Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
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 Westwood Nursing And Rehabilitation during CMS and state inspections, most recent first.
A resident with multiple health conditions and normally intact cognition experienced a change in condition and was left on a bedpan for an extended period, resulting in significant skin injuries. Staff failed to monitor and remove the resident from the bedpan in a timely manner, and the assigned CNA did not take responsibility or provide a statement. The incident led to documented physical harm, with staff and facility records confirming that the resident did not receive necessary care and supervision, constituting neglect.
A resident with multiple comorbidities was left on a bedpan for an extended period, resulting in significant skin injuries. The incident was not reported to authorities within the required two-hour timeframe, as mandated by facility policy and federal regulations. Staff interviews and documentation confirmed the delay in reporting the allegation of neglect.
Surveyors identified unsanitary conditions in the kitchen, including an ice machine with black spots, expired sugar in use, and wet nesting of steam pans. The Certified Dietary Manager confirmed these issues, which were not in compliance with facility policies. All residents were receiving meal trays from the affected kitchen.
A resident with a history of stroke, dementia, and high fall risk experienced a fall when staff failed to ensure a weight-based alarm mat was in place on the wheelchair as ordered. Staff confirmed the alarm was not used at the time of the incident, despite care plan and physician orders requiring its use for fall prevention.
Two nurses failed to follow proper hand hygiene protocols during medication administration for two residents, including not changing gloves or performing hand hygiene between tasks and not using a clean paper towel to turn off the faucet after washing hands, contrary to facility policy.
Resident Neglect Resulting in Skin Injury from Prolonged Bedpan Use
Penalty
Summary
A resident with a history of Parkinson's Disease, morbid obesity, and Type 2 Diabetes Mellitus was admitted and later readmitted to the facility. The resident was cognitively intact per recent assessment and required assistance with toileting and transfers. On the day of the incident, the resident experienced a significant change in condition, including lethargy and hypoglycemia, which led to her being sent to the hospital. During preparation for transfer, staff discovered the resident had been left on a bedpan for an extended period, resulting in multiple skin injuries, including abrasions and sheared areas on the buttocks and upper legs. Facility documentation and interviews revealed that no CNA claimed responsibility for placing the resident on the bedpan, and the assigned CNA left the facility without providing a statement or participating in follow-up. The resident reported being left on the bedpan for over three hours, unable to locate her call light, and eventually fell asleep. Observations and hospital records confirmed the presence of significant skin injuries consistent with prolonged pressure and shearing from the bedpan. Staff interviews indicated that standard practice required CNAs to check on residents within 5-30 minutes of bedpan use, and that the resident was typically able to request assistance but was unable to do so due to her change in condition. The facility's own investigation and staff statements acknowledged that the resident did not receive the necessary care and supervision to prevent neglect, particularly in light of her acute change in condition. The lack of timely removal from the bedpan and failure to monitor the resident's needs directly resulted in physical harm, as evidenced by the documented wounds. The incident was recognized by staff and administration as a failure to provide required goods and services, constituting neglect.
Failure to Timely Report Allegation of Neglect Resulting in Resident Harm
Penalty
Summary
The facility failed to ensure that an allegation of neglect was reported immediately, but not later than two hours after the allegation was made, for a resident who was reviewed for abuse. The resident, who had diagnoses including Parkinson's Disease with Dyskinesia, Morbid Obesity, Type 2 Diabetes Mellitus, and Urinary Tract Infection, was admitted and later readmitted to the facility. The resident was cognitively intact, requiring varying levels of assistance with activities of daily living, and had no skin conditions documented on the most recent MDS prior to the incident. On the day of the incident, the resident was found unresponsive with low blood sugar and was subsequently transferred to the hospital. During preparation for transfer, staff discovered the resident had been left on a bedpan for an extended period, resulting in skin injuries including abrasions and excoriation to the buttocks. The resident later reported being left on the bedpan for over three hours, confirmed by her own account and physical evidence observed by staff. The CNA assigned to the resident denied responsibility and subsequently left employment without providing a statement. The facility's investigation revealed concerns about the length of time the resident was left on the bedpan and the resulting skin injuries. Documentation and interviews indicated that the incident was not reported to the appropriate authorities within the required two-hour timeframe as outlined in facility policy and federal regulations. The failure to report the allegation of neglect in a timely manner constituted a deficiency in the facility's abuse and neglect reporting procedures.
Sanitation Deficiencies in Food Storage and Preparation
Penalty
Summary
The facility failed to maintain sanitary conditions in food storage and preparation areas, as evidenced by several observations during a survey. One of two ice machines was found to have multiple black spots on the interior walls, indicating a lack of proper cleaning and sanitization. Additionally, a container of sugar in the kitchen was observed to be past its use-by date, and the Certified Dietary Manager (CDM) confirmed that the sugar should have had a current use-by date. These findings were in direct violation of the facility's own policies regarding general sanitation, food storage, and cleaning procedures. Further observations revealed improper dishware handling, with multiple instances of wet nesting among steam pans of various sizes. Specifically, several small, medium, and large steam pans were stacked while still wet, contrary to the facility's policy requiring air drying before stacking. The CDM acknowledged that pans should be air dried prior to being put away. At the time of the survey, the facility had a census of 52, with all residents receiving meal trays from the kitchen.
Failure to Implement Fall Prevention Interventions
Penalty
Summary
The facility failed to follow established interventions to prevent falls for a resident with significant risk factors. The resident had a history of hemiplegia, hemiparesis following a stroke, dementia, Alzheimer's disease, unsteadiness, a femur fracture, and osteoporosis, and was assessed as having memory problems, severely impaired decision-making, daily wandering, and required assistance with activities of daily living. The care plan and physician's orders required the use of a weight-based alarm mat to be in place on the resident's wheelchair to alert staff if the resident attempted to get up, due to impulsive behaviors and high fall risk. On the date of the incident, the resident was found on the floor after having been last seen sitting in a wheelchair in the lobby. Documentation and staff interviews confirmed that the weight-based alarm mat was not in place on the wheelchair at the time of the fall, contrary to the care plan and physician's orders. Staff, including the LPN and CNA, acknowledged that the alarm mat should have been in use and demonstrated that the alarm would have sounded if the resident had leaned forward as described in the incident. The DON confirmed that fall prevention devices should be in place as ordered.
Failure to Follow Hand Hygiene Protocols During Medication Administration
Penalty
Summary
The facility failed to ensure proper infection control practices during medication administration for two residents. In one instance, a registered nurse administered oral medications to a resident with Parkinson's Disease, Diabetes, and Chronic Kidney Disease, and then immediately proceeded to administer eye drops without changing gloves or performing hand hygiene. This action was observed during a medication pass and was not in accordance with the facility's hand hygiene policy, which requires hand hygiene after contact with objects in the resident's vicinity and after removing personal protective equipment. In another instance, a registered nurse performed hand hygiene but turned off the faucet with her wet hand after washing, rather than using a clean paper towel as required by policy. This occurred during medication administration for a resident with a history of infection and inflammatory reaction due to cardiac and vascular devices, acute respiratory failure, and pyelonephritis. The Director of Nursing confirmed during interviews that these actions were not consistent with 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 Decaturville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Decatur County Healthcare | 4.1 mi | ★★★★★ | 2 | 0 |
| Lexington Post Acute | 14.6 mi | ★★★★★ | 4 | 0 |
| Briarwood Community Living Center | 16 mi | ★★★★★ | 0 | 0 |
| Perry County Nursing Home | 16.2 mi | ★★★★★ | 14 | 0 |
| Hardin Home | 25.1 mi | ★★★★★ | 1 | 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.