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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 MonthsNo
First Accepted MedicareOctober 15, 1996 (21 years)
Capacity120
Residents111
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 1 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

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

November 28, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintMake sure that a working call system is available in each resident's room or bathroom and bathing area.
ESomePotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

September 26, 2016 - 9 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.

August 25, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintLet each resident or the resident's legal representative access or purchase copies of all the resident's records.

June 6, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
BSomePotential for Minimal HarmHealth InspectionGive notice to the resident before a room or roommate change.

September 8, 2015 - 2 years 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 - 2 years 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.

August 18, 2014 - 3 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.

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.

2hr 20min
2hr 30min
ReportedExpected
CNA
50min
45min
ReportedExpected
LPN
45min
1hr 20min
ReportedExpected
RN
3hr 55min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

93.8%
95.2%
95.2%
95.2%
95.2%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.2%
98.9%
100.0%
97.7%
92.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
62.2%
58.8%
42.9%
32.4%
58.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of low risk long-stay residents who lose control of their bowels or bladder
16.5%
12.4%
13.3%
11.9%
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who received an antianxiety or hypnotic medication
25.2%
19.3%
16.7%
19.2%
21.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents whose ability to move independently worsened
4.7%
6.5%
8.1%
4.1%
13.9%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who received an antipsychotic medication
40.8%
16.9%
16.2%
19.4%
18.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents whose need for help with daily activities has increased
7.7%
1.2%
0.0%
0.0%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who self-report moderate to severe pain
10.1%
2.2%
7.8%
5.7%
6.4%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who lose too much weight
16.2%
6.1%
5.0%
10.0%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of high risk long-stay residents with pressure ulcers
1.1%
0.0%
0.0%
0.0%
4.5%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who have depressive symptoms
7.0%
3.3%
3.3%
1.1%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents with a urinary tract infection
1.0%
1.1%
0.0%
0.0%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents experiencing one or more falls with major injury
0.8%
1.5%
3.1%
1.0%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

64.5%
84.3%
94.3%
85.1%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.6%
83.3%
83.3%
83.3%
82.2%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
76.8%
69.9%
77.0%
84.8%
64.8%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who made improvements in function
23.9%
30.0%
22.4%
15.2%
13.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
1.0%
2.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who newly received an antipsychotic medication
0.7%
0.0%
0.0%
0.4%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents with pressure ulcers that are new or worsened