Health inspection·December 15, 2025

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few and the second skin check done after admission. She confirmed they did not document the same or similar bruising noted on her 12/03/25 skin assessment. We further reviewed the hospital records to determine if a skin assessment was completed and sent with the resident. The 3008 does not note any concerns regarding the resident's skin. However, it should be noted that the resident was receiving anticoagulation drug injections in the hospital as well.Review of the facility's administrative records did not reveal a report of an allegation of abuse associated with Resident # 1. There was a noted grievance on 12/03/25 regarding communication needs for the resident.Multiple interviews were conducted on 12/15/25 in the morning and afternoon with the Administrator, who reported that she was informed of an occurrence with Resident # 1 on 12/03/25 when the Therapist Assistant reported what the resident told her about being hit by staff. She stated she also called the police and reported the incident to the state agency but withdrew the report when told by her corporate staff that it was a grievance instead because they felt it was a communication issue. She stated when she called the police, she was informed that the police had received multiple calls from the resident and came out to the facility on [DATE] but nothing was done.The administrator provided a handwritten note from the resident, when she inquired about the incident from the resident on 12/03/25. The resident documented, The ambulance took me to the facility Friday night from the hospital. When I arrived there, two nurses and 1 secretary were there. Two nurses looked at me looking mean! They showed their ugly faces to me and then abused my abdomen, thigh and back, then tried to pull my diapers. I cried!!! I tried to call 911 and police. But they said they could not do anything for me. My daughter came here Saturday afternoon, and she and my son got so angry!!Another interview with the Administrator was conducted on 12/15/25 in the afternoon, who stated she got information from the daughter about interpreter's service and she was able to secure the resident an electronic device to view the app on.An interview was conducted on 12/16/25 at 8:15 AM with the 11-7 Registered Nurse, who reported that the resident was actually admitted to the facility on 3-11 shift and the resident's initial complaints were regarding her pain. She administered what she had prescribed but she did not have a script for the other pain medications. She confirmed that the resident reported to her about the staff hitting her on the evening she came into the facility, but she thought it was taken care of by the 3-11 shift and that the resident was just frustrated about her pain management. She further stated that the police did come to the facility, but they didn't do anything. The surveyor then inquired about who she reported this to and when it was reported. She stated she told the incoming 7-3 nurse. She confirmed the resident reported to her in a handwritten note. She also admitted that she did not report the incident to the Administrator or another supervisor. Again, she repeated that she thought the 3-11 nurse would have reported it. She also stated on 12/03/25 she was contacted about the incident and was told she was on suspension, but they called her right back and said she was no longer suspended because the incident was withdrawn.An interview was conducted on 12/16/25 at approximately 10:00 AM with the Administrator, who then reported that she interviewed the resident via the interpreter's service on 12/15/25 and confirmed the resident continued to make the allegation of abuse, so she called in a report to the agency on 12/15/25, almost three weeks after the initial occurrence. On 12/16/25 at approximately 10:30 AM, the surveyor again had an interview with Resident # 1 via the interpreter's line. The surveyor asked Resident # 1 about writing a note to the staff about the incident. In going through her notebook of handwritten notes, a note was located that was documented by the resident, Do you know two nurses who abused me Friday night. They made ugly faces at me. Under that note was another note in another person's handwriting that responded, I'm sorry about that. Additional notes on the paper by the resident documented, I want to know who the 2 nurses are. Ask an old lady who worked (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105911 If continuation sheet Page 2 of 3 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 105911 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Westgate Health and Rehabilitation Center 2300 Village Blvd West Palm Beach, FL 33409 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)

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Friday night.An interview was conducted on 12/16/25 at approximately 11:30 AM with the Physical Therapist Assistant who reported the incident on 12/03/25. The staff reported that she was doing therapy with the resident, and the resident informed her that that two staff members entered her room to change her, and when she was unable to open her legs, the staff began making contact with her abdomen. She stated the resident wrote a note and she also made gestures for her to know what she was saying. She then reported it to her supervisor and the administrator. The surveyor then showed her a copy of the note in the resident's notebook to determine if this was the note that the resident wrote to her. She denied that this was the note. Event ID: Facility ID: 105911 If continuation sheet Page 3 of 3