Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 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 Westwood Nursing Center during CMS and state inspections, most recent first.
A facility failed to provide adequate information during a resident's transfer to a hospital. The resident, with severe cognitive impairment and multiple diagnoses, was transferred for an abscess without the necessary eINTERACT form, face sheet, or medication list. Staff interviews confirmed that standard procedures for non-emergency transfers were not followed, and the receiving hospital did not receive the required information.
The facility failed to maintain records for controlled drugs in the back-up box, lacking a reconciliation log and proper documentation. The interim DON and current DON confirmed the absence of records, and attempts to contact the pharmacy were unsuccessful. This failure contravenes the facility's policy on controlled drug storage and discrepancy reporting.
A facility failed to complete and submit the PAS/ARR form for a resident with bipolar disorder and schizophrenia, who was prescribed psychoactive medications. The necessary documentation for screening mental illness and intellectual disability care needs was missing, and incomplete forms were presented without essential information. This oversight contradicts the facility's policy on ensuring comprehensive assessments and necessary behavioral health care.
Two residents with known contractures were not provided with their prescribed hand and elbow splints, as observed during a survey. Despite care plans requiring daily application of these splints to maintain ROM, staff failed to apply them consistently. The facility's policy emphasized maintaining residents' abilities, but staff did not adhere to this, as confirmed by the Therapy Manager and Nursing Home Administrator.
The facility failed to ensure accurate documentation of medication administration for a resident, leading to double doses of several medications. The issue was identified during a review of the resident's MAR, revealing that previous medication orders were not discontinued upon readmission, and new orders were not verified and entered correctly.
The facility failed to repair an unattached closet door for a resident, resulting in dissatisfaction and concern over the protection of personal belongings. The resident, with intact cognition, reported the issue had persisted for over two months, and personal items had been taken. The LPN was unaware of the issue, and the NHA acknowledged a lack of a maintenance checklist and was unaware of the problem prior to the survey.
The facility failed to maintain a clean bathroom and comfortable water temperatures for one resident and failed to maintain a clean bathtub in a tub room commonly used by residents for toileting. Observations revealed significant cleanliness issues and disrepair, and staff acknowledged the problems but were unaware or unable to address them effectively.
Failure to Provide Adequate Transfer Information
Penalty
Summary
The facility failed to ensure appropriate information was communicated to the receiving hospital for a resident during a transfer. The deficiency was identified when it was reported that the EMTs transporting the resident to the hospital were only provided with minimal information on a piece of paper, which included the resident's name, date of birth, physician's name, and facility's medical record number. The resident, who had severe cognitive impairment and diagnoses including dementia, unspecified psychosis, and delusional disorders, was transferred to the hospital for an abscess on the left upper back. However, the necessary transfer documentation, such as the eINTERACT form, face sheet, and medication list, was not completed or sent with the resident. Interviews with facility staff, including the Unit Managers and Acting Director of Nursing, confirmed that the standard procedure for non-emergency transfers was not followed. The eINTERACT form, which is crucial for ensuring continuity of care, was not completed, and there was no documentation to support that the receiving hospital received any pertinent information about the resident's condition or care needs. The facility's policy on transfers and discharges requires comprehensive information to be provided to the receiving provider, but this was not adhered to in this instance.
Failure to Maintain Controlled Drug Records
Penalty
Summary
The facility failed to maintain a proper record of receipt, disposition, or reconciliation of controlled drugs in the back-up box, which is a secured storage unit for controlled drugs. During an observation, it was noted that the back-up box had a red plastic lock, but there was no medication log or documentation to record the medications inside. The interim Director of Nursing (RN C) acknowledged the absence of a reconciliation log and mentioned that the keys to the locked medication cart, which might contain the log, were missing. The current Director of Nursing (DON) confirmed the lack of a reconciliation log and stated that they had recently placed the lock on the back-up box without knowing the status of the medications inside. Further observations revealed that the back-up box was later secured with a green plastic lock, but the situation remained unchanged with no reconciliation log available. The medication cart was still locked, and there were no pharmacy slips or records of medication deliveries. Attempts to contact the facility's pharmacy were unsuccessful, as no return call was received. The facility's Medication Storage policy requires controlled drugs to be stored under double-lock and key, and any discrepancies to be reported immediately. However, the facility was unable to account for the controlled drugs, leading to potential issues with drug diversion and availability for residents.
Failure to Complete PAS/ARR Screening for Resident with Mental Illness
Penalty
Summary
The facility failed to ensure the completion and submission of the Preadmission Screening and Annual Resident Review (PAS/ARR) form for a resident with mental illness and intellectual disability care needs. The resident, who was admitted with diagnoses of bipolar disorder and schizophrenia, was prescribed psychoactive medications including Duloxetine and Sertraline. Despite these conditions, there was no PAS/ARR DCH-3877 form in the resident's electronic health record, and no evidence that the resident was screened for mental illness or intellectual disability care needs. Additionally, there was no documentation of a Level II determination evaluation for the resident's mental health care needs. The social worker confirmed the absence of the necessary documentation, acknowledging that the form was missed and suggesting that the resident might be exempt due to a hospital screening. However, the presented paper copies of the DCH-3877 form were incomplete, lacking essential information such as the physician's name, address, phone number, and signature. The facility's policy on Behavioral Health Service emphasizes the importance of comprehensive assessments and PASSAR screening to ensure residents receive necessary behavioral health care, which was not adhered to in this case.
Failure to Apply Ordered Splints for Residents with Contractures
Penalty
Summary
The facility failed to apply hand splinting as ordered for two residents, R18 and R81, who were reviewed for Range of Motion (ROM). This failure resulted in a potential loss of ROM for these dependent residents with known contractures. R18 was observed on multiple occasions without the prescribed right-hand splint, despite having a care plan that required daily application of the splint to prevent further contracture and maintain ROM. R18's medical records did not document any refusal to wear the splint, and the resident confirmed that staff did not always apply it. Similarly, R81 was observed without the prescribed right-hand and elbow splints on several occasions. The resident's care plan included daily application of these splints to manage contractures. During an observation, a Certified Nurse Assistant (CNA) failed to apply the splints after providing a bed bath, and the splints were not found in the resident's room. The Therapy Manager confirmed that both residents were supposed to wear their splints as ordered. The facility's policy on Restorative Nursing Programs emphasized the importance of maintaining or improving a resident's abilities to the highest practicable level, including the use of assistive devices. However, the staff did not adhere to this policy, as evidenced by the failure to apply the ordered splints for R18 and R81. The Nursing Home Administrator acknowledged the expectation for staff to apply the residents' ordered splints, highlighting a gap between policy and practice.
Failure to Accurately Document Medication Administration
Penalty
Summary
The facility failed to ensure that a resident's medical record accurately documented the administration of prescribed medications. This deficiency was identified during an interview and record review for one resident (R101) out of three residents reviewed for medical record documentation. The review revealed that multiple medication orders for R101 were entered twice in the Medication Administration Record (MAR) for March 2024, leading to the administration of double doses of Briviact, metformin, topiramate, and pantoprazole sodium on several occasions. The Assistant Director of Nursing (ADON) and MDS Coordinator, Licensed Practical Nurse (LPN) I, confirmed that the previous medication orders had not been discontinued upon R101's readmission, and the new orders were not verified and entered correctly, which is a standard practice for nursing. Additionally, the MDS Coordinator, Registered Nurse (RN) J, stated that medications should be discontinued by nursing when a resident does not return within 24 hours from the hospital. The facility's policies on medical record documentation and medication administration were reviewed and found to require accurate and timely documentation and correction of discrepancies, which were not followed in this case. R101 had multiple readmissions and discharges within a short period, with diagnoses including foreign body of alimentary tract, unspecified intestinal obstruction, specified eating disorder, non-suicidal self-harm, schizoaffective disorder, anxiety disorder, and bipolar disorder. The Minimum Data Set (MDS) documented intact cognition for R101. The failure to accurately document and administer medications as prescribed resulted in the potential for staff and providers lacking accurate information to care for the resident. During the exit conference, the Nursing Home Administrator confirmed that there was no additional documentation or information to provide prior to the end of the survey.
Failure to Repair Unattached Closet Door
Penalty
Summary
The facility failed to repair an unattached closet door for one resident, resulting in dissatisfaction with the living environment and concern over the protection of personal belongings. The resident, who has intact cognition and is able to make all needs known independently, expressed unhappiness with the condition of the closet door and the exposure of personal belongings. The resident reported that the door had been in this condition since admission, over two months prior, and mentioned that personal items, such as a Coca Cola, had been taken due to the lack of a functional door. During the investigation, it was found that the Licensed Practical Nurse (LPN) was unaware of the missing closet door and acknowledged that the resident should have a functional door. The Nursing Home Administrator (NHA) stated that daily rounds are made by the Maintenance Supervisor, but there was no checklist for repairs needed, and the NHA was unaware of the issue prior to the survey. The Maintenance/Services Log Sheet reviewed did not contain any entry for the broken closet door, indicating a lapse in the facility's maintenance and repair processes. The facility's policy on accommodation of needs states that reasonable accommodations should be made to individualize the resident's physical environment, which was not adhered to in this case.
Failure to Maintain Cleanliness and Adequate Water Temperature
Penalty
Summary
The facility failed to maintain a clean bathroom and comfortable water temperatures for one resident and failed to maintain a clean bathtub in a tub room commonly used by residents for toileting. One resident expressed dissatisfaction with the cleanliness of the facility, specifically mentioning the tub room. An observation of the tub room revealed a dry dark green, thick substance covering the area just above the drain and splattered dark green and brown areas throughout the tub. The housekeeper acknowledged the tub had been in this condition for at least two weeks, and the Maintenance Supervisor was unaware of the issue. The Nursing Home Administrator stated that daily rounds are made by the Maintenance Supervisor and Housekeeping Supervisor, and that Housekeeping has a checklist for cleaning, but the issue persisted regardless. Another resident had complained to the state agency's complaint hotline about the lack of hot water and cleanliness in their bathroom. An observation of the bathroom revealed a loose sink fixture, a slow drip of hot water that did not get warm, dried dark-colored solid material on the toilet seat, and other signs of disrepair. The Maintenance Supervisor acknowledged that the bathroom should not be in such a state and mentioned that the facility no longer uses the electronic maintenance database that would notify when repairs are required. The Nursing Home Administrator confirmed that daily rounds are made by the Maintenance Supervisor and that the facility is working to get the electronic maintenance database back, but maintenance does not have a checklist for repairs needed.
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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 Detroit
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Orchards At Northwest | 0.5 mi | — | 2 | 0 |
| Sheffield Manor Nursing & Rehabilitation Center | 0.7 mi | — | 14 | 0 |
| Hartford Nursing & Rehabilitation Center | 0.9 mi | — | 23 | 0 |
| Oakpointe Senior Care And Rehab Center | 1.3 mi | — | 0 | 0 |
| The Villa At Great Lakes Crossing | 2.7 mi | — | 8 | 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.