Westlake Health And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 53/100. The facility ranks in the 48th percentile among Colorado nursing homes, suggesting significant room for improvement.
Staffing levels are a potential concern at Westlake Health And Rehabilitation Center, with 3.11 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 12 deficiencies at Westlake Health And Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are free from significant medication errors..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.11 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.61 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.66 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.84 | 2.4 | Below Average |
| Weekend Total Nursing | 2.69 | 3.8 | Below Average |
| Weekend RN Hours | 0.51 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Jun 24, 2025 · Pharmacy Service Deficiencies
- Tag 0760 Severity JEnsure that residents are free from significant medication errors.Apr 6, 2025 · Pharmacy Service Deficiencies
- Tag 0921 Severity FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Oct 15, 2024 · Environmental Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Apr 10, 2024 · Infection Control Deficiencies
- Tag 0645 Severity DPASARR screening for Mental disorders or Intellectual DisabilitiesApr 10, 2024 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.1% | 4.5% | Better |
| Falls with major injury | 2.9% | 3.0% | Average |
| On antipsychotic medication | 23.0% | 14.5% | Worse |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 9.3% | 14.0% | Better |
| Excessive weight loss | 4.8% | 7.5% | Better |
| New/worsened incontinence | 30.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $14,069
How This Grade Was Calculated
This facility's grade of D is based on a score of 53 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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