Westwood Hills Nursing And Rehabilitation Center
Westwood Hills Nursing and Rehabilitation Center in Wilkesboro, NC — inspection on November 19, 2025.
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
of drug slips to ensure the narcotic medications are being administered or have been returned to the pharmacy.
The Director of Nursing/Assistant Director of Nursing verifies that all narcotic medications, shift to shift change sheets, and declining count sheets are present in the cart and that no other concerns were identified using the Controlled Substance Audit tool.
All areas of concern were to be addressed during the audit including any re-education of the licensed nurses and medication aides.
The Director of Nursing/Assistant Director of Nursing will review and initial audits weekly for 4 weeks, then monthly for 1 month to ensure all areas of concern were addressed appropriately.On 9/13/25, the Director of Nursing/Assistant Director of Nursing began reviewing the order listing report daily to ensure all narcotic medications are in the medication cart/narcotic lock box and discontinued narcotic medications are taken off the medication cart/narcotic lock box.
Any concerns identified are investigated by the DON immediately.The Administrator or Director of Nursing will present the findings of the audit tools to the Quality Assurance Performance Improvement Committee monthly for 2 months.
The Quality Assurance Performance Improvement Committee will meet monthly for 2 months and review the audit tools to determine trends and/or issues that may need further interventions and the need for additional monitoring.
The QAPI meetings were held on 9/22/25 and 10/21/25.
Date of Compliance: 9/16/25 Validation of the corrective action plan was completed on 11/19/25.The corrective action plan was validated by reviewing education provided to staff, reviewing the interviews with staff and residents, and reviewing the monitoring plan put in place.
Residents interviewed during the survey denied untreated pain.
Controlled medication declining count sheets and shift change sheets were validated at 100% correct.
Evidence that action plan was presented in monthly Quality Assurance on 09/22/25 and 10/21/25.
The correction action plan completion date of 09/16/25 was validated.
Facility ID:
Federal health inspectors cited Westwood Hills Nursing and Rehabilitation Center in Wilkesboro, NC for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-11-19.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of Westwood Hills Nursing and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
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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.