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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lutheran Home during CMS and state inspections, most recent first.
A resident with multiple complex conditions and a PICC line for IV antibiotics did not receive required weekly dressing changes as ordered. Two LPNs signed off on the dressing changes in the MAR/TAR without actually performing them, resulting in the dressing not being changed since placement. The issue was discovered when the resident attended a follow-up appointment and the soiled, unchanged dressing was noted, leading to removal of the PICC line.
Failure to Complete PICC Line Dressing Changes as Ordered
Penalty
Summary
A deficiency occurred when the facility failed to ensure that care and services for a peripherally inserted central catheter (PICC) line site were completed as ordered for a resident with multiple complex diagnoses, including Evan's syndrome, systemic lupus erythematosus, hereditary hemolytic anemia, and drug-induced diabetes. The resident was admitted for treatment of a urinary tract infection and required intravenous antibiotics administered through a PICC line in the right upper extremity. Physician orders specified that the PICC line dressing was to be changed weekly on Sundays. Medical record review showed that the Medication Administration Record (MAR) and Treatment Administration Record (TAR) had been signed off by two LPNs for dressing changes on two occasions, but there was no evidence of any dressing changes after those dates, and the order was discontinued later. Progress notes and interviews revealed that the PICC line dressing had not been changed since placement, and the dressing was visibly soiled and dated from the time of insertion when the resident attended a follow-up appointment. The PICC line was removed at the appointment after this was discovered. Staff interviews confirmed that the LPNs had signed off on the dressing changes without actually performing them. One LPN reported not receiving the necessary dressing supplies, while the other believed all assigned dressings had been completed but could not recall specifics. The facility's policy required assessment of the insertion site at each dressing change and labeling of the dressing, but did not specify the frequency of changes. The deficiency was identified through review of records, staff interviews, and facility policy.
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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) |
|---|---|---|---|---|
| Life Care Center Of Westlake | 0.5 mi | ★★★★★ | 8 | 0 |
| Rae-ann Westlake | 0.9 mi | ★★★★★ | 0 | 0 |
| Huntington Woods Care & Rehab Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Rae Ann Suburban | 1.4 mi | ★★★★★ | 0 | 0 |
| Brookdale Westlake Village | 1.5 mi | ★★★★★ | 4 | 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.