Pennsylvania Department of Health
WESTGATE HILLS REHABILITATION AND NURSING CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

WESTGATE HILLS REHABILITATION AND NURSING CENTER
Inspection Results For:

There are 139 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.


WESTGATE HILLS REHABILITATION AND NURSING CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Findings of an Abbreviated Complaint Survey completed on November 21, 2025, atWestgate Hills Rehabilitation and Nursing Center, identified deficient practice, related to the reported complaint allegations, under the requirements of 42 CFR Part 483, Subpart B Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations as they relate to the Health portion of the survey process.

Plan of Correction:

483.90(e) REQUIREMENT Resident Room:

This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.

§483.90(e) Resident Rooms
Resident rooms must be designed and equipped for adequate nursing care, comfort, and privacy of residents.

Observations:

Based on observations and interviews with staff, it was determined that the facility failed to provide a safe environment for 1 of 3 residents reviewed (Resident 1).

Observations made on November 21, 2025, of rooms on the Rehabilitation Unit revealed Resident 1's room had a window with broken glass pieces taped with duct tape.
Further observations revealed broken pieces of glass were sitting between the glass panel and the screen.

Observations made of Resident 1's room also revealed a dresser with two broken drawer fronts. The pieces were sitting inside of the drawers.

Observations conducted with the Director of Nursing (DON) on November 21, 2025, at 1:07 p.m., when the above information was presented, the DON confirmed the glass and dresser drawers were broken.

28 Pa. Code 201.14 (a)
28 Pa. Code 201.18 (b)(1)(e)(1) (2.1)

Plan of Correction - To be completed: 12/04/2025

1. Corrective action for the resident affected:

On 11/25/2025, the Maintenance Director repaired the window by removing broken glass and installing a replacement pane. The damaged dresser drawer fronts were repaired on the same date.

2. How the facility identified other residents who could be affected:

All resident rooms in the facility were inspected for similar hazards. No other rooms were found with broken windows or damaged furniture.

3. Systemic changes to prevent recurrence:

The Maintenance Director will round weekly for 4 weeks, then monthly for 3 months.

4. Monitoring to ensure continued compliance:

Findings from rounds will be documented and reviewed in QAPI.

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