Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
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 Westwood Healthcare And Rehabilitation during CMS and state inspections, most recent first.
Multiple rooms and shared bathrooms were found with unsanitary and unsafe conditions, including black substances around toilets and drains, strong odors, broken blinds, holes in walls and ceilings, and rusty, sharp door sills. These issues were confirmed by facility leadership and were not in line with the facility's Preventative Maintenance Program policy.
A resident with acute kidney failure and paroxysmal atrial fibrillation was transferred to the hospital on two occasions without receiving a written bed hold notice or reason for transfer, as required by facility policy. Interviews with the resident, their representative, and staff confirmed that the necessary documentation was not provided at the time of transfer, and the administrator could not locate any proof of compliance.
Staff did not implement or follow care plans for two residents: one was not referred for behavioral health services as required, and another did not receive oxygen therapy at the prescribed rate, despite physician orders and care plan interventions.
A leaking toilet in a shared bathroom created a persistent slip hazard for three residents with cognitive impairment and fall risk. Despite reports from a resident and ongoing environmental rounds, the water leak was not addressed, and staff were unaware of the issue until it was observed by surveyors. The affected residents required supervision with ambulation and were exposed to avoidable accident hazards.
A resident with COPD and acute respiratory failure was observed receiving oxygen at a lower rate than prescribed by the physician. An LPN did not verify the oxygen setting during medication passes, resulting in the resident receiving two LPM instead of the ordered three LPM. The DON confirmed that staff are expected to administer oxygen as ordered and check settings during routine care.
A resident with multiple behavioral health diagnoses and a history of behavioral incidents did not receive recommended behavioral health services after an episode of physical behavior toward another resident. Although a psychiatric NP advised an emergency consult, the resident was not evaluated due to scheduling conflicts with dialysis, and no alternative arrangements were made, resulting in a lack of behavioral health services for several months.
Failure to Maintain Safe and Sanitary Resident Environment
Penalty
Summary
Staff failed to maintain a safe and sanitary environment in nine rooms across two halls, as evidenced by multiple observations of unsanitary and unsafe conditions. Specific findings included dark, black, thick substances around the bases of toilets and on metal drain fixtures, a hole in a bathroom ceiling, yellow substances around toilet bases, and strong urine and musty odors in several bathrooms. Additional observations revealed broken blinds, dark brown spots on ceiling and floor tiles, holes in walls, and a large wet spot on a ceiling tile above a shower stall. Protruding sharp, rugged, rusty edges were also noted on a door sill in an activity sitting room. These conditions were confirmed by the Administrator, Maintenance Director, and Housekeeping Supervisor during observational tours. The facility's own Preventative Maintenance Program policy requires the provision of a safe, functional, and comfortable environment, but the observed deficiencies indicate that this policy was not effectively implemented in the affected areas.
Failure to Provide Written Bed Hold Notice and Reason for Transfer
Penalty
Summary
The facility failed to provide a written bed hold notice or reason for transfer to a resident at the time of two separate hospital transfers. According to the facility's own policies, written information regarding bed hold practices and the reason for transfer must be given to the resident and/or their representative both in advance and at the time of transfer. Review of the clinical record for the resident, who had diagnoses including acute kidney failure and paroxysmal atrial fibrillation and demonstrated little to no cognitive impairment, showed no evidence that such documentation was provided during transfers to the hospital on two occasions. Interviews with the resident, their representative, and facility staff confirmed that neither a written bed hold notice nor a reason for transfer was given at the time of either hospital transfer. Nursing staff reported that they did not issue bed hold notifications, stating that this responsibility fell to administration, while the administrator was unable to produce any proof that the required documentation had been provided. The absence of these notifications was corroborated by both the resident and their representative.
Failure to Implement and Follow Resident Care Plans
Penalty
Summary
Staff failed to implement care plans for two residents. For one resident with documented combative behaviors, the care plan included referral to behavioral health services as recommended by the nurse practitioner. However, there was no documentation of mental health services being provided for the last four months, and interviews with the social worker, RN, DON, and administrator confirmed that the resident had not been referred or evaluated by behavioral health services as required by the care plan. For another resident with a history of shortness of breath, acute respiratory failure, COPD, and lung neoplasm, the care plan required administration of oxygen therapy at three liters per minute (LPM) via nasal cannula, as ordered by the physician. Observations revealed the resident was receiving oxygen at only two LPM on multiple occasions. The MDS Coordinator and DON confirmed that staff failed to follow the care plan and physician's orders regarding oxygen administration.
Failure to Address Leaking Toilet Creates Fall Hazard for Residents
Penalty
Summary
The facility failed to maintain an environment free from accident hazards for three residents with significant fall risks and cognitive impairments. Observations revealed that a shared bathroom used by these residents had water leaking from the base of the toilet, creating a slippery floor. One resident, who required supervision with ambulation and used a walker, was observed slipping while exiting the bathroom and reported that the toilet had been leaking for several months, despite notifying staff. Two other residents, both with severe cognitive impairment and a history of falls, also used the same bathroom and confirmed the presence of water on the floor for an extended period. Interviews with staff, including a CNA, the Maintenance Supervisor, and the DON, confirmed the ongoing leak and the use of the bathroom by ambulatory residents at risk for falls. The Maintenance Supervisor and Administrator were unaware of the leaking toilet prior to the surveyor's observation, despite facility policy requiring regular environmental rounds and hazard identification. The facility's failure to identify and address the leaking toilet resulted in a persistent environmental hazard for residents with known fall risks.
Failure to Follow Physician's Order for Oxygen Administration
Penalty
Summary
Staff failed to follow a physician's order for oxygen administration for one resident diagnosed with chronic obstructive pulmonary disease (COPD) and acute respiratory failure with hypoxia. The physician's order specified that oxygen should be administered at three liters per minute (LPM) via nasal cannula, continuously. However, during multiple observations over two days, the resident was found to be receiving oxygen at only two LPM. An LPN responsible for the resident's care confirmed that she did not check the oxygen setting during her medication passes on the observed days and verified that the oxygen was set at two LPM, not the prescribed three LPM. The Director of Nursing stated that staff are expected to ensure oxygen is administered as ordered and that nurses should check oxygen settings during medication passes and rounding.
Failure to Provide Behavioral Health Services for Resident with Behavioral Symptoms
Penalty
Summary
A resident with diagnoses including unspecified psychosis, end-stage renal disease, dependence on renal dialysis, restlessness and agitation, unspecified dementia, and mood disorder exhibited behavioral symptoms, including physical behaviors toward others and other behavior symptoms as documented in the clinical record. On one occasion, the resident was observed in another resident's room with hands on the other resident's neck and head, prompting notification of the physician, DON, administrator, and responsible parties. The psychiatric nurse practitioner (NP) recommended an emergency behavioral health consult and suggested transfer to a behavioral health facility, but this was not possible due to the resident's dialysis needs. Despite the recommendation, there was no documentation of mental health services provided to the resident for the last four months. Interviews with facility staff confirmed that the resident had not been referred for behavioral health services as recommended by the NP. The social worker stated that the resident was monitored but had not been referred, and the RN explained that the resident was unavailable for behavioral health services on the days the provider was present due to dialysis appointments. The DON and administrator both acknowledged that arrangements should have been made for the resident to receive behavioral health services on a different day, but this did not occur.
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Illustrative
What surveyors actually found near you
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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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Statesboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brown's Health And Rehabilitation | 1.3 mi | ★★★★★ | 4 | 0 |
| Eagle Health & Rehabilitation | 1.5 mi | ★★★★★ | 0 | 0 |
| Heritage Inn Health And Rehabilitation | 2.5 mi | ★★★★★ | 0 | 0 |
| Orchard Health And Rehabilitation | 10.6 mi | ★★★★★ | 0 | 0 |
| Pleasant View Nursing Center | 15.4 mi | ★★★★★ | 6 | 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.