Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Westerwood Rehabilitation during CMS and state inspections, most recent first.
NOMNCs for three residents did not specify which skilled services were ending. The notices stated only that skilled nursing services would end, while the DP confirmed the residents were receiving therapy services such as PT, OT, and speech therapy, and the Administrator stated they did not have a skilled nursing service.
Inaccurate MDS Skin Condition Coding: The facility failed to accurately code skin conditions on a quarterly MDS for a resident with Alzheimer's disease, DM2, and CKD. The resident was dependent on staff for all care and had a facility-acquired skin tear on the left shoulder that remained active, but Section M of the MDS indicated no current wounds or skin problems. The Administrator confirmed the inaccuracy, and the facility policy required an accurate assessment reflective of the resident’s status.
A resident with multiple chronic conditions and moderate cognitive impairment was ordered TED hose in the morning and off at bedtime, but was observed without the stockings, and staff and family reported the resident was not wearing them. In a separate issue, another resident was observed with a purple bruise on the forearm, but the skin assessment documented no discoloration, and staff could not determine when the bruise occurred.
Missing Hearing Aid Not Tracked or Located: A resident with moderate cognitive impairment and multiple chronic conditions was ordered to receive assistance with hearing aids, but staff failed to ensure the resident's left hearing aid was maintained. The resident and daughter reported the hearing aid had been missing for months, staff confirmed one aid was gone, and the item was not documented on the missing items log despite the facility policy requiring reporting, search, and follow-up.
A resident at risk for skin breakdown had an alternating air mattress ordered at a specific setting with placement and function to be checked each shift, but observations found the mattress set above the ordered level and later at a different incorrect setting. The resident had impaired cognition, limited mobility, incontinence, and diagnoses including CKD and monoplegia.
A resident with dysphagia and an order for a regular diet with pureed texture and nectar-thick liquids was served food that did not match the ordered consistency. Staff observed mechanical soft turkey bacon and sausage on the tray, and kitchen review found sausage that was gritty and chunky rather than smooth; the DON later confirmed the sausage was not pureed. The resident was also observed with regular oatmeal on the tray, and nursing staff stated pureed food should be smooth like pudding.
Inaccurate medical record documentation was found for a resident with advanced cancer, malnutrition, acute respiratory failure, diabetes, depression, anxiety, and HTN. An LPN documented guaiac-positive brown emesis and an RN documented transfer to the hospital, but later skin assessments were charted while the resident was still in the hospital; the ADON confirmed the resident had not returned at the time those assessments were entered.
A resident admitted with a burn abrasion on the upper back did not have a treatment order in place for two days following admission. Despite documentation of the skin alteration and facility policy requiring prompt notification and treatment, the admitting nurse did not obtain a physician order for the wound, resulting in a delay in care.
A facility failed to ensure a resident was transferred safely according to their care plan and facility policy, which required two staff members for transfers using a mechanical lift. A new STNA performed the transfer alone, contrary to protocol, and the incident was reported by another resident's daughter.
The facility failed to provide a resident with activities that met his needs and preferences. Despite documented interests in various activities, the resident was often found without engagement materials like a radio or reading device. Staff were aware of his preferences but did not consistently provide the necessary materials or document his requests.
A resident with a fractured right humerus was observed wearing a right arm sling without a physician order. The ADON confirmed the absence of the required order, despite the resident's need for the sling during the healing process.
A resident with ill-fitting dentures experienced pain and sores due to the facility's failure to provide timely dental services. Despite documented issues and dietary adjustments, the resident was not seen by the facility's dentist, and necessary consent forms were not completed. The resident was unaware of in-facility dental services and had an outside appointment scheduled for June.
The facility failed to allow a resident to return from the hospital in a timely manner due to mismanagement of bed availability. Despite being ready for discharge, the resident was not accepted back until several days later, even though a private room was available but unutilized.
A facility failed to provide a resident with a prescribed frozen nutritional treat with meals, as indicated in the care plan. The resident, who had severe malnutrition and other health issues, was observed being fed pureed food without the required supplement, and the staff member was unaware of the dietary requirement until verifying with the kitchen.
A facility failed to ensure proper infection control practices were followed by staff while assisting a resident with meals. An STNA did not change gloves or perform hand hygiene after touching potentially contaminated surfaces before continuing to feed a resident under contact precautions for colonized C. Diff. The STNA was unaware of the specific reason for the precautions and did not follow the facility's hand hygiene policy.
NOMNCs Did Not Specify Which Skilled Services Were Ending
Penalty
Summary
The facility failed to ensure residents were made aware of which skilled services were ending when issuing Notices of Medicare Non-Coverage (NOMNCs) for three residents reviewed for advanced beneficiary notices. Resident #84 was admitted with diagnoses including acute cystitis, cognitive communication deficit, and muscle weakness, and the NOMNC dated 10/10/25 stated that skilled nursing services would end on 10/10/25 but did not specify which services. Resident #85 was admitted with diagnoses of left femur fracture, need for assistance with personal care, and muscle weakness, and the NOMNC stated that skilled nursing services would end on 12/19/25 without identifying the specific services ending. Resident #86 was admitted with diagnoses including hypertensive heart disease with heart failure, takotsubo syndrome, and malnutrition, and the NOMNC stated that skilled nursing services would end on 08/11/25 without specifying which services were ending. During interview, the LSW stated the NOMNC did not have to specify which services were ending and only needed to say skilled nursing services. The DP stated the NOMNCs referred to skilled services, which could include PT, OT, speech therapy, and nursing services, and confirmed the three residents were in the facility for therapy services. The Administrator later stated the three residents received skilled speech, physical, and occupational therapy and did not have a skill-able nursing service.
Inaccurate MDS Skin Condition Coding
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) assessment was accurately coded for skin conditions for Resident #4, whose record showed an admission date of 08/02/21 and diagnoses including Alzheimer's disease, type II diabetes, and stage III chronic kidney disease. The quarterly MDS completed on 01/20/26 showed the resident was dependent on staff for all care, including eating, personal care and hygiene, turning and positioning, and transfers and mobility, and had a BIMS score of 09 indicating moderate cognitive impairment. The medical record also showed a facility-acquired skin tear to the left shoulder that was identified on 12/16/25 and remained active through the survey, but the quarterly MDS Section M, with assessment reference date of 01/08/26 and a seven-day lookback period, indicated no current pressure ulcers, venous or arterial ulcers, or other ulcers, wounds, or skin problems. The Administrator confirmed the inaccuracy during interview, and the facility policy stated residents are to receive an accurate assessment reflective of their status at the time of assessment.
Failure to Follow TED Hose Orders and Document Bruising
Penalty
Summary
The facility failed to ensure Resident #35 was assessed and monitored for edema-related care related to TED hose use. Resident #35 was admitted with diagnoses including Parkinson's disease, hypertensive chronic kidney disease, atrial fibrillation, depression, GERD, glaucoma, anxiety disorder, cardiac defibrillator, and anemia. The quarterly MDS showed a BIMS score of 11, indicating moderate cognitive impairment, and the resident required substantial to maximum assistance with dressing and personal hygiene. The care plan and order both directed TED hose to be applied in the morning and removed at bedtime, with assistance as needed, but on observation the resident was wearing non-skid socks and black shoes with no compression stockings on, and the legs were not elevated while seated. Staff interviews confirmed the resident was not wearing TED hose, and the daughter stated she had not seen the resident wearing TED hose since admission. The ADON stated CNAs were typically responsible for applying TED hose and nurses should verify they were on before documenting the TAR. The facility also failed to accurately assess and monitor bruising for Resident #10. Resident #10 was admitted with diagnoses including hypertension, hyperlipidemia, and type II diabetes. The resident was observed resting in bed with a purple bruise the size of a quarter on the left posterior forearm. A subsequent skin assessment documented the skin as warm, intact, and without discoloration, and did not include the bruise. Staff interviews showed uncertainty about when or how the bruise occurred, and the ADON confirmed the skin assessment was inaccurate because it did not document the bruise. The ADON stated staff were still being interviewed to determine when the bruising started.
Missing Hearing Aid Not Tracked or Located
Penalty
Summary
The facility failed to ensure Resident #35 received the proper treatment and assistive devices to maintain hearing abilities. The resident was admitted with diagnoses including Parkinson's disease, hypertensive chronic kidney disease, atrial fibrillation, depression, gastro-esophageal reflux disease, glaucoma, anxiety disorder, cardiac defibrillator, and anemia. The quarterly MDS showed a BIMS score of 11, indicating moderate cognitive impairment, and the resident required substantial to maximum assistance with upper and lower body dressing and personal hygiene. Orders and care plan interventions directed staff to assist with placing hearing aids in the ears in the morning, removing them at night, and placing the right hearing aid in a charger at night. During observation, the resident had the right hearing aid in place but no hearing aid in the left ear, and stated the left hearing aid had been missing for a couple of months. The resident reported moving to the facility with both hearing aids. The resident's daughter stated the left hearing aid went missing in late October or early November and that she had informed aides, a nurse, and the ADON about it. Staff interviews confirmed the resident had arrived with two hearing aids and that one had been gone for a long time. The ADON stated staff searched for the missing hearing aid but he was not aware it had been found. Review of the missing items log showed the resident's missing hearing aid was not documented, and the Administrator stated she was not aware of the missing hearing aid. The facility policy required missing items to be documented on a missing item report and routed for searching and follow-up, with the resident or representative updated on the status.
Alternating Air Mattress Not Kept on Ordered Setting
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing was not ensured when Resident #72’s alternating air mattress was found on settings other than the physician-ordered setting of 125. Resident #72 was admitted with diagnoses including chronic kidney disease, spinal stenosis of the lumbar region, and monoplegia of the right lower limb. The MDS assessment identified moderately impaired cognition, no behaviors, risk for pressure ulcers, and a pressure-reducing device in place for the bed. The care plan identified risk for skin breakdown related to weakness, decreased mobility, bowel and bladder incontinence, wheelchair use, and multiple diagnoses, and included an air mattress with built up perimeter with placement and function checked each shift. Observation showed the mattress set to 260 while the resident was resting in bed, later set to 150 during an observation and interview with a CNA who confirmed the setting, and again observed at 150 the next day.
Incorrect Diet Texture Served to Resident with Dysphagia
Penalty
Summary
The facility failed to ensure that a resident with dysphagia and an order for a regular diet with pureed texture and nectar-thick liquids received food prepared in the correct texture. Resident #52 had diagnoses including hypertensive chronic kidney disease, dysphagia, muscle weakness, obesity, edema, atherosclerotic heart disease, chronic kidney disease, hyperlipidemia, gastro-esophageal reflux disease, cognitive communication deficit, and hypertension. The care plan identified a need for pureed food, and the physician’s order specified a regular diet with pureed texture, nectar-thick liquids, and extra gravy. The resident’s MDS showed intact cognition, no behaviors, moderate assistance for eating, and a mechanically altered diet. Observations showed the resident was served mechanical soft turkey bacon at breakfast, and on another occasion the breakfast tray contained mechanical soft appearing sausage along with pureed toast and eggs. During kitchen observation, staff presented sausage that appeared mechanical soft rather than pureed, and after it was questioned, it was placed into the food processor. The sausage remained gritty and chunky when tasted, and staff gave conflicting statements about whether it was pureed. The dietary manager stated two residents were served the wrong diet. Later observation showed the resident had regular oatmeal on the breakfast tray, and nursing staff stated pureed food should be smooth like pudding, while one nurse confirmed the oatmeal was not pureed.
Inaccurate Medical Record Documentation
Penalty
Summary
The facility failed to maintain an accurate medical record for one resident (#75) of two residents reviewed for hospitalization. Resident #75 was admitted on 01/12/26 and discharged to the hospital on 01/22/26 with diagnoses including stage 4 adenocarcinoma of the gastroesophageal junction with metastasis, moderate protein-calorie malnutrition, acute respiratory failure with hypoxia, diabetes, major depressive disorder, generalized anxiety disorder, and hypertension. The admission MDS indicated the resident was cognitively intact, used a walker and wheelchair for mobility, required partial/moderate assistance with toileting hygiene, substantial/maximal assistance with bathing/showering, transfers, and bed mobility, was occasionally incontinent of bladder and bowel, and had no skin issues. Review of the nursing progress notes showed that on 01/22/26 at 8:19 A.M., an LPN documented brown emesis that was guaiac positive and noted the CNP was notified. Later that day at 12:00 P.M., an RN documented that the resident was transported to MCSA via critical care ambulance, report was called to the hospital, and the family was notified. However, nursing progress notes dated 01/30/26 and 02/06/26 documented head-to-toe skin evaluations for the resident while the resident had not returned from the hospital. During an interview on 02/12/26 at 1:30 P.M., the ADON confirmed the resident had not returned from the hospital at the time of the interview and that the skin assessments were charted while the resident was in the hospital.
Failure to Obtain Timely Treatment Order for Burn Abrasion
Penalty
Summary
The facility failed to obtain a treatment order for a burn abrasion for one resident upon admission. The resident was admitted with multiple diagnoses, including inflammatory polyarthropathy, muscle weakness, adult failure to thrive, and a burn of unspecified degree on the upper back. The admission skin assessment documented an open abrasion on the left scapula, and wound rounds identified an active abrasion with scant serosanguinous drainage. Despite these findings, there was no physician order for treatment of the burn abrasion from the time of admission until two days later. The plan of care indicated the need for skin treatments as ordered, and facility policy required that a physician be notified of skin alterations and that treatment be initiated as ordered. The Assistant Director of Nursing confirmed that the admitting nurse did not obtain a treatment order for the abrasion, particularly as the admission occurred over a weekend. This lapse resulted in the resident not receiving timely treatment for the skin alteration as required by facility policy and the resident's care plan.
Failure to Follow Transfer Protocols
Penalty
Summary
The facility failed to ensure Resident #10 was transferred in a safe manner according to the resident's plan of care and facility policy, which required two staff members to assist with transfers using a mechanical (Hoyer) lift. On the date of the incident, a State tested Nursing Assistant (STNA) who was still in training transferred Resident #10 by himself using the mechanical lift, contrary to the established protocol. This incident was reported by the daughter of another resident, who observed the STNA performing the transfer alone and expressed her concerns about the safety of the resident. Resident #10 had a history of chronic obstructive pulmonary disease, spinal stenosis lumbar region, and dementia, and was dependent on staff for all transfers. The resident's plan of care specifically required two staff members for transfers using a Hoyer lift due to the resident's decreased mobility, weakness, and memory loss. The facility's policy also mandated that at least two staff members be present when using a mechanical lift. Despite these requirements, the STNA proceeded with the transfer alone, which was not documented in the resident's medical record, and no written statement from the STNA was available for review during the survey.
Failure to Provide Resident with Meaningful Activities
Penalty
Summary
The facility failed to ensure that Resident #32 was provided with activities to meet his needs. Resident #32, who had intact cognition and a range of medical conditions including neuroleptic parkinsonism, dementia, and depression, expressed a preference for activities such as watching the news, Cleveland Browns football, spending time with family, hiking, ham radio, reading, and listening to music. Despite these preferences being documented in his care plan and activities assessment, the activities log showed limited engagement in these activities. The log indicated that Resident #32 primarily engaged in reading, watching television, and religious activities, with one-to-one visits mostly consisting of dropping off a Kindle. Interviews and observations revealed that Resident #32 did not have access to a radio or reading materials in his room and was often found sitting without any engagement in activities. Staff confirmed that while they were aware of his preferences, they did not consistently provide the necessary materials or document his requests and refusals for activities. Resident #32 expressed dissatisfaction with the lack of activities, stating that he did not watch television and wished he had his computer or a radio. The Community Life Coordinator acknowledged the lack of available radios and the expectation that residents ask for activity materials, which was not documented. The deficiency was evident in the facility's failure to provide Resident #32 with meaningful activities that aligned with his interests and needs, leading to periods of inactivity and lack of engagement.
Failure to Obtain Physician Order for Arm Sling
Penalty
Summary
The facility failed to obtain a physician order for a right arm sling prior to its use for a resident with limited mobility. Resident #116, who had a medical history including a fracture of the right humerus, laceration of the head, difficulty in walking, lack of coordination, cognitive communication deficit, and a history of falling, was observed wearing a right arm sling without a corresponding physician order. The resident required varying levels of assistance for daily activities and had intact cognition. The Assistant Director of Nursing confirmed the absence of a physician order for the sling, which was being used while the resident's bone healed.
Failure to Provide Timely Dental Services
Penalty
Summary
The facility failed to ensure timely dental services for Resident #116, who had a history of multiple medical issues including a fracture, cognitive communication deficit, and difficulty walking. Upon admission, it was noted that Resident #116 had broken or loosely fitting dentures, which were causing sores and affecting her ability to eat. Despite these issues being documented in the resident's medical records and dietary progress notes, no dental services were provided, and the resident was not seen by the facility's dentist during a scheduled visit. Interviews with Resident #116 revealed that she was experiencing pain from a canker sore caused by her ill-fitting dentures and had to leave her dentures out during meals. The resident was unaware of any in-facility dental services and had an outside dental appointment scheduled for June, which she felt was too far away. The facility's Ancillary Specialist confirmed that dental services were offered but noted that the necessary consent forms for Resident #116 had not been completed, and the resident was not included in the dentist's visit list. Further interviews with the Admissions Coordinator revealed that the admission packet and ancillary services consent forms for Resident #116 had not been completed within the required 72-hour timeframe. The facility's policy stated that dental needs should be identified through assessments and addressed in the care plan, but this was not done for Resident #116. The lack of timely dental care and failure to complete necessary documentation led to the resident's continued discomfort and unmet dental needs.
Failure to Allow Timely Return of Resident After Hospitalization
Penalty
Summary
The facility failed to allow a resident to return to the facility from the hospital in a timely manner. Resident #4, who had severe medical conditions including Alzheimer's disease, Parkinson's disease, and severe protein-calorie malnutrition, was hospitalized from 03/22/24 to 04/02/24. Despite being ready for discharge on 03/27/24, the facility did not accept Resident #4 back until 04/02/24, citing the unavailability of an isolation room. However, another resident, Resident #52, who was in a private room and hospitalized from 03/21/24 to 04/01/24, had not agreed to pay the private room rate to reserve the room during hospitalization, leaving the room unoccupied and available. The facility's policy did not indicate that any resident's room would be held without fees, regardless of the payer source. The Administrator confirmed that Resident #52's private room was available during Resident #4's hospitalization but was not utilized to accommodate Resident #4's return. This resulted in a delay in Resident #4's return to the facility, despite the hospital social worker indicating that Resident #4 was ready for discharge on 03/27/24. The facility's failure to manage bed availability and adhere to bed hold policies led to this deficiency.
Failure to Provide Prescribed Nutritional Supplement
Penalty
Summary
The facility failed to ensure that a resident received meals as preferred, specifically failing to provide a frozen nutritional treat with meals as indicated in the resident's care plan. The resident, who had severe protein-calorie malnutrition, dysphagia, and other significant health issues, was observed being fed pureed food without the required nutritional supplement. The care plan specified that the resident's food should be mixed with or dipped in a frozen nutritional treat, but this was not done during the observation period. The resident's medical record and care plan indicated the need for a consistent carbohydrate and pureed diet, with specific instructions to include a frozen nutritional treat with meals. Despite these clear instructions, the staff member assisting the resident was unaware of the requirement and did not provide the nutritional treat until after verifying with the kitchen. This oversight was confirmed through staff interviews and direct observation, highlighting a failure to adhere to the resident's dietary needs and preferences as documented in their care plan.
Failure to Follow Infection Control Practices
Penalty
Summary
The facility failed to ensure proper infection control practices were followed by staff while assisting a resident with meals. Resident #4, who had severe cognitive impairment and was totally dependent on staff for activities of daily living, was under contact transmission-based precautions due to colonized Clostridium difficile (C. Diff). During an observation, a State-tested Nurse Aide (STNA) was seen wearing an isolation gown and gloves while assisting Resident #4 with her meal. However, the STNA did not change gloves or perform hand hygiene after touching potentially contaminated surfaces, such as the floor and a phone, before continuing to feed the resident. The STNA was observed picking up a meal ticket from the floor, using a phone placed on the floor, and accepting a nutritional supplement from kitchen staff without changing gloves or performing hand hygiene. The STNA then continued to feed Resident #4 with the same gloves, which is against the facility's hand hygiene policy. The policy mandates handwashing before and after glove use, before serving food, and after contact with potentially contaminated surfaces. The STNA confirmed during an interview that he did not change gloves or perform hand hygiene after these actions. He also stated that he was unaware of the specific reason for Resident #4's contact precautions and did not inquire about it. The facility's policy and CDC guidelines emphasize the importance of hand hygiene and the use of transmission-based precautions to prevent the spread of infections like C. Diff, especially in healthcare settings such as nursing homes.
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Illustrative
What surveyors actually found near you
We read the 832 citations issued within 25 miles in the last 12 months — including the 5 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 Columbus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Forest Hills Center | 0.5 mi | ★★★★★ | 6 | 0 |
| Westerville Post Acute. | 1.4 mi | ★★★★★ | 7 | 0 |
| The Laurels Of Walden Park | 2.1 mi | ★★★★★ | 31 | 0 |
| Inniswood Health And Rehabilitation | 2.5 mi | ★★★★★ | 1 | 0 |
| Buckeye Terrace Rehabilitation And Nursing Center | 2.8 mi | ★★★★★ | 10 | 0 |
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