Westwood Nursing Center
Westwood Nursing Center in Detroit, MI — inspection on May 26, 2026.
Found 2 citations. 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
score was 13, indicating the resident was cognitively intact.Further review revealed that an Elopement Risk Assessment completed upon admission on [DATE] identified R304 as being at risk for elopement, with a score of five.
Despite the identified risk, the facility failed to develop a care plan or implement interventions to address the resident's elopement risk.A review of the facility's incident report revealed on 4/6/26 at approximately 12:00 a.m., R304 exited the facility through a second-story window and landed on the ground.
The resident sustained injuries requiring emergency medical treatment and hospitalization.
The report also revealed that staff reported to emergency services.The investigation did not document findings in regard to the resident's ability to exit through the second-story window without supervision and the window safety mechanisms and functionality.The investigation did not include documentation of interviews with all staff involved, an evaluation of environmental factors, or a determination of whether facility policies and procedures regarding elopement prevention were followed.
During an interview on 5/26/26, the Assistant Director of Nursing (ADON) stated that an incident investigation was completed following the event.
However, the ADON was unable to provide evidence that the investigation included an assessment of why interventions were not implemented despite the resident being identified as at risk for elopement upon admission.
During an interview on 5/26/26, the Administrator stated that upon notification of the incident, he came to the facility and initiated the reporting process.
The Administrator acknowledged that the focus of the investigation was primarily on documenting the occurrence and reporting requirements.
Record review failed to identify evidence that the facility conducted a comprehensive root cause analysis to determine system failures that contributed to the incident or to identify measures necessary to prevent a similar occurrence in the future.Further review of the facility's investigation failed to identify corrective actions addressing the lack of a care plan, absence of elopement interventions, staff monitoring practices, environmental safety concerns, or accountability measures related to the resident's ability to exit through a second-story window.There was no additional information provided by the exit of survey Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
235444 05/26/2026
Westwood Nursing Center 16588 Schaefer Detroit, MI 48235
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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.