Health inspection·April 25, 2025

F 0656 Level of Harm - Minimal harm or potential for actual harm Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Based on observations, interviews, and record review, the facility failed to provide a comprehensive plan of care for 2 of 2 residents sampled for care plans. (Resident #21 and #24) Residents Affected - Few The findings include: Resident #21 A record review of Resident #21's electronic medical record (EMR) revealed that the resident is dependent on staff for activities for daily living. A review of the care plan developed by the facility for Resident #21 did not include an intervention to address the need for assistance in activities for daily living. On 4/23/2025 at approximately 1:00 PM, an interview was conducted with the Minimum Data Set Coordinator (MDS) and Care Plan Coordinator. The Care Plan Coordinator confirmed that there was not a care plan for Resident #21 in regards to activities of daily living. The Care Plan Coordinator further indicated that the information did trigger from the MDS and should have been included in the care plan. Resident #24 A record review was conducted on Resident #24's EMR concerning End Stage Renal Disease (ESRD) and dependence on hemodialysis services. The care plan developed by the facility for Resident #24 did not include goals and interventions to manage ESRD and hemodialysis services. The Care Plan Coordinator confirmed that there was not a care plan for Resident #24 for ESRD/Dialysis. She further indicated that it had triggered for a care plan from the MDS and should have been included in the care plan. The Care Plan Coordinator acknowledged that she missed developing a care plan for both of these residents. On 4/23/2025 at approximately 1:50 PM, an interview was conducted with the Director of Nursing (DON). The DON indicated that it is her expectation that, if the MDS triggers care areas, then the care plan should be updated to include those areas. The facility policy titled Comprehensive Care Plans stated: Policy: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 105395 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Westwood Nursing and Rehabilitation Center 1001 Mar-Walt Drive Fort Walton Beach, FL 32547 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)