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Westwood Hills Nursing And Rehabilitation Center

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About Westwood Hills Nursing And Rehabilitation Center

General Information

Legal Business NameEagle Peak Ltc Group, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 30, 1981 (35 years)
Capacity176
Residents158
Percent Occupied90%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Westwood Hills Nursing And Rehabilitation Center

Westwood Hills Nursing And Rehabilitation Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of North Carolina Nursing Homes

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

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 9, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionProperly working alarms on sprinkler valves.
DFewPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

July 31, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmComplaint+InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
GFewActual HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
DFewPotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionProvide or obtain dental services for each resident.

June 17, 2014 - 2 years ago

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

May 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
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.
BSomePotential for Minimal HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Westwood Hills Nursing And Rehabilitation Center 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.

2hr 45min
2hr 35min
ReportedExpected
CNA
15min
45min
ReportedExpected
LPN
60min
1hr 10min
ReportedExpected
RN
4hr
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
99.4%
99.4%
93.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Seasonal Influenza Vaccine
99.3%
100.0%
100.0%
92.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
60.0%
63.2%
51.0%
54.9%
Q1 2015Q2 2015Q3 2015NC
Low Risk Residents Who Lose Control of Their Bowel or Bladder
24.8%
23.0%
16.2%
14.5%
Q1 2015Q2 2015Q3 2015NC
Received an Antipsychotic Medication
13.1%
20.0%
27.4%
18.8%
Q1 2015Q2 2015Q3 2015NC
Need for Help with ADLs has Increased
12.9%
7.6%
2.1%
9.2%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
13.0%
8.8%
4.2%
8.9%
Q1 2015Q2 2015Q3 2015NC
Lose Too Much Weight
8.4%
7.1%
6.6%
7.5%
Q1 2015Q2 2015Q3 2015NC
High Risk Residents With Pressure Ulcers
5.6%
7.9%
4.7%
3.8%
Q1 2015Q2 2015Q3 2015NC
Have Depressive Symptoms
3.4%
2.7%
4.9%
5.9%
Q1 2015Q2 2015Q3 2015NC
With a Urinary Tract Infection
4.0%
4.1%
4.2%
3.2%
Q1 2015Q2 2015Q3 2015NC
Experiencing One or More Falls with Major Injury
1.1%
2.0%
1.9%
2.8%
Q1 2015Q2 2015Q3 2015NC
With a Catheter Inserted and Left in Their Bladder
0.7%
0.0%
0.7%
0.7%
Q1 2015Q2 2015Q3 2015NC
Were Physically Restrained

Quality Measures for Short Stay Residents

88.0%
84.5%
92.5%
82.2%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
88.2%
82.0%
82.0%
82.2%
Q1 2015Q2 2015Q3 2015NC
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
34.8%
23.2%
11.5%
18.3%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
2.2%
Q1 2015Q2 2015Q3 2015NC
Newly Received an Antipsychotic Medication
0.6%
1.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015NC
With Pressure Ulcers That Are New or Worsened