WESTHAVEN NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Westhaven Nursing Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

WESTHAVEN NURSING CENTER
1617 W CANNON
FORT WORTH, TX 76104
(817) 336-7283

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 83
  • Certified Beds: 90

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Rating Details For Westhaven Nursing Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours11 Minutes46 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours37 Minutes34 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 14 Minutes1 Hour and 56 Minutes
Total Licensed Nurse Hours48 Minutes1 Hour and 20 Minutes
Total Nurse Hours3 Hours and 2 Minutes3 Hours and 16 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination44%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season60%91%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight21%6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased2%18%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores12%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection-9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%13%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse1%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder28%46%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain10%4%
Percent of Long-Stay Residents Who Were Physically Restrained-4%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/02/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Train All Employees on What to Do in an Emergency.
  • Inspection Date: 04/02/2010
  • Correction Date: 04/16/2010

Environmental

Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 08/08/2008
  • Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/01/2009
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/01/2009
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 04/02/2010
  • Correction Date: 01/01/1900

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/01/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/08/2008
  • Correction Date: 08/29/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/01/2009
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 04/02/2010
  • Correction Date: 04/16/2010
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 04/02/2010
  • Correction Date: 04/16/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/14/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/14/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/14/2010

Quality Care

Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Inspection Date: 08/08/2008
  • Correction Date: 08/22/2008

Resident Assessment

Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
  • Inspection Date: 08/08/2008
  • Correction Date: 08/09/2008

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 08/08/2008
  • Correction Date: 09/26/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 08/08/2008
  • Correction Date: 09/26/2008

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Westhaven Nursing Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 08/08/2008
  • Correction Date: 09/30/2008

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 08/08/2008
  • Correction Date: 09/30/2008

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 02/18/2010
  • Correction Date: 04/05/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 02/18/2010
  • Correction Date: 04/05/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 01/20/2011
  • Correction Date: 03/01/2011
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 01/20/2011
  • Correction Date: 03/01/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 08/08/2008
  • Correction Date: 09/30/2008

Quality Care

Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Complaint Filed: 09/03/2010
  • Correction Date: 10/10/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Complaint Filed: 02/18/2010
  • Correction Date: 02/19/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Westhaven Nursing Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/01/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/15/2009
Portable Fire Extinguishers.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/14/2010

Building Service Equipment

An Externally Vented Heating System.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/26/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/01/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 04/01/2010
  • Correction Date: 01/01/1900
Properly Protected Cooking Facilities.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/14/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/01/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/26/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/01/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/01/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/14/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/07/2008
  • Correction Date: 08/22/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/14/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 08/07/2008
  • Correction Date: 09/08/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/01/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/08/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/12/2009
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011