's attending physician and the resident's Health Care Proxy. Despite this, the resident's face sheet continued to reflect a 'Full Code' status, which was the information used by staff when transferring the resident. Interviews with facility staff, including a Licensed Practical Nurse (LPN), the Assistant Director of Nursing (ADON), and the Social Services Director (SSD), revealed a reliance on the face sheet for code status information. The SSD acknowledged responsibility for obtaining and updating code status but did not update the resident's record to reflect the DNR order. The Administrator confirmed that the DNR was not recently updated in the resident's records, indicating a failure to ensure the resident's advanced directives were accurately documented and honored.
Failure to Follow Physician's Order for Blood Pressure Monitoring
Penalty
Summary
The facility failed to adhere to a physician's order regarding the monitoring of blood pressure for a resident with a newly inserted pacemaker. The resident, who was admitted with multiple diagnoses including Parkinson's Disease, Congestive Heart Failure, and Atrial Fibrillation, had a specific order to avoid taking blood pressure on the left arm due to the pacemaker placement. Despite this order, the resident's blood pressure was recorded multiple times on the left arm, as evidenced by the Electronic Health Record (EHR) entries. Interviews with the resident and staff confirmed that the blood pressure was taken on the left arm, contrary to the physician's directive. The resident expressed awareness of the order and stated that he reminded the nurses not to use the left arm, but his instructions were not followed. The Registered Nurse involved justified her actions by stating that the left arm is closer to the heart and provides a better reading, indicating a misunderstanding or disregard for the specific medical order. The Director of Nursing acknowledged that staff should follow physician orders, highlighting a lapse in compliance with medical directives within the facility.
Failure to Obtain Physician's Order for Oxygen Administration
Penalty
Summary
The facility failed to obtain a physician's order for the administration of oxygen for a resident, leading to a deficiency in respiratory care. The facility's policy requires that oxygen be administered safely and per physician order, and a care plan should be implemented for residents requiring oxygen. However, for the resident in question, there were no documented orders for oxygen and no care plan developed or implemented for its use, despite the resident being on continuous oxygen via nasal cannula at 2 liters flow. The resident, who was admitted to the facility with severe cognitive impairment and multiple diagnoses including chronic lung disease and chronic respiratory failure, was observed on several occasions receiving oxygen without a physician's order. The Director of Nursing acknowledged the absence of orders and care plans, attributing the oxygen use to the resident's chronic obstructive pulmonary disease and respiratory failure. This oversight was confirmed through observations, interviews, and record reviews, highlighting a lapse in following the facility's policy for oxygen administration.
Medication Management and Storage Deficiencies
Penalty
Summary
The facility failed to properly manage and store medications, leading to several deficiencies. During an observation in the medication storage room, expired medications were found, including Latanoprost ophthalmic solution for a resident and Omeprazole oral medication for another resident. The Assistant Director of Nursing (ADON) acknowledged the presence of these expired medications but did not provide a satisfactory explanation for their retention. Additionally, several medications were improperly stored in an unlocked drawer labeled 'Foley,' which included expired and opened medications belonging to residents still residing in the facility. Further observations revealed that the facility did not secure medications during administration. A Licensed Practical Nurse (LPN) was observed leaving dispensed medications unattended on a resident's bedside table, which is against the facility's protocol. The LPN acknowledged this oversight, admitting that the medications were not within her line of sight, which could potentially lead to medication errors or misuse. Another incident involved a resident dropping a pill on the floor during medication administration. The LPN picked up the pill and disposed of it in a sharps container instead of the designated medication disposal bottle, as per the facility's protocol. The Director of Nursing (DON) confirmed that the nurses are aware of the correct procedures for medication disposal and acknowledged that the nurses might have been nervous during the survey, but emphasized that such errors should not occur.
Failure to Provide Timely Dental Care
Penalty
Summary
The facility failed to provide timely dental consultation for a resident with broken and rotten teeth. The resident, who was admitted with multiple diagnoses including acute respiratory failure, bipolar disorder, and chronic pain, expressed a desire to see a dentist during a care plan meeting. Despite this request, no care plan was initiated to address the resident's dental issues, and there was no documentation of the resident refusing dental care. The resident's Minimum Data Set (MDS) assessment indicated no cognitive impairment, suggesting the resident was capable of making informed decisions about their care. Interviews with facility staff revealed a lack of communication and follow-up regarding the resident's dental needs. The Social Services Director/Activities Director (SSD/AD) was responsible for coordinating dental services but failed to include the resident on the list for dental consultation. The SSD/AD admitted to missing the resident's request for dental care during a care plan meeting. Additionally, the facility's administrator incorrectly stated that the resident had refused dental care, despite the absence of documentation to support this claim. The oversight resulted in the resident not receiving necessary dental care in a timely manner.
Infection Control Deficiencies in PPE and Hand Hygiene
Penalty
Summary
The facility failed to implement its infection control program effectively, as evidenced by the lack of adherence to Enhanced Barrier Precautions (EBP) for residents with indwelling medical devices or wounds. For Resident #287, who had a PEG tube, wound, and Foley catheter, there was no signage indicating EBP at the room door, which is crucial for staff awareness and compliance. The Assistant Director of Nursing (ADON) acknowledged that the absence of signage was an oversight, as staff rely on these indicators to identify residents requiring EBP. Resident #82, with a PEG tube and wound, was observed receiving care from a CNA who did not wear a gown, contrary to the facility's policy requiring full PPE, including gloves, gown, and mask. The CNA misunderstood the PPE requirements, believing only gloves and masks were necessary. The ADON confirmed that PPE was stored in the medication cart, and the Director of Nursing (DON) was responsible for weekly staff education, highlighting a gap in effective communication and training. For Resident #49, staff entered a room with an EBP sign without performing hand hygiene, a critical step in preventing the spread of infections. Similarly, for Resident #23, a CNA failed to perform hand hygiene after removing PPE and before re-donning it, violating CDC guidelines. These lapses in hand hygiene and PPE use indicate systemic issues in the facility's infection control practices, as staff did not consistently follow established protocols to prevent the spread of multidrug-resistant organisms.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Dania Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Golfcrest Nursing Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Kindred Hospital South Florida Hollywood | 2.4 mi | ★★★★★ | 0 | 0 |
| Emerald Nursing And Rehabilitation Center | 3.6 mi | ★★★★★ | 0 | 0 |
| Aviata At The Sea - Harbor Beach | 4.1 mi | ★★★★★ | 13 | 0 |
| Broward Nursing & Rehabilitation Center | 4.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.