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Westgate Hills Rehab & Healthcare Ctr

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About Westgate Hills Rehab & Healthcare Ctr

General Information

Legal Business NameWestgate Hills Operator LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareOctober 15, 1996 (20 years)
Capacity120
Residents112
Percent Occupied93%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Westgate Hills Rehab & Healthcare Ctr

Westgate Hills Rehab & Healthcare Ctr
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Maryland Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Note that this facility has changed ownership within the past 12 months.

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 8, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.

August 19, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.
ESomePotential for HarmComplaintProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

March 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
BSomePotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.

March 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.

August 18, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

June 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

April 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

March 25, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
CManyPotential for Minimal HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CManyPotential for Minimal HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
DFewPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
DFewPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

January 23, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionQuickly tell the resident's doctor the results of laboratory tests.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

January 14, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Westgate Hills Rehab & Healthcare Ctr require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 55min
2hr 10min
ReportedExpected
CNA
55min
35min
ReportedExpected
LPN
40min
1hr 5min
ReportedExpected
RN
3hr 30min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.3%
93.8%
93.8%
95.6%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Seasonal Influenza Vaccine
79.0%
76.2%
50.0%
92.9%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Pneumococcal Vaccine
23.5%
17.6%
42.5%
57.3%
Q1 2015Q2 2015Q3 2015MD
Low Risk Residents Who Lose Control of Their Bowel or Bladder
9.0%
9.4%
4.0%
14.5%
Q1 2015Q2 2015Q3 2015MD
Received an Antipsychotic Medication
14.3%
39.3%
45.1%
18.6%
Q1 2015Q2 2015Q3 2015MD
Need for Help with ADLs has Increased
17.9%
21.7%
16.0%
6.0%
Q1 2015Q2 2015Q3 2015MD
Self Report Moderate to Severe Pain
4.9%
4.0%
11.1%
6.7%
Q1 2015Q2 2015Q3 2015MD
Lose Too Much Weight
5.7%
5.3%
10.5%
6.6%
Q1 2015Q2 2015Q3 2015MD
High Risk Residents With Pressure Ulcers
1.0%
1.2%
1.1%
4.8%
Q1 2015Q2 2015Q3 2015MD
Have Depressive Symptoms
4.9%
3.0%
6.5%
4.7%
Q1 2015Q2 2015Q3 2015MD
With a Urinary Tract Infection
0.0%
1.0%
2.1%
2.8%
Q1 2015Q2 2015Q3 2015MD
Experiencing One or More Falls with Major Injury
0.9%
3.2%
3.1%
2.5%
Q1 2015Q2 2015Q3 2015MD
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015MD
Were Physically Restrained

Quality Measures for Short Stay Residents

72.3%
64.6%
56.7%
82.1%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Pneumococcal Vaccine
90.6%
90.6%
90.6%
83.5%
Q1 2015Q2 2015Q3 2015MD
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
41.9%
33.3%
31.1%
13.6%
Q1 2015Q2 2015Q3 2015MD
Self Report Moderate to Severe Pain
8.3%
5.0%
3.2%
2.1%
Q1 2015Q2 2015Q3 2015MD
Newly Received an Antipsychotic Medication
1.0%
1.3%
1.4%
1.0%
Q1 2015Q2 2015Q3 2015MD
With Pressure Ulcers That Are New or Worsened