Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Westland House during CMS and state inspections, most recent first.
A survey found that a LTC facility failed to properly use bed rails for 25 residents. The facility did not assess entrapment risks, review risks and benefits with residents, or obtain informed consent. Staff interviews revealed a lack of documentation and understanding of protocols, with side rails used as a standard fall prevention measure without considering individual needs or risks.
The facility failed to properly label and store food items, risking the use of expired food in meal preparation for residents. During an inspection, it was found that produce in the walk-in refrigerator was not labeled with receive or use-by dates, contrary to the facility's food safety policy. A staff member confirmed the absence of required labels, highlighting non-compliance with established guidelines.
The facility failed to issue the Notice of Medicare Non-Coverage (NOMNC) in a timely manner for two residents, potentially affecting their ability to appeal insurance coverage decisions. The NOMNC for one resident was signed a day before Medicare coverage ended, and for another, it was signed on the discharge day, both not meeting the required notice period.
A facility failed to individualize a care plan for a resident, who was observed with side rails in use, by not addressing this in the care plan. The resident's care plans focused on fall risk but did not specifically include side rail use. Interviews with RNs and the DON confirmed the absence of a specific care plan or policy for side rails.
The facility failed to ensure that the foot boards of the beds for two residents were properly locked, resulting in a six-inch gap between the mattress and the foot board. This gap was observed during interviews and posed a potential injury risk if a resident slid down the bed. Staff, including a CNA and the DON, acknowledged the hazard and the importance of securing the foot boards as per the facility's fall mitigation policy.
Improper Use of Bed Rails in LTC Facility
Penalty
Summary
The facility failed to ensure the proper use of bed rails for 25 residents, as observed during a survey. The deficiencies included not assessing the risk of entrapment from side rails before their use, not reviewing the risks and benefits with residents or their representatives, and not obtaining informed consent. Additionally, the facility did not attempt alternative measures before resorting to side rails and failed to secure physician orders for their use. These actions were observed across multiple residents' rooms, where side rails were consistently found in the upright position without proper documentation or consent. Interviews with facility staff, including registered nurses and the Director of Nursing, revealed a lack of understanding and adherence to proper protocols regarding the use of side rails. Staff members admitted that assessments were conducted verbally without documentation, and there was no policy in place for the use of side rails. The staff also believed that physician orders and consent were unnecessary unless the side rails were used as restraints, which contradicts regulatory requirements. The observations and interviews highlighted a systemic issue within the facility, where side rails were used as a standard intervention to prevent falls without considering individual resident needs or potential risks. The lack of documentation, informed consent, and alternative measures put residents at risk of entrapment and serious injury, as noted in the FDA's safety alert regarding bed rail use.
Improper Food Labeling and Storage in Facility
Penalty
Summary
The facility failed to ensure proper labeling and storage of food items, which could potentially lead to the use of expired food in meal preparation for residents. During an observation and interview in the walk-in refrigerator, it was noted that three stalks of an unspecified produce and two bunches of cilantro were stored in a clear plastic container without any dates or labels. Additionally, another container held approximately seven green squash, also without labels. A staff member acknowledged that these items were supposed to have a receive date and a use-by date. The facility's policy and procedure on food safety, dated 2019, requires that food be covered, labeled, dated, and used within specified time periods, and stored off the floor. The lack of compliance with these procedures was observed, indicating a failure to adhere to the established guidelines for food safety and storage.
Failure to Timely Issue NOMNC
Penalty
Summary
The facility failed to issue the Notice of Medicare Non-Coverage (NOMNC) in a timely manner for two residents, which could have impacted their ability to file an appeal regarding their insurance coverage. For Resident 80, the NOMNC was signed by the resident one day before the last day of Medicare coverage, which was not in compliance with the requirement to provide the notice at least two calendar days before the end of coverage. The Social Services Designee acknowledged that the NOMNC should have been delivered earlier to allow the resident the opportunity to file an appeal. For Resident 81, the NOMNC was signed on the day of discharge, which was also not compliant with the regulation. The Patient Care Coordinator noted that the facility should have issued the NOMNC with a last covered date that allowed for the required notice period. The facility's failure to adhere to the Centers for Medicare & Medicaid Services (CMS) guidelines for issuing the NOMNC was identified during interviews and record reviews, highlighting a deficiency in the facility's process for notifying residents of their Medicare coverage status.
Failure to Individualize Care Plan for Side Rail Use
Penalty
Summary
The facility failed to ensure that the care plan for a resident was individualized and revised to reflect the resident's current care needs and interventions. During an observation, the resident was seen sitting at the edge of the bed with the two upper side rails in the upright position. The resident's clinical record indicated an admission with a diagnosis of cellulitis of the left hand. However, the care plans did not address the use of side rails, which were instead incorporated into the care plan addressing the risk for falls. Interviews with two registered nurses and the Director of Nursing confirmed that there was no specific care plan or policy for the use of side rails.
Improperly Locked Bed Foot Boards Create Hazard
Penalty
Summary
The facility failed to ensure that the foot boards of the beds for two residents were properly locked, creating a potential hazard. During observations and interviews, it was noted that there was a six-inch gap between the mattress and the foot board in the rooms of two residents. One resident expressed dissatisfaction with the bed, while a physical therapist acknowledged the gap's presence but was unsure of its cause. A registered nurse and a certified nursing assistant later confirmed the gap and adjusted the foot board to eliminate it. Interviews with staff, including a CNA and the Director of Nursing, revealed that the gap could lead to potential injuries if a resident slid down the bed. The facility's policy on fall mitigation emphasized the importance of ensuring bed safety features, such as locking the foot board, to prevent such hazards. Despite these guidelines, the staff did not initially secure the foot boards, leading to the observed deficiency.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Monterey
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Monterey Post Acute | 1.8 mi | — | 4 | 0 |
| Cypress Ridge Care Center | 1.9 mi | — | 4 | 0 |
| Carmel Hills Care Center | 2.3 mi | — | 31 | 0 |
| Oceanview Post Acute | 2.8 mi | — | 15 | 0 |
| Canterbury Woods | 2.9 mi | — | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.