Above 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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Landings Of Westerville Health And Rehab The during CMS and state inspections, most recent first.
A resident with cognitive impairment and multiple medical conditions was left without camera surveillance in her room after a UM removed a power strip connected to the device and did not reconnect it. The camera remained unplugged, and the Administrator was unaware of the situation, despite facility policy permitting electronic monitoring for residents.
A resident with an NPO order, who was cognitively impaired and required total assistance, was given a small amount of liquid chlorhexidine solution orally during oral care by an LPN, contrary to physician orders and facility protocol. Facility training specified that oral care for NPO residents should be performed with a swab and without administering liquids by mouth.
A resident at risk for falls suffered a major injury due to improper positioning during incontinence care. The CNA, providing care alone, failed to follow the care plan requiring two-person assistance, leading to the resident falling out of bed and fracturing her femur.
The facility failed to maintain accurate care plans for two residents. One resident's care plan did not document a cataract diagnosis or surgery recommendation, while another's care plan inaccurately reflected their need for assistance with ADLs. These omissions were confirmed by facility staff.
A resident experienced a delay in cataract surgery due to the facility's failure to schedule a specialist consultation as instructed by the optometrist. Despite the resident's repeated requests, the appointment was not made, leading to further complications when the resident finally saw a specialist. The DON confirmed the oversight, which resulted in a significant delay in treatment.
A resident at risk for falls and dependent on staff for care fell out of bed and fractured her left femur due to improper positioning technique during incontinence care. The CNA providing care was alone and did not follow the care plan's requirement for two-person assistance, leading to the resident's fall. The incident resulted in a major injury, including a left femoral neck fracture and multiple skin tears.
A resident with complex medical needs did not receive prescribed antibiotics due to unavailability and pharmacy errors. Despite multiple missed doses, there was no timely notification to the physician, violating facility policy on change in condition.
A resident with Alzheimer's and anxiety disorder received crushed Divalproex Sodium delayed release tablets, contrary to administration guidelines. The DON intervened, revealing the error had occurred throughout April, despite facility policies against crushing such medications.
Failure to Restore Resident's Camera Surveillance After Power Strip Removal
Penalty
Summary
A deficiency occurred when facility staff failed to honor a resident's right to have camera surveillance in her room. The resident, who was cognitively impaired with a BIMS score of six and required total assistance with activities of daily living, had a surveillance camera in her room. On a specific date, the Unit Manager removed a power strip that was connected to the resident's surveillance camera and did not reconnect the camera to a power source. The Unit Manager confirmed that neither he nor any other staff member plugged the camera back in, and the family was notified but it was unclear when the camera was restored to operation. The facility's policy allows residents and their authorized representatives to install and use electronic monitoring devices in accordance with applicable laws, with only authorized personnel permitted to install such devices. The Administrator was unaware that the camera had not been reconnected after the power strip was removed. This failure affected one resident out of fifteen who had surveillance cameras in their rooms, and was identified through medical record review, staff interviews, and facility policy review.
NPO Resident Received Liquid by Mouth During Oral Care
Penalty
Summary
A deficiency occurred when a resident with a physician's order for Nothing by Mouth (NPO) received a small amount of liquid chlorhexidine solution orally during oral care. The resident, who was cognitively impaired and required total assistance with activities of daily living and oral hygiene, had a medical history including cerebral infarction, emphysema, acute and chronic respiratory failure with hypoxia, diabetes mellitus, atrial fibrillation, tracheostomy dependence, and depression. The resident's current orders specified an NPO diet and the use of chlorhexidine gluconate solution for oral care, to be administered with a swab and not ingested. Despite these orders and facility training that outlined the correct procedure for providing oral care to NPO residents—including the use of a foam swab soaked in chlorhexidine and the avoidance of giving liquids by mouth—a nurse poured a small amount of the solution directly into the resident's mouth to clean her teeth. This action was confirmed through medical record review, staff interviews, and facility documentation, indicating a failure to adhere to established protocols for NPO residents.
Improper Positioning During Incontinence Care Leads to Resident Fall
Penalty
Summary
The facility failed to ensure proper positioning technique during incontinence care, resulting in a fall and major injury for a resident. The incident involved a cognitively intact resident who was at risk for falls and dependent on staff for turning, repositioning, and toileting. During incontinence care, a CNA was providing care alone and improperly positioned the resident, leading to the resident falling out of bed and sustaining a left femur fracture. The resident's care plan indicated a need for two-person assistance for repositioning and toileting, which was not followed during the incident. The CNA attempted to change the resident's brief and reached for an incontinence pad while holding onto the pad the resident was lying on, rather than the resident herself. This action led to the resident rolling out of bed and suffering multiple injuries, including a fractured femur and skin tears. Interviews with the CNA and RN revealed that the CNA was alone in the room and did not secure the resident properly before reaching for supplies. The resident attempted to reach for the assist bar, which contributed to her fall. The facility's policy on CNA skills was not adhered to, as the CNA did not ensure the resident was safely positioned or seek assistance from another staff member, contrary to the care plan requirements.
Deficiencies in Resident Care Plans
Penalty
Summary
The facility failed to ensure that residents had updated and accurate care plans, as evidenced by deficiencies found in the care plans of two residents. Resident #65, who was diagnosed with cataracts in both eyes by the facility's contracted eye doctor, did not have this condition or the recommendation for cataract surgery documented in their care plan. Despite being alert and oriented, the resident declined the surgery, and the omission was confirmed by a Regional Registered Nurse during an interview. Similarly, Resident #30's care plan was not reflective of her actual care needs. Although the care plan indicated that she required two-person assistance for activities of daily living (ADLs), the Minimum Data Set (MDS) revealed that she was dependent on staff for eating, toileting, bed mobility, and transfers, and was always incontinent for bowel and bladder. The Director of Nursing confirmed that the care plan had not been revised to accurately reflect Resident #30's dependency on staff for ADL care.
Failure to Schedule Cataract Surgery Consultation
Penalty
Summary
The facility failed to implement physician orders for a resident, leading to a delay in treatment. The resident, who was alert and oriented with no cognitive deficits, had been diagnosed with cataracts in both eyes during an annual eye examination. Initially, the resident declined surgery but later agreed due to a decrease in vision. The optometrist instructed the facility to arrange a consultation with a specialist for cataract surgery, but this was not done. The resident expressed frustration, stating that despite multiple requests to the nursing staff and unit manager, the appointment was never scheduled. It was only after a follow-up appointment with the optometrist that the oversight was discovered. Consequently, the resident experienced a delay in seeing a specialist, which led to further complications as the specialist identified increased pressure behind the eyes, preventing immediate surgery. The Director of Nursing confirmed that the consultation was not arranged until months later, resulting in a significant delay in the resident receiving necessary treatment.
Improper Positioning Technique Leads to Resident Fall and Injury
Penalty
Summary
The facility failed to ensure proper positioning technique during incontinence care, resulting in a fall with a major injury for a resident. The incident occurred when a Certified Nursing Aide (CNA) was providing incontinence care to a cognitively intact resident who was at risk for falls and dependent on staff for turning, repositioning, and toileting. The CNA, while changing the resident's brief, reached for an incontinence pad with one hand while holding onto the pad the resident was lying on with the other hand, leading to the resident falling out of bed and fracturing her left femur. The resident, who had medical diagnoses including spinal cord compression, diabetes, malnutrition, and spinal stenosis, was assessed to be at moderate risk for falls. Her care plan indicated she required two-person assistance for repositioning and toileting, and assist bars were to be used for her bed. However, during the incident, the CNA was alone in the room and did not follow the care plan's requirement for two-person assistance, which contributed to the resident's fall. Interviews with the CNA and the Registered Nurse (RN) involved revealed that the CNA admitted to not holding the resident properly and acknowledged that the resident may have tried to grab the side rail or remote, leading to the fall. The RN confirmed that the CNA either left the room or left the resident unattended while reaching for linens, which was against the facility's procedures for safe resident handling. The incident resulted in the resident sustaining a left femoral neck fracture and multiple skin tears, requiring immediate medical attention and pain management.
Failure to Administer Antibiotics as Prescribed
Penalty
Summary
The facility failed to administer prescribed antibiotic medication to Resident #100, who was one of three residents reviewed for antibiotic use. Resident #100, who had a complex medical history including anoxic brain damage, chronic respiratory failure, and osteomyelitis, was discharged from the hospital with specific orders to start several antibiotics, including Cefpodoxime, Ciprofloxacin, and Linezolid. Upon returning to the facility, the medication Cefpodoxime was not administered as prescribed due to unavailability and pharmacy errors, which resulted in the resident missing doses on multiple occasions. The facility's records indicate that the medication was not available upon the resident's return, and subsequent attempts to obtain the correct formulation from the pharmacy were unsuccessful. Despite the ongoing issue, there was no documentation that the physician was notified in a timely manner about the missed doses. The facility's policy required notification of the physician and other relevant parties in the event of a significant change in the resident's condition, which includes missed medications. This lack of timely communication and failure to administer the medication as ordered contributed to the deficiency identified in the report.
Significant Medication Error in Administration
Penalty
Summary
The facility failed to ensure medications were administered to residents without significant medication errors. Specifically, Resident #31, who had diagnoses of Alzheimer's disease and anxiety disorder, was affected. The resident had an order for Divalproex Sodium delayed release tablets, which were not to be crushed, but the resident required medications to be crushed due to a pureed diet order. On 04/30/24, RN #259 was observed crushing the Divalproex Sodium tablets and mixing them with applesauce before attempting to administer them to the resident. The Director of Nursing (DON) intervened and stopped the administration, pointing out that the medication should not be crushed, as indicated in the facility's do not crush list provided by the pharmacy. The DON confirmed that the medication had been administered inappropriately throughout the month of April 2024, as documented in the medication administration record. The facility's policy on medication administration stated that medications should be administered by legally-authorized and trained persons in accordance with applicable laws and standards of practice. The policy also noted the need to refer to medication reference texts for administration guidelines when medications are mixed with substances to facilitate administration. Despite this policy, the facility staff failed to adhere to the guidelines, resulting in the administration of crushed Divalproex Sodium delayed release tablets to Resident #31, which was against the medication's administration instructions.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 756 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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 Westerville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Buckeye Terrace Rehabilitation And Nursing Center | 0.7 mi | ★★★★★ | 10 | 0 |
| Westerville Post Acute. | 2.6 mi | ★★★★★ | 1 | 0 |
| Westerwood Rehabilitation | 3.3 mi | ★★★★★ | 10 | 0 |
| Forest Hills Center | 3.7 mi | ★★★★★ | 6 | 0 |
| Highbanks Care Center | 3.7 mi | ★★★★★ | 8 | 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 June 2026) and official state health department websites.