Westside Oaks Rehabilitation & Nursing Center

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag F0600 · CMS scope and severity K (immediate jeopardy; pattern) · from a complaint inspection · Deficient, Provider has date of correction Apr 23, 2026

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag F0609 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Apr 23, 2026

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag F0689 · CMS scope and severity K (immediate jeopardy; pattern) · from a complaint inspection · Deficient, Provider has date of correction Apr 23, 2026

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Tag F0835 · CMS scope and severity L (immediate jeopardy; widespread) · from a complaint inspection · Deficient, Provider has date of correction Apr 23, 2026

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Tag F0867 · CMS scope and severity L (immediate jeopardy; widespread) · from a complaint inspection · Deficient, Provider has date of correction Apr 23, 2026

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Tag F0584 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 23, 2026

PASARR screening for Mental disorders or Intellectual Disabilities

Tag F0645 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Apr 23, 2026

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag F0677 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Apr 23, 2026

Provide safe and appropriate respiratory care for a resident when needed.

Tag F0695 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 23, 2026

Hire a qualified full-time social worker in a facility with more than 120 beds.

Tag F0850 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Apr 23, 2026

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Tag F0914 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 23, 2026

Make sure that a working call system is available in each resident's bathroom and bathing area.

Tag F0919 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 23, 2026

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Tag F0921 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 23, 2026

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag F0600 · CMS scope and severity J (immediate jeopardy; isolated) · from a complaint inspection · Deficient, Provider has date of correction Aug 18, 2025

Respond appropriately to all alleged violations.

Tag F0610 · CMS scope and severity J (immediate jeopardy; isolated) · from a complaint inspection · Deficient, Provider has date of correction Aug 18, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Tag F0656 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Aug 18, 2025

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Tag F0835 · CMS scope and severity J (immediate jeopardy; isolated) · from a complaint inspection · Deficient, Provider has date of correction Aug 18, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Tag F0842 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Aug 18, 2025

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Tag F0867 · CMS scope and severity J (immediate jeopardy; isolated) · from a complaint inspection · Deficient, Provider has date of correction Aug 18, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag F0580 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 18, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag F0677 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 18, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Tag F0812 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction May 18, 2024

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Tag F0921 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 31, 2024

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Tag F0744 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jun 30, 2022

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Tag K0700 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 23, 2026

Provide a written emergency evacuation plan.

Tag K0711 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 23, 2026

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Tag K0761 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 23, 2026

Have generator or other power source capable of supplying service within 10 seconds.

Tag K0918 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 23, 2026

Ensure proper usage of power strips and extension cords.

Tag K0920 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Apr 23, 2026

Have proper medical gas storage and administration areas.

Tag K0923 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 23, 2026

Use approved construction type or materials.

Tag K0161 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 18, 2024

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Tag K0211 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 18, 2024

Have approved installation, maintenance and testing program for fire alarm systems.

Tag K0345 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 18, 2024

Inspect, test, and maintain automatic sprinkler systems.

Tag K0353 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 18, 2024

Install corridor and hallway doors that block smoke.

Tag K0363 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 18, 2024

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Tag K0372 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 18, 2024

Meet fire sprinkler requirement for tall buildings.

Tag K0400 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 18, 2024

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Tag K0521 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 18, 2024

Have generator or other power source capable of supplying service within 10 seconds.

Tag K0918 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 18, 2024

Ensure proper usage of power strips and extension cords.

Tag K0920 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 18, 2024

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Tag K0222 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 9, 2022