Westhaven Community

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 100 beds and averages 59.1 residents a day — about 59% occupied, or roughly 41 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.10 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.71 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.66 hrs/resident/day on weekends vs 4.28 on weekdays — 15% thinner on weekends. RN hours go from 0.74 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 96% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · E2026-04-30 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, and policy review, the facility failed to properly wear and change out gloves during meal services for 2 of 2 dining rooms observed. The facility reported a census of 59. Findings include:During a continuous observation on 4/30/26 at 12:15 PM, Staff I, Culinary Assistant, wore a glove on one hand (right) while preparing resident lunch plates in the Westown independent resident dining room. They touched the refrigerator door, cabinet door, counter top, and scoop handles with the gloved hand. The same glove was also worn as Staff I prepped and placed buns on resident plates. During a continuous observation on 4/20/26 at 12:00 PM, Staff H, Culinary Assistant, prepared resident lunch plates in the Bistro resident assist dining room. Upon the start of service, Staff H noted there were no tongs to use for the philly steak sandwich buns. Before preparing each plate, Staff H washed hands and put on new gloves. They then touched scoop handles, dietary cards, menus, and food packaging before handling the bread. Staff H delivered plates and assisted the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff and resident interviews, resident health record review, and policy review the facility failed to obtain an order for self administration of medication and allowed resident to consume her medications without observation for 1 of 5 residents reviewed. The facility reported a census of 59 residents. Findings include:The Minimum Data Set (MDS) for Resident #57, dated 1/6/26, included diagnoses of stroke, diabetes, and depression. A Brief Interview for Mental Status (BIMS) score of 12 indicated mild cognitive impairment. On 4/30/26 at 8:18 AM, observed Resident #57 sitting at the dining room (DR) table with several pills in a cup sitting on the table in front of her. On 4/30/26 at 8:22 AM, Staff D, Certified Medication Aide stated Staff A, Licensed Practical Nurse (LPN) prepared Resident #57's medications. On 4/30/26 from 8:22 AM - 8:28 AM, observed Resident #57 drinking fluids, covered her mouth and face turned red. Staff A propelled Resident #57 to her room with the pills remaining on the table. Staff D left the DR area with the cup of pills remaining on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, family interview, resident interview, staff interview, and policy review, the facility failed to offer or hold an admission care conference for 2 of 17 residents (Residents #1 and #30) reviewed for Care Plans. The facility reported a census of 59. Findings include:1.The Minimum Data Set (MDS) Assessment completed on 2/3/26 revealed Resident #1 with a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. The Clinical Census section of the electronic health record (EHR) showed Resident #1 was admitted to the facility on [DATE]. The clinical record lacked documentation that a care conference was offered or held after the admission comprehensive assessments were completed. The first care conference documented was held on 2/11/26. This coincided with the quarterly comprehensive assessments completed by 2/3/26. The Care Plan Conference Summary sheet, dated 2/11/26, lacked documentation if Resident #1 attended the conference or if they declined to attend.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews and facility policy review the facility failed to promote the healing of a pressure injury and prevent futher deterioration of the pressure injury for 1 of 1 residents reviewed (Resident #2). The resident had a documented risk for pressure ulcers/injuries without interventions listed on the care plan, assessments were not complete and the treatments were not signed as complete. The facility reported a census of 59 residents. Findings include:The MDS (Minimum Data Set) assessment identifies the definition of pressure ulcers:Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues.Stage II is partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed, without slough (dead tissue, usually cream or yellow in color). May also present as an intact or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, staff interviews, and policy review the facility failed to provide adequate supervision in the dining room at meal times for a resident with recommendations for full supervision during meals for 1 of 1 residents reviewed (Resident #57). The facility reported a census of 59 residents. Findings include: The Minimum Data Set (MDS) for Resident # 57, dated 1/6/26, included diagnoses of stroke, diabetes, and depression. A Brief Interview for Mental Status (BIMS) score of 12 indicated mild cognitive impairment. On 4/27/26 with continuous observation from 12:00 PM - 12:31 PM, observed 1 dietary staff and 19 residents in the Westown dining room (DR), with no nursing staff present in the DR. Resident #57 in the DR eating lunch with sign at table in front of her with documentation of Please chew and swallow food before taking a drink. Observation on 4/28/26 at 8:30 AM, Resident #57 in DR eating breakfast with no nursing staff present. Resident #57's Progress Notes revealed the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0805 — failed to prepare food in a form residents can eat — isolated
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility document and menu review, observations, and staff interview, the facility failed to ensure appropriate serving sizes for 5 of 6 residents receiving the puree lunch served on 4/29/26. The facility reported a census of 59. Findings include:Observation on 4/29/26 revealed the puree hot lunch items for the meal served consisted of a philly steak sandwich with peppers and onions and a hot dog on bun as the alternative. Beets were offered instead of baked beans as the beans were not available. On 4/29/26 at 9:00 AM, Staff E, Cook, prepped the puree hot lunch items. Four servings of puree philly steak sandwich (which measured out to 4 cups) and three servings of puree hot dog with bun (which measured out to 2.5 cups) were prepared to the correct consistency and set aside in separate measuring cups. Six servings of puree canned beets (measured out to 3 cups) were also prepared to the correct consistency and set aside in separate measuring cup.After preparing the puree items, Staff E referred to the Pureed Diet Portion Sizes/Scoops chart to determine scoop serving sizes.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-30 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, document review and staff interviews the facility failed to provide appropriate infection prevention practices by not following guidelines for enhanced barrier precautions (EBP) for 1 out of 1 resident reviewed (Resident #8). The facility reported a census of 59 residents. Finding include:The Minimum Data Set (MDS) dated [DATE] for Resident #8, documented the Brief Interview for Mental Status (BIMS) scored a 14 indicating intact cognition. The MDS identified diagnosis as a renal insufficiency, urinary tract infection, diabetes mellitus. The MDS also documented that the resident has an indwelling catheter. Review of Resident #8's Care Plan with a date of 4/9/26 failed to mention Enhanced Barrier Precautions (EBP) due to an indwelling catheter. Observation completed on 4/29/26 at 12:05 pm with Staff F, Certified Nursing Assistant (CNA) and Staff G, CNA failed to wear EBPs while providing catheter care. Interview on 4/29/26 at 1:26 pm with Staff F and Staff G…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-03 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observations, staff interviews, and policy review, the facility failed to disinfect equipment after resident use and failed to ensure staff changed gloves and sanitized hands in accordance with proper infection control techniques when contaminated to protect against cross contamination and potential infection for 4 of 8 residents observed during medication administration and for 2 of 3 residents observed for cares. The facility reported a census of 47 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #3 had diagnosis of chronic obstructive pulmonary disease (COPD) and heart failure. The Care Plan initiated 1/16/25 revealed the resident had lung cancer. The Care Plan directed staff to use a spacer whenever inhalers administered. During observation on 4/2/25 at 11:13 AM, Staff B, Licensed Practical Nurse (LPN), attached a Combivent inhaler to a spacer with a mask attached to it. Staff B placed the mask on Resident #3's face…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-03 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to notify the Long-Term Care Ombudsman of resident discharge/transfers as required for 2 of 2 residents reviewed for hospitalizations (Residents #19 and #47). The facility reported a census of 47. Findings include: 1. The Minimum Data Set (MDS) summary tab of the facility's Electronic Health Record (EHR) for Resident #19 revealed a Discharge Return Anticipated/End of PPS Part A Stay assessments were completed on 2/8/25 and 2/26/25. Entry assessments were completed on 2/14/25 and 3/10/25. Review of Resident#19's Census indicated Resident #19 was hospitalized from [DATE]-[DATE] and 2/26/25-3/10/25. Review of Resident #19's Progress Notes revealed the following: a. On 2/8/25, Resident #19 was transferred to a local hospital due to a decline in medical status. b. On 2/26/25, Resident #19 was directly admitted to a local hospital due to an acute medical condition. Review of facility provided, Admission/Discharge To/From Report, which was emailed to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-03 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clincal record review, staff interview, and admission agreement review, the facility failed to obtain bed hold confirmation for 1 of 2 residents reviewed for hospitalization (Resident #19). The facility reported a census of 47. Findings include: Review of Resident #19's Minimum Data Set (MDS) revealed a Discharge Return Anticipated/End of PPS Part A Stay assessments were completed on 2/8/25 and 2/26/25. Resident #19's Census showed Resident #19 was hospitalized from [DATE]-[DATE] and 2/26/25-3/10/25. Review of Progress Notes revealed the following: a. On 2/8/25, Resident #19 was transferred to a local hospital due to a decline in medical status. A copy of the bed hold policy was provided to Resident #19's husband. No further documentation identified which indicated the bed hold was signed or if a verbal consent for a bed hold was obtained from either the resident or their husband. b. On 2/26/25, Resident #19 was directly admitted to a local hospital due to an acute medical condition. No documentation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA