Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Huntington Woods Care & Rehab Center during CMS and state inspections, most recent first.
Insufficient staffing was cited after PBJ review and interview showed low weekend staffing and low RN hours, with a one-star staffing rating for the quarter. The facility failed to provide enough nursing staff each day and did not maintain a licensed nurse in charge on each shift, affecting all 81 residents.
A resident with brain cancer, dementia, and major depressive disorder had conflicting code status documentation in the chart. The physician's orders listed DNRCC, but the paper chart showed Full Code, and an LPN confirmed the electronic and hard charts did not match.
Two residents received PRN psychotropic medications without documented evidence of the reason for use or attempted non-pharmacological interventions before administration. One resident with dementia-related behavioral issues received lorazepam and hydroxyzine multiple times, but staff did not document the behaviors or interventions in the MAR, progress notes, behavior book, or 24-hour reports at the time of administration. Another resident with dementia, delusional disorder, and anxiety received Vistaril several times, and the progress notes did not show non-drug measures were tried first; the care plan also lacked individualized non-pharmacological interventions.
Insulin Not Administered as Ordered: A resident with DM2, vascular dementia, and CHF did not receive ordered Insulin Glargine when the medication was unavailable. The MAR/TAR showed a code directing staff to a nurse note, and the RN documented contacting pharmacy about the missing insulin. The resident and RN both confirmed the dose was not given, and the DON confirmed the missed insulin dose.
A resident kept a nasal spray on the bedside table even though she was not approved to self-administer, and staff confirmed the medication was not permitted in the room. In a separate event, narcotic medications for another resident were not disposed of until 10 days after discharge, and the DON acknowledged the disposal was not timely. The citation cites facility policy and Ohio Board of Pharmacy/DEA guidance requiring secure medication storage and prompt controlled substance disposal.
Failure to Honor Food Preferences: Three residents had documented meal preferences that were not followed. One resident's vegetarian tray lacked requested cottage cheese, another resident's tray lacked requested soup, and a third resident's tray included canned fruit despite a stated dislike and did not include salad dressing with a requested salad. The residents had significant cognitive or medical conditions, and the missed items were verified during meal observation by dietary staff.
Insufficient RN Staffing and Low Weekend Coverage
Penalty
Summary
Insufficient staffing was identified based on interview and review of the Payroll Based Journal report, which showed the facility had a one-star staffing rating and low weekend staffing for Fiscal Year Quarter One 2026. The deficiency involved failure to provide enough nursing staff every day to meet resident needs and to have a licensed nurse in charge on each shift, affecting all 81 residents. During interview, the Administrator stated the facility had identified insufficient staffing related to low RN hours for July through September 2025. The report also noted that RN staff returning to school opened up more full-time positions and that RN staff were unable to change weekends to fill openings, contributing to low RN coverage during that period.
Inconsistent Advance Directive Documentation
Penalty
Summary
The facility failed to ensure that advance directive information was accurate throughout the medical record for one resident. Resident #36 was admitted with diagnoses including malignant neoplasm of brain, dementia, and major depressive disorder, and the quarterly MDS showed moderately impaired cognition and a need for supervision with ADLs. The physician's orders included a DNRCC code status order indicating CPR was not to be performed in the event of cardiac or respiratory arrest, but the paper chart listed the resident as Full Code and did not show the DNRCC order. During interview, an LPN verified that the resident's electronic chart stated DNRCC while the hard chart stated Full Code.
Unnecessary PRN Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure two residents were free from unnecessary psychotropic medications. For one resident with diagnoses including diabetes mellitus, parkinsonism, and psychotic disorder with delusions, the record showed PRN orders for lorazepam 0.5 mg every 4 hours for agitation and hydroxyzine 25 mg every 4 hours for agitation or anxiousness. The resident’s MAR showed multiple doses of both medications were given over several days, but the medical record did not contain evidence of the reason each dose was administered or that non-pharmacological interventions were attempted before the PRNs were given. The resident’s care plan identified mood and behavior changes and included general interventions such as offering snacks, reassurance, activities, and medication as ordered. Staff interviews confirmed nurses were expected to document the reason for PRN use in progress notes or the e-MAR, and that behavior documentation could also appear in a behavior book or 24-hour report. However, the behavior book had no recent entries for the resident, and there were no behaviors documented in the 24-hour reports for the dates when the PRN medications were administered. A late progress note was later entered describing agitation and combative behavior during blood sugar checks and ADL assistance, but this documentation was not present at the time the medications were given. For the second resident, who had diagnoses including cognitive communication deficit, delusional disorder, dementia, and anxiety disorder, the record showed a PRN order for Vistaril 25 mg every 8 hours for anxiety or agitation. The MAR showed several doses were administered, but the progress notes for those administrations did not document any attempted non-pharmacological interventions before the medication was given. The resident’s care plan addressed risk of adverse effects related to psychoactive medications and stated PRN medications were to be used only after non-drug measures were ineffective, but it did not include individualized non-pharmacological interventions. The DON verified the findings.
Insulin Not Administered as Ordered
Penalty
Summary
The facility failed to administer insulin medication according to physician orders for one resident reviewed for insulin administration. Resident #77 was admitted on 04/03/25 and had diagnoses including vascular dementia, type 2 diabetes mellitus, and congestive heart failure. The annual MDS assessment dated [DATE] indicated intact cognition. Physician orders for February 2026 included Insulin Glargine 28 units subcutaneously one time a day for diabetes mellitus. The February 2026 MARs and TARs showed Insulin Glargine for 02/09/26 with a #9 code, meaning see nurses note. The nurses note dated 02/09/26 at 10:30 A.M. documented that RN #406 contacted pharmacy because the insulin Glargine was not available. During interview, the resident stated he received insulin in the morning but it was not always timely and one time it was not available. RN #406 confirmed she worked on 02/09/26, that the insulin was not available, and that the resident did not receive his insulin that day. The DON also confirmed the resident did not receive his insulin because it was not available.
Unattended bedside medication and delayed controlled substance disposal
Penalty
Summary
Medication storage was not maintained in accordance with facility policy and accepted storage practices when a bottle of Fluticasone Propionate nasal spray was observed on a resident’s bedside table during medication administration. The resident stated she kept the nasal spray in her room and administered it herself. The LPN confirmed the medication was not permitted in the room and removed it. The DON later confirmed the resident was not permitted to keep medications in the room unless assessed and ordered to self-administer, and stated this resident was not able to self-administer medication. The resident had diagnoses including diabetes, chronic pain, depression, anxiety, and hypertension, and the MDS indicated intact cognition with substantial assistance needed for toileting and bathing and partial assistance with personal hygiene. Controlled substance disposal was also not completed timely for another resident who had been discharged from the facility. The resident had orders for Morphine Sulfate oral solution, Ativan, and Lorazepam for pain and restlessness, and the MARs/TARs showed medications were administered per orders during the stay. However, the controlled substance disposal log showed the narcotics were not disposed of until 10 days after discharge, with witness signatures from the DON, ADON/RN, and ADON/LPN. An RN stated she gave the medications to the DON on a later date, and the DON confirmed the narcotics were not disposed of timely after discontinued use and stated they should have been disposed of sooner. Ohio Board of Pharmacy guidance and DEA disposal rules were reviewed and cited in the report, stating that disposal of controlled substances after discontinuation of use must occur immediately, but no longer than three business days after discontinuation. The report states the facility failed to ensure medications were not left unattended at the bedside and failed to dispose of narcotic medications timely, affecting one resident for drug storage and one resident for narcotic disposal.
Failure to Honor Food Preferences
Penalty
Summary
The facility failed to honor resident food preferences for three residents. Resident #35 had diagnoses including dementia, anxiety disorder, and major depressive disorder, and the quarterly MDS dated 04/03/26 showed severely impaired cognition with supervision needed for eating and other ADLs. Her June 2026 diet order was for a consistent vegetarian diet with regular texture and thin liquids, and her tray ticket stated she wanted cottage cheese. During observation on 06/02/26 at 11:55 A.M., her tray was placed into the food cart without cottage cheese. A staff member stated the resident did not want cottage cheese anymore, but also stated this was not documented, and the Dietary Manager stated the resident was to get her cottage cheese, which was verified by the Dietary Aide. Resident #55 had diagnoses including Alzheimer's Disease, diabetes mellitus, and hypopituitarism, and the quarterly MDS dated 05/07/26 showed severely impaired cognition with set-up needed for eating. His June 2026 diet order was for a low concentrated sweet diet with regular texture, thin liquids, and small portions, and his tray ticket stated he wanted soup on the tray. During observation on 06/02/26 at 11:53 A.M., his tray was placed into the food cart without soup. Resident #71 had diagnoses including anxiety disorder, diabetes mellitus, and major depressive disorder, and the quarterly MDS dated 05/05/26 showed intact cognition with set-up needed for eating. Her June 2026 diet order was for a low concentrated sweet diet with regular texture, thin liquids, and small portions, and her tray ticket stated she did not want canned fruit. During observation on 06/02/26 at 12:09 P.M., her tray was placed into the food cart with canned fruit on it, and she also requested salad but did not have salad dressing on the tray as a condiment.
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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 Westlake
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rae-ann Westlake | 0.7 mi | ★★★★★ | 0 | 0 |
| Rae Ann Suburban | 1.2 mi | ★★★★★ | 5 | 0 |
| Lutheran Home | 1.4 mi | ★★★★★ | 1 | 0 |
| O'neill Healthcare Bay Village | 1.6 mi | ★★★★★ | 23 | 0 |
| Life Care Center Of Westlake | 1.8 mi | ★★★★★ | 15 | 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 August 2026) and official state health department websites.