A
90/100

Westgate Nursing & Rehabilitation Community Inspection Report, Violations & Safety Grade (Ironwood, Michigan)

1500 North Lowell Street, Ironwood, Michigan 49938

Phone: 9069323867

CMS Overall:5/5

Overview & Bed Count

Certified Beds
65
Avg Residents/Day
53
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Gogebic
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityMichigan AvgDifference
RN Hours per Resident per Day0.710.78-0.07
Total Nurse Hours per Resident per Day4.064.03+0.03
CMS Staffing Rating5/53.6/5-
Nursing Staff Turnover40.7%44.6%-

Health Citation History

21 health citations on record

DateCategoryDescriptionSeverity
2025-12-04Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-12-04Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E – Moderate Harm Potential
2025-12-04Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.E – Moderate Harm Potential
2025-12-04Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2025-12-04Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-06-11Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-09-11Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2024-09-11Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2024-09-11Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2023-09-14Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2023-09-14Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2023-09-14Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-09-14Quality of Life and Care DeficienciesEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.E – Moderate Harm Potential
2023-09-14Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2023-09-14Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-09-14Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2023-09-14Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2023-09-14Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2023-09-14Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2023-09-14Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2023-09-14Infection Control DeficienciesProvide and implement an infection prevention and control program.C – Minimal Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2024-09-11Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.F – Moderate Harm Potential
2024-09-11Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2023-09-14Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2023-09-14Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.F – Moderate Harm Potential
2023-09-14Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2023-09-14Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2023-09-14Miscellaneous DeficienciesProvide a written emergency evacuation plan.F – Moderate Harm Potential
2023-09-14Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2023-09-14Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-09-14Gas, Vacuum, and Electrical Systems DeficienciesEnsure that sources of ignition are removed from patients receiving respiratory therapy.D – Moderate Harm Potential

Total Penalties & Fines

$44,680
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-09-11Fine$44,680-

Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the Ironwood area at no cost.

Advisor service is free for families. We may receive referral compensation.