Below 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 Life Care Center Of Westlake during CMS and state inspections, most recent first.
A high fall-risk resident with vascular dementia and multiple comorbidities, who was dependent for mobility, had care-planned and ordered fall interventions including a low bed against the wall and a floor mat, as well as bilateral grab bars and assistance out of bed. On an evening shift, staff reported putting the resident to bed with the bed in the lowest position, but later responded to a scream and found the resident on the floor, bleeding from the head, with the bed in a higher position and another cognitively impaired, wandering resident in the room who was known to play with bed remotes. The ordered floor mat was not in place. The subsequent fall investigation lacked documentation of whether the mat was present, did not note the wandering resident’s presence or related care plan, and was missing witness statements from all involved staff, while the risk report listed unspecified environmental factors without description.
A resident with Alzheimer's, impaired cognition, and a history of wandering and combative behaviors had a care plan calling for documentation of behavioral interventions, but staff did not record any behaviors on the date another resident experienced a fall allegedly involving this resident manipulating the bed remote and bed bolster. Review of progress notes, behavior tracking tasks, and an IDT note showed that although staff later reported finding the second resident on the floor with the bed repositioned and the cognitively impaired resident in the room, there was no corresponding behavior entry in the medical record for that day, and the DON confirmed the absence of required behavior documentation.
A resident with cancer and dementia, who was alert and oriented, reported to several staff members that she was being verbally abused by night shift CNAs, including the use of profanity. These concerns were relayed to nursing staff and administration, and also reported to a hospital social worker, who notified the facility. Despite these reports, facility leadership stated they were unaware of the allegations, and no SRI was filed or investigation initiated as required by policy.
A resident with a history of cancer and dementia reported to multiple staff members that she was being verbally abused by night shift CNAs, including being treated rudely and subjected to profanity. Although these concerns were communicated to nursing staff and the Administrator, no Self-Reported Incident was filed, and the facility did not follow its policy to report and investigate the abuse allegation.
A resident with cancer and dementia reported ongoing verbal abuse by night shift CNAs, including profanity and disrespectful behavior. Multiple staff, including CNAs and an LPN, were informed and stated they reported the allegations, but administrative staff were unaware and no investigation or required reporting was initiated, despite facility policy. The incident was also reported by a hospital social worker, yet no SRI or investigation occurred.
Three staff members, including a CNA, an RN, and an LPN, were found to be working without current CPR certification, as confirmed by personnel file reviews and staff interviews. The DON was aware of some expired certifications, and all three staff continued to work shifts despite the facility's policy requiring current CPR certification.
Two CNAs were found to be actively working without current annual performance reviews, as confirmed by personnel file audits and staff interviews. The DON verified that both CNAs were scheduled and working shifts without the required reviews, potentially affecting all residents in the facility.
Two residents experienced medication administration errors when a nurse failed to check a heart rate before giving digoxin and allowed unsupervised, improper use of a Dulera inhaler, resulting in a medication error rate above 5%.
A resident with severe cognitive impairment was found on the floor with discoloration on her knees and elbow, but the facility failed to document or monitor these injuries as required by their Basic Skin Management policy. The Director of Nursing confirmed the lack of follow-up, highlighting a deficiency in care.
A resident's Zofran medication was misappropriated by an LPN, who took it for personal use. The medication was discovered at the LPN's home during a police investigation. The resident, who was cognitively intact, had brought the medication to the facility from the hospital. The facility's policy on preventing misappropriation was not followed, leading to a deficiency citation.
Failure to Implement Fall Interventions and Complete Thorough Fall Investigation
Penalty
Summary
The deficiency involves the facility’s failure to ensure fall interventions were in place and to conduct a thorough fall investigation for a resident with significant cognitive and physical impairments. The resident, admitted with diagnoses including vascular dementia, anxiety, osteoarthritis of the right shoulder, congestive heart failure, contracture of the right hand, dysphagia, and depression, had impaired cognition and was dependent on staff for bed mobility, transfers, and ambulation. The resident’s care plan and fall risk assessment identified a high risk for falls, with interventions including nonskid socks at all times, a low bed, the bed placed against the wall, and a fall mat to the floor next to the bed. Physician orders also included a mat to the left side of the bed, bilateral grab bars, and assistance out of bed early in the morning. On the evening of the incident, staff reported that the resident had been put to bed with the bed in the lowest position and a bolster on the left side due to the order for the bed to be against the wall. Later that evening, staff heard a scream and entered the room, finding the resident on the floor in a pool of blood, actively bleeding from the right side of the forehead and nose, and the bed in a medium position. A cognitively impaired resident who wandered into other residents’ rooms and played with bed remotes, and who was care planned for frequent wandering and combative behavior with redirection, was in the room at the time of the incident. However, the progress note did not document that this wandering resident was present. The fall investigation contained witness statements from the DON and one CNA, but lacked statements from other staff who were working at the time, including the RN who discovered the resident and additional CNAs. The risk report listed predisposing environmental factors as “other” without describing them, did not document whether the fall mat was in place, and did not record that the wandering resident was found in the room or that this resident was care planned for wandering and combative behavior. The DON confirmed there was an order for a mat to the floor that was not in place at the time of the fall and verified that the fall investigation lacked required information.
Failure to Accurately Document Resident Behaviors in Medical Record
Penalty
Summary
The facility failed to ensure accurate documentation of behaviors in the medical record of a resident with Alzheimer's disease, wandering, anxiety, type II diabetes, and depression. The resident, admitted on 10/07/22, had impaired cognition per a quarterly MDS assessment and exhibited continuous inattention and disorganized thinking, along with physical and verbal behaviors, wandering, behaviors directed toward others such as hitting or scratching, and rummaging. The resident’s care plan dated 01/22/26 identified behavior problems related to frequent wandering into other residents’ rooms and being combative with redirection, with interventions including protecting the rights and safety of others, documenting interventions, and providing sensory items and domestic chores as needed. Despite these identified behaviors and care plan interventions, review of progress notes and behavior tracking tasks from 01/23/26 through 02/23/26 showed no behavior documentation for 02/13/26, the date staff alleged the resident was in another resident’s room playing with that resident’s bed remote and bed bolster at the time of the other resident’s fall. An IDT summary note for the other resident dated 02/16/26 documented that the other resident was found on the floor bleeding and yelling out, with staff reporting they had recently assisted her to bed in a low position with the bed against the wall and a bolster on the open side, and that upon re-entering the room, the bed was in a different position and the cognitively impaired resident was present in the room. The DON confirmed that nurses document behaviors in progress notes and CNAs document behaviors under the task tab, and verified there was no behavior note in the cognitively impaired resident’s record for 02/13/26 describing her presence in the other resident’s room or interaction with the bed remote or bolster as alleged.
Failure to Investigate and Report Allegation of Verbal Abuse
Penalty
Summary
The facility failed to implement its policy and procedure for investigating and reporting an allegation of verbal abuse involving one resident. The resident, who had diagnoses including malignant neoplasm of endometrium, malignant neoplasm of cerebral meninges, and dementia, was alert and oriented, and had a care plan addressing behavioral issues such as refusal of care and accusatory behavior toward staff. The resident reported to multiple staff members, including CNAs and an LPN, that she was being treated rudely and subjected to profanity by night shift CNAs. These staff members stated they reported the allegations to nursing staff and administration. The resident also reported the abuse to a hospital social worker during a hospital stay, who then informed the facility and its hospital liaison of the allegations. Despite these multiple reports, facility administrative staff, including the Administrator, DON, and ADON, stated they were unaware of any abuse allegations regarding this resident. Review of facility records and the Ohio Department of Health reporting system confirmed that no Self-Reported Incident (SRI) was filed for this allegation, and no investigation was initiated as required by facility policy. The facility's policy mandates that all abuse allegations be reported to the Administrator, investigated, and reported to the State Survey Agency within five working days, which did not occur in this case.
Failure to Report Allegation of Verbal Abuse
Penalty
Summary
The facility failed to report an allegation of verbal abuse involving a resident who was alert, oriented, and had a history of malignant neoplasms and dementia. The resident reported to multiple staff members, including CNAs and an LPN, that she was being treated rudely and subjected to profanity by night shift CNAs. Despite these reports, the resident did not feel comfortable naming the staff involved, but she did express her concerns to staff on several occasions and also mentioned the issue during a hospital stay. Staff interviews confirmed that the resident's complaints were relayed to nursing staff and, in one instance, to the facility Administrator. However, the Administrator, DON, and ADON stated they were unaware of any abuse allegations regarding this resident, although they acknowledged all staff were trained on abuse reporting protocols. The facility's Social Worker Case Manager also reported the resident's allegations to the facility after learning of them during the resident's hospital admission, and the Hospital Liaison was informed as well, though he could not confirm if he received the information. A review of facility records and the Ohio Department of Health's reporting system revealed that no Self-Reported Incident (SRI) was filed regarding the verbal abuse allegation for this resident. The facility's policy required all abuse allegations to be reported to the Administrator, investigated, and reported to the State Survey Agency within five working days. The facility did not follow this policy, resulting in a failure to report and investigate the resident's allegation of verbal abuse.
Failure to Respond to Allegation of Verbal Abuse
Penalty
Summary
The facility failed to respond appropriately to an allegation of verbal abuse involving a resident with diagnoses including malignant neoplasm of endometrium, malignant neoplasm of cerebral meninges, and dementia. The resident was alert, oriented, and had a care plan addressing behavioral issues, including accusations toward staff. The resident reported to multiple staff members that she was being treated disrespectfully, with staff using profanity and being rude, particularly during the night shift. Despite these reports, the resident was reluctant to name the staff involved due to fear of retaliation. Several staff members, including CNAs and an LPN, confirmed that the resident had informed them of the alleged verbal abuse and that they had reported these concerns to nursing or administrative staff as per facility policy. However, interviews with the Administrator, DON, and ADON revealed that administrative staff were unaware of any such allegations regarding this resident. The facility's abuse policy required all allegations to be reported to the Administrator, investigated, and reported to the State Survey Agency, but there was no evidence that this process was followed for the resident's complaint. Further, a social worker case manager from the hospital reported that the resident had disclosed daily verbal abuse during her hospital stay and that this information was communicated to the facility and its hospital liaison. Despite this, there was no record of a self-reported incident (SRI) related to the allegation, and the facility did not initiate an investigation or report the incident as required by policy. The failure to respond appropriately to the resident's allegation of verbal abuse constituted non-compliance with regulatory requirements.
Failure to Maintain Current CPR Certification Among Nursing Staff
Penalty
Summary
The facility failed to ensure that three out of five sampled staff members, including a CNA, an RN, and an LPN, maintained current certification in Cardio-Pulmonary Resuscitation (CPR). Personnel file reviews revealed that these staff members' CPR certifications had expired, and interviews confirmed that they were not currently certified. Despite this, all three staff members continued to be scheduled and actively worked shifts throughout the facility. The Director of Nursing (DON) acknowledged awareness of the expired certifications for the CNA and RN but was not aware of the expiration date for the LPN. Facility policy required staff to be properly trained and/or certified in CPR to provide basic life support until emergency medical services arrived, and to maintain current CPR certification. The deficiency was identified through review of personnel files, staff interviews, and facility policy, and was investigated under a specific complaint number.
Failure to Complete Annual Performance Reviews for CNAs
Penalty
Summary
The facility failed to ensure that two out of five reviewed Certified Nursing Assistants (CNAs) received their required annual performance reviews. Personnel file audits revealed that one CNA, hired in September 2020, and another CNA, hired in June 2011, did not have current annual performance reviews on file. Interviews with both CNAs confirmed that their annual reviews had not been completed. The Director of Nursing (DON) also confirmed that these CNAs were actively working scheduled shifts throughout the facility without current annual performance reviews in place. This deficiency was identified during a complaint investigation and had the potential to affect all residents in the facility, which had a census of 99 at the time of the survey.
Medication Administration Errors Exceed Acceptable Rate
Penalty
Summary
Surveyors observed that the facility failed to administer medications according to physician orders and manufacturer instructions for two out of three residents reviewed. In the first instance, a registered nurse administered digoxin to a resident without checking the resident's heart rate, despite a clear order to hold the medication if the heart rate was under 60 beats per minute. The nurse confirmed during interview that the heart rate was not checked prior to administration, although it was later found to be above 60 beats per minute. In the second instance, a nurse allowed a resident to self-administer a Dulera inhaler without supervision. The resident did not shake the inhaler before use, did not wait between puffs, inhaled incorrectly, and failed to rinse their mouth after administration, all contrary to manufacturer instructions and facility policy. The nurse confirmed these findings during interview. These two medication errors were identified out of 33 observed administrations, resulting in a medication error rate of 6.1%.
Failure to Monitor Resident Injuries After Fall
Penalty
Summary
The facility failed to adequately monitor a resident for injuries following a fall. Resident #97, who has severe cognitive impairment and multiple diagnoses including dementia and depression, was found on the floor with her knees on the ground and her head and torso still on the bed. Staff noted discoloration on her knees and a small area on her right elbow, but there was no further documentation describing these injuries or any follow-up actions taken to monitor them. The Director of Nursing confirmed that there was no documentation to support ongoing monitoring of the resident's injuries, which is contrary to the facility's Basic Skin Management policy. This policy requires routine monitoring of any documented areas on a resident's body until they are resolved. The lack of documentation and follow-up monitoring represents a deficiency in the facility's care for Resident #97, as it failed to ensure proper assessment and management of potential injuries following the fall.
Misappropriation of Resident Medication by LPN
Penalty
Summary
The facility failed to protect a resident from the misappropriation of their medication, specifically Zofran, by a staff member. The incident involved a resident who was cognitively intact and required assistance with daily activities. The resident was admitted to the facility with a box of Zofran, which was later found at the home of an LPN employed by the facility. The medication was discovered during a police investigation, and the label indicated it belonged to the resident. The LPN confessed to taking the medication for personal use with the intention of returning it. The facility's investigation revealed that the resident's medication was brought to the facility from the hospital and placed in the medication room. The admitting nurse recalled the resident arriving with medications, including narcotics, which were inventoried and destroyed due to new orders. The LPN involved in the incident completed the resident's admission process. The facility's policy on abuse and misappropriation of resident property was not adhered to, resulting in the deficiency being cited under a complaint investigation.
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Westlake
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lutheran Home | 0.5 mi | ★★★★★ | 1 | 0 |
| Rae-ann Westlake | 1.4 mi | ★★★★★ | 0 | 0 |
| Brookdale Westlake Village | 1.6 mi | ★★★★★ | 4 | 0 |
| Huntington Woods Care & Rehab Center | 1.8 mi | ★★★★★ | 0 | 0 |
| Rae Ann Suburban | 1.9 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.