WESTERVILLE POST ACUTE.
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-03-27 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-02-21 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-10-10 — ACTUAL HARM (tag F0690, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Staffing, from payroll records
Nursing hours / resident / day
3.11
state median 3.20
Weekend staffing gap
−11%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.41
registered nurses only
Contract (agency) staff
1%
share of all nursing hours
Nursing staff turnover
28%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $315,699 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-02-21 | Fine | $214,868 |
| 2024-02-21 | Payment Denial | payment denial |
| 2023-10-10 | Fine | $100,831 |
| 2023-10-10 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the PACS GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- CENTENNIAL POST ACUTE (ANCHORAGE, AK) —
- APACHE JUNCTION HEALTH CENTER (APACHE JUNCTION, AZ) —
- RIDGECREST POST ACUTE (PHOENIX, AZ) —
- SANDRIDGE POST ACUTE (MESA, AZ) —
- Sun City Post Acute (SUN CITY, AZ) —
- MARYLAND GARDENS POST ACUTE (PHOENIX, AZ) —
- Palm Valley Post Acute (GOODYEAR, AZ) —
- Ahwatukee Post Acute (PHOENIX, AZ) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-21 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2026-05-21 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-05-21 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-05-07 | F0627 | Resident Rights Deficiencies | D | not recorded |
| 2026-05-07 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-05-07 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-05-07 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-31 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-30 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-30 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-30 | F0646 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-30 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-30 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-30 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-30 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-30 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-30 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-30 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-30 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-30 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-30 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-30 | F0773 | Administration Deficiencies | D | not recorded |
| 2025-06-30 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-30 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-03-27 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-03-27 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-02-21 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-02-21 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-02-21 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-21 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2023-12-06 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-12-06 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2023-12-06 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-06 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-10 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-10 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-10 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-10 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-10 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-10 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-10 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-10 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-10 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-10 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-10 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-10 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-10 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-10-10 | F0690 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-10-10 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-10 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-10 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-10 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-10 | F0805 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2021-10-05 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2021-10-05 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2021-10-05 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-05 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-05 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-05 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-05 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-05 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-05 | F0773 | Administration Deficiencies | D | not recorded |
| 2021-10-05 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-10-05 | F0880 | Infection Control Deficiencies | D | not recorded |