Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Westmoreland Rehabilitation & Healthcare Center during CMS and state inspections, most recent first.
A resident with diabetes and multiple health conditions did not receive necessary foot care, including regular nail trimming and timely podiatry evaluation, despite a care plan requiring these interventions. The resident developed a severe foot infection that progressed to MRSA, sepsis, gangrene, and ultimately required surgical amputation. Delays in obtaining cultures, confusion over podiatry scheduling, and lack of follow-up contributed to the harm.
A resident with significant physical impairments, requiring extensive assistance from two or more staff for bed mobility, was repositioned in bed by a single CNA who was not regularly assigned to her care. The CNA, using a drawsheet, pulled too hard, causing the resident to fall from the bed to the floor. The care plan did not specify the need for two-person assistance, and the incident was initially missing from the facility's fall investigation records. The resident experienced pain and swelling after the fall and expressed concerns about staffing and future care.
Failure to Provide Timely and Appropriate Foot Care Resulting in Harm
Penalty
Summary
A deficiency occurred when the facility failed to provide necessary foot care and treatment for a resident with multiple comorbidities, including diabetes, cerebrovascular accident, and chronic ischemic heart disease. The resident's care plan required daily foot care, regular nail trimming, and prompt reporting of any changes in foot condition. Despite these requirements, the resident developed significant foot complications, including overgrown toenails, bleeding, and infection, which were not adequately addressed by facility staff. The resident was transported to the emergency room by a family member after exhibiting signs of foot injury and infection, including a bleeding toenail and overgrown nails. Medical records indicated delays in obtaining and sending cultures, as well as delays in initiating podiatry consultation and treatment. The resident's condition progressed to a cutaneous abscess, MRSA infection, and repeated fevers, with documentation showing ongoing pain and infection in the left great toe. Despite repeated requests from the family and documentation of the need for podiatry evaluation, the resident was not seen by a podiatrist during the admission, and there was confusion among staff regarding scheduling and follow-up for podiatry services. Ultimately, the resident's condition deteriorated, resulting in sepsis, gangrene, osteomyelitis, and a pressure ulcer of the left great toe, necessitating surgical amputation. Interviews with family and facility staff revealed lapses in communication, scheduling, and follow-up for podiatry care, as well as a lack of documentation regarding resident refusals or timely professional assessment. The facility also experienced a period without podiatry coverage, further contributing to the lack of appropriate foot care and timely intervention.
Failure to Provide Adequate Assistance for Bed Mobility Results in Resident Fall
Penalty
Summary
Facility staff failed to ensure adequate assistance for bed mobility for a resident with significant physical impairments, including multiple sclerosis, hemiplegia, hemiparesis, muscle wasting, and lymphedema. The resident's Minimum Data Set (MDS) assessment indicated a need for extensive assistance from two or more staff for bed mobility, but the care plan did not address this requirement. During morning care, a CNA who was not regularly assigned to the resident attempted to reposition the resident alone using a drawsheet, resulting in the resident rolling off the bed and falling to the floor. The resident, who was cognitively intact, reported that she was accustomed to having two or more staff assist with repositioning and expressed concern about staffing levels. She described the incident, stating that she was turned to her right side and continued rolling off the bed, landing on the floor. The CNA confirmed that she was providing care alone, pulled too hard on the drawsheet, and the resident fell. The CNA left the resident on the floor to seek help, and other staff, including the DON and NP, responded to assess and assist the resident back into bed. The facility's fall investigation records initially did not include documentation of this incident, and the DON later added the information after being questioned. Interviews with staff and the resident confirmed that the care plan did not specify the need for two-person assistance for bed mobility, and the incident occurred due to inadequate assistance during repositioning. The resident experienced pain and swelling in her legs following the fall and expressed apprehension about future care.
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What surveyors actually found near you
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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 Colonial Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Hall King George | 11.6 mi | — | 0 | 0 |
| Charlotte Hall Veterans Home | 18.5 mi | — | 0 | 0 |
| Green Acres Nursing And Rehab | 18.7 mi | — | 15 | 0 |
| St. Mary's Nursing Center Inc | 18.9 mi | — | 0 | 0 |
| Complete Care At Laplata Llc | 19 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.