The facility admitted the resident in 2024 with serious heart conditions including congestive heart failure and a left ventricular assist device. State records show the person appeared on Virginia's sex offender registry as of August 21, 2024.
When inspectors asked Director of Nursing ASM #2 about the admission process on December 17, she described a careful screening protocol. The facility checks whether sex offenders are mobile, examines how recent their offense was, and determines "nature of offense — virtual or physical."
She explained the facility's protection plan: "We would monitor behavior, and if there is an incident — separation of resident, investigation, if sexual in nature — evaluation in ED and call the police."
The monitoring would be documented "on the MAR-TAR," she said, referring to medication and treatment administration records.
But when inspectors asked for evidence of this monitoring for the resident, ASM #2 admitted: "There is no monitoring."
The facility's own policy requires behavioral assessment and monitoring. According to the written protocol, "Behaviors will be assessed and monitored. Factors influencing behaviors, as well as management interventions will be evaluated and care planned."
None of this happened.
Social worker OSM #1 told inspectors the facility previously accepted residents on the sex offender registry but no longer does. When asked whether sexual or inappropriate behaviors should be monitored, the social worker responded: "Yes, his behaviors should be monitored."
The resident scored 15 out of 15 on cognitive testing, indicating no mental impairment. Medical records show the person required supervision for bathing, transfers, dressing and toileting but could eat independently.
Their care plan focused entirely on medical compliance issues. The November 2024 assessment noted the resident "refuses cardiac clinic appointments" and "refuses daily weights." Staff interventions centered on encouraging compliance with routine weight monitoring and assuring the resident "they are safe if they become distressed."
No behavioral monitoring appeared anywhere in the care plan.
The facility had changed its sex offender admission policy in April 2025, according to the director of nursing. Before that date, administrators "allowed sex offenders in the facility." This resident was admitted under the previous policy but remained in the facility after the rule change.
Inspectors discovered the monitoring failure during a complaint investigation specifically about the facility's admission of residents on Virginia's sex offender registry. The investigation revealed a gap between what administrators promised and what actually occurred.
When confronted with the findings on December 17, facility leadership including the administrator, director of nursing, and two assistant directors of nursing were made aware of the concerns.
The resident had lived at Westport for more than a year without the behavioral oversight that facility policy required and that the director of nursing described as standard practice. State inspectors found the facility failed to provide appropriate care according to its own protocols.
The inspection report notes no further information was provided before inspectors completed their review. The facility's behavioral monitoring policy remained on paper only, never implemented for a resident whose history suggested such oversight was essential for protecting other residents and staff.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Westport Rehabilitation and Nursing Center from 2025-10-22 including all violations, facility responses, and corrective action plans.
Additional Resources
- View all inspection reports for Westport Rehabilitation and Nursing Center
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