Westwood Post Acute: Therapy Orders Ignored - CA
The resident, identified in inspection records only as Resident 2, told inspectors on July 18 that the therapy department had been cutting his sessions, first to four times a week, then to three. When he asked a therapist why, he was told they didn't have enough staff. He said the therapy was helping him with self-care. He said he needed more of it. He had already run out of Medicare days.
He was admitted to the facility on May 29. The following day, a physician ordered occupational therapy five times per week for eight weeks, targeting self-care management, therapeutic activities, and sensory work — the kind of hands-on rehabilitation designed to help someone with muscle weakness relearn how to function independently.
The records told a different story than the order.
When inspectors reviewed Resident 2's occupational therapy notes, they found he had received therapy four times a week on five separate weekly periods, and three times a week on one occasion. Out of six tracked weekly periods, he never once received the five sessions his doctor prescribed.
The gaps were specific. The Director of Rehabilitation reviewed the notes with inspectors on August 15 and confirmed the missing dates one by one: June 2, listed as unavailable. June 6, unavailable. June 16, unavailable, no reason given. June 20, unavailable. June 30, unavailable, no reason given. July 9, unavailable, no reason given.
No reason given. That phrase appears three times in the Director of Rehabilitation's own accounting.
The Director of Rehabilitation confirmed that the physician's order called for five days of occupational therapy per week. "Doesn't look like Resident 2 is getting 5x a week OT," the director told inspectors.
That was August 15. Resident 2 had raised the problem with inspectors nearly a month earlier, on July 18.
The Assistant Director of Rehabilitation had told inspectors that afternoon that if an order calls for five sessions a week, residents receive five sessions a week. The records reviewed the same day showed otherwise. When the Director of Nursing was asked about the situation on August 15, the response was similar: if the order says five times a week, staff should follow the doctor's order.
Both supervisors described what should happen. Neither explained why it hadn't.
The facility's own scheduling policy, last revised in July 2013, states that therapy services shall be scheduled in accordance with the resident's treatment plan. Resident 2's treatment plan called for five sessions weekly. He received four, or three, week after week, while telling anyone who would listen that the therapy was working and that he needed more of it.
Occupational therapy at this level of complexity, what the order classified as moderate complexity, focuses on rebuilding the ability to do ordinary things: dressing, bathing, managing daily tasks without help. For a patient admitted with muscle weakness, those sessions aren't supplementary. They are the point.
Inspectors cited the failure as causing minimal harm or potential for actual harm, and noted that it decreased the facility's potential to ensure Resident 2 reached his highest rehabilitation potential. That phrase, highest rehabilitation potential, is the standard every skilled nursing facility is supposed to meet.
Resident 2 ran out of Medicare days while receiving less therapy than his doctor ordered. Whether those missed sessions, across six weeks of documented shortfalls, changed where he ended up, the inspection report doesn't say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Westwood Post Acute from 2025-08-19 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
WESTWOOD POST ACUTE in SAN JOSE, CA was cited for violations during a health inspection on August 19, 2025.
When he asked a therapist why, he was told they didn't have enough staff.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.