Westwood Hills Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0602
F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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.
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F-Tag F0812
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.
Westwood Hills Nursing and Rehabilitation Center in Wilkesboro, NC inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Wilkesboro, NC, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Westwood Hills Nursing and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.