West Hills Health And Rehabilitation Center
WEST HILLS HEALTH AND REHABILITATION CENTER in CANOGA PARK, CA — inspection on August 29, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a review of Resident 2's MDS, dated [DATE], the MDS indicated Resident 2's cognition was intact.
The MDS further indicated Resident 2 needed maximal assistance from staff for toileting hygiene, upper and lower body dressing, putting on/taking off footwear and moderate assistance with personal hygiene.
The MDS also indicated Resident 2 occasionally exhibited urine incontinence and frequently exhibited bowel incontinence.
During a review of Resident 2's Physician's Order, dated 8/7/2025, timed at 5:31 p.m., the Physician's Order indicated to discharge Resident 2 home to BC 1 tomorrow (8/8/2025), per the resident's request.
During a review of Resident 2's Notice of Proposed Transfer and Discharge, dated 8/8/2025, the Notice of Proposed Transfer and Discharge indicated that Resident 2 was discharged to BC 1 on 8/8/2025.
The Notice of Proposed Transfer and Discharge also indicated that the reason for discharge was that Resident 2's health had improved sufficiently, and Resident 2 no longer required the services provided by the facility.
During a review of Resident 2's Discharge Summary Report, dated 8/8/2025, the Discharge Summary Report indicated Resident 2 was discharged to BC 1 on 8/8/2025 at 2:20 p.m.
During a review of Resident 2's Active Discharge Planning Notes (from GACH 2), dated 8/19/2025, the Active Discharge Planning Notes indicated that Resident 2 was transferred to GACH 2 from an unlicensed board and care facility and was treated for hyperkalemia.
Laboratory test results dated 8/19/2025 at 7:13 p.m. indicated an elevated potassium level of 5.8 mEq/L.
The notes indicated that Resident 2 appeared weak and required transfer to a skilled nursing facility for continued care.
The notes indicated that Resident 2 cannot return to the board and care facility due to its unlicensed status.
During an interview on 8/26/2025 at 12:45 p.m. with Resident 2, Resident 2 stated he (Resident 2) was not involved in any discharge planning. Resident 2 stated that no one asked him (Resident 2) where he (Resident 2) wanted to go after his (Resident 2) stay at the facility and that he (Resident 2) was unaware he (Resident 2) had any choice or input in the matter. Resident 2 stated that he (Resident 2) trusted the facility to make decisions on his (Resident 2) behalf. Resident 2 further stated that he (Resident 2) does not clearly remember being discharged to BC 1 but does recall being taken to GACH 2, although he (Resident 2) does not remember the reason for the transfer. Resident 2 stated that staff (unable to recall who) at GACH 2 informed him he (Resident 2) could not return to the place he came from (BC 1) because it was unlicensed. Resident 2 stated that following his (Resident 2) stay at GACH 2, he (Resident 2) was transferred back to SNF 1.During a concurrent interview and record review on 8/26/2025 at 1:32 p.m., with the SSAT, Resident 2's Social Services Notes from 7/11/2025 to 8/8/2025 were reviewed.
The SSAT stated that there were no discharge planning notes found, and no documented evidence found in Resident 2's medical record indicating who arranged Resident 2's transfer to BC 1.
The SSAT stated that there should have been documentation in Resident 2's medical records reflecting coordination between the facility and BC 1.
The SSAT further stated that she (SSAT) was not aware of Resident 2's discharge to BC 1 until after Resident 2 was discharged , when she (SSAT) was asked to make a follow-up call on 8/12/2025.
The SSAT stated she (SSAT) made several follow-up calls to Resident 2 on 8/12/2025 and kept getting a busy signal so she (SSAT) was unable to speak to Resident 2.
The SSAT stated she (SSAT) was not informed of the discharge plan and was not involved in Resident 2's discharge process at any point.
The SSAT further stated that she (SSAT) ) does not know who coordinated Resident 2's discharge with BC 1 and w[TRUNCATED]
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.