All citations for West Oaks Nursing and Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to West Oaks Nursing and Rehabilitation Center

Last standard health inspection on record

February 25, 2026

Showing 1 to 25 of 43 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of February 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 12, 2025).

  2. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 28, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 27, 2024).

  3. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2023).

  4. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

    Pattern (more than a few residents). CMS level H.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of April 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 7, 2024).

  5. Harm to a resident

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level H.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 7, 2024).

  6. No harm, with potential for more than minimal harm

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2026).

  7. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2025).

  8. No harm, with potential for more than minimal harm

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of September 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2023).

  9. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2023).

  10. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

  11. No harm, with potential for more than minimal harm

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2026).

  12. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

  14. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2026).

  15. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2026).

  16. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2026).

  17. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2026).

  18. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of November 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

  19. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

  20. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2024).

  21. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

  22. No harm, with potential for more than minimal harm

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of November 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 26, 2023).

  23. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2023).

  24. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of September 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2023).

  25. No harm, with potential for more than minimal harm

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0850, Administration Deficiencies. Inspection of September 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.