All citations for Westbrook Acres

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 Westbrook Acres

Last standard health inspection on record

March 12, 2026

Showing 1 to 17 of 17 citations

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2025).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2025).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 17, 2025).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  10. 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 March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

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

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2025).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 11, 2025).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

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

    Health citation F-0851, Administration Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  15. No harm, with potential for minimal harm

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  16. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  17. No harm, with potential for minimal harm

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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.