West Rest Haven
West Rest Haven in West, TX — inspection on April 28, 2026.
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
recliner and be covered up with a blanket.
She stated CNA A stated she would go get the sit to stand
stated she had turned off Resident #1 and Resident #2's call lights off before taking care of what the
of the residents' needs.
She stated as an aide she knew she was supposed to answer the call lights promptly but did not know she could not turn the light off unless the residents' needs were met.
She stated by turning the call light off and not taking care of what the resident needed staff could get distracted and forget the resident, something could go on with the resident, it would put them at risk of doing it themselves and they could fall.
During an interview on 4/28/2026 at 12:44 pm, Nurse B stated she answered Resident #2's call light and when she went in the room the resident wanted her to re-position her in the wheelchair.
She stated she sometimes leaned and she just wanted to put her straight in the chair.
She stated Resident #2 did not mention wanting to be transferred to her recliner.
She stated she recently attended training on call lights, and the call light was not to be turned off until the care had been provided.
She staed if the light was turned off and care had not been provided there could be distractions; you might think you could go right back but anything can happen.
She stated neglect could happen or falls could happen.
During an interview on 4/28/2026 at 12:25 pm, the DON stated her expectation for call lights was that the light would be answered, staff would provide the assistance needed, if they could not provide assistance, or they needed to go get help or supplies then they should leave the call light on until care has been provided.
She stated what could happen if call lights were turned off are the residents' needs being met, is there neglect going on, residents could be fall risk; they might get tired of waiting and get up and try to toilet themselves and fall.During an interview on 4/28/2026 at 2:40 pm, the ADM stated her expectation was that staff would answer the light and not turn it off until the residents' needs were met.
She stated she had told residents that if that happened, they could turn the light back on to call staff again.
She stated that it had been discussed at resident council with residents, and she told them to turn it back on.
She stated if call lights were turned off without residents' needs being met it could be a quality-of-care issue if they had to go to the bathroom, they could sit in soil or could fall trying to get up by themselves.Review of undated facility policy, Call Light reflected: PURPOSE: 1. To respond promptly to resident's call for assistance2. To ensure call light system is functioning properlyPROCEDURE:1.
All nursing personnel must be aware of call lights at all times.2.
All nursing personnel are responsible to answer call lights promptly whether or not they are assigned to the resident.3.
Call lights will be turned off at the point of origin.
Bedside call lights sound will differ from emergency call light sound.4.
Answer the call lights in a prompt, calm, courteous manner; turn off the call light once the resident's needs are met.
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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.