WEST OAKS NURSING AND REHABILITATION CENTER
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-02-11 — IMMEDIATE JEOPARDY (tag F0760, severity K)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-04-10 — ACTUAL HARM (tag F0755, severity H)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2024-04-10 — ACTUAL HARM (tag F0697, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2024-03-28 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-09-03 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.44
state median 2.67
Weekend staffing gap
−7%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.36
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
34%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $39,527 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-02-11 | Fine | $26,683 |
| 2024-03-28 | Fine | $12,844 |
Ownership
Ownership type: Government - Hospital district. Part of the THE ENSIGN GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) —
- Polaris Extended Care (ANCHORAGE, AK) —
- THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) —
- POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) —
- Desert Terrace Healthcare Center (PHOENIX, AZ) —
- PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) —
- CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) —
- MISSION PALMS POST ACUTE (MESA, AZ) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-02-25 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2026-02-25 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2026-02-25 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-25 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-25 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-02-25 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-02-25 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-12-11 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-11 | F0760 | Pharmacy Service Deficiencies | K | not recorded |
| 2024-11-26 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-11-26 | F0583 | Resident Rights Deficiencies | E | not recorded |
| 2024-11-26 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-26 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-11-26 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-11-26 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-05-13 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-10 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-10 | F0697 | Quality of Life and Care Deficiencies | H | not recorded |
| 2024-04-10 | F0755 | Pharmacy Service Deficiencies | H | not recorded |
| 2024-03-28 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-28 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-11-13 | F0661 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-09-03 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-03 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-03 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-09-03 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-09-03 | F0690 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-09-03 | F0838 | Administration Deficiencies | F | not recorded |
| 2023-09-03 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-03 | F0850 | Administration Deficiencies | E | not recorded |
| 2023-08-24 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-05 | F0567 | Resident Rights Deficiencies | D | not recorded |