West Oaks Nursing & Rehabilitation

Inspection findings

1. Mar 13, 2026 Health · 9 findings
   • Serious Scope/severity G

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Mar 24, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Mar 24, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure 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.

     Corrected Mar 24, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 24, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 24, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Apr 3, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Apr 3, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Apr 3, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Apr 3, 2026 · CMS fire safety

2. Jan 16, 2025 Health · 10 findings
   • Not serious Scope/severity E

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Feb 28, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Feb 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Feb 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0694 Quality of Life and Care Deficiencies

     Provide for the safe, appropriate administration of IV fluids for a resident when needed.

     Corrected Feb 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Feb 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Feb 28, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0803 Nutrition and Dietary Deficiencies

     Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

     Corrected Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Feb 14, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Feb 14, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Feb 14, 2025 · CMS fire safety

3. Nov 30, 2023 Health · 6 findings
   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Dec 22, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Dec 14, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add 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.

     Corrected Dec 19, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Dec 19, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Dec 19, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Dec 19, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BOENING, CHRISTOPHER — adp of the snf, NOT APPLICABLE, since 01/13/2020
• BOENING, CHRISTOPHER — operational/managerial control, NOT APPLICABLE, since 01/13/2020
• CAMPBELL, LESLIE — operational/managerial control, NOT APPLICABLE, since 04/01/2020
• CAMPBELL, LESLIE — adp of the snf, NOT APPLICABLE, since 04/01/2020
• CASTILLO, LYNNEA — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• CASTILLO, LYNNEA — adp of the snf, NOT APPLICABLE, since 04/01/2019
• FELLBAUM, ERNEST — adp of the snf, NOT APPLICABLE, since 01/29/2019
• GREENE, CALANDRA — adp of the snf, NOT APPLICABLE, since 02/21/2022
• GREENE, CALANDRA — operational/managerial control, NOT APPLICABLE, since 02/21/2022
• HARE, SONDRA — operational/managerial control, NOT APPLICABLE, since 08/26/2019
• HARE, SONDRA — adp of the snf, NOT APPLICABLE, since 08/26/2019
• SEHLKE, BRYON — adp of the snf, NOT APPLICABLE, since 04/01/2019
• SEHLKE, BRYON — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• STUDER, STANLEY — adp of the snf, NOT APPLICABLE, since 01/29/2019
• TANGUILIG-ROBINSON, CYNTHIA — operational/managerial control, NOT APPLICABLE, since 09/01/2025
• TANGUILIG-ROBINSON, CYNTHIA — adp of the snf, NOT APPLICABLE, since 09/01/2025
• THOMPSON, JOHNNY — corporate officer, NOT APPLICABLE, since 11/01/2023
• ZUROVEC, DARRELL — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• ZUROVEC, DARRELL — adp of the snf, NOT APPLICABLE, since 04/01/2019
• AEGIS THERAPIES, INC. — adp of the snf, NOT APPLICABLE, since 04/01/2019
• CARVAJAL PHARMACY LTC — adp of the snf, NOT APPLICABLE, since 04/01/2019
• INTERNATIONAL BANK OF COMMERCE — 5% or greater security interest, NOT APPLICABLE, since 05/19/2022
• NUTRITIOUS LIFESTYLES, INC. — adp of the snf, NOT APPLICABLE, since 04/01/2019
• PLANTE & MORAN PLLC — adp of the snf, NOT APPLICABLE, since 04/01/2019
• THE BRYON AND RENA SEHLKE LIVING TRUST — adp of the snf, NOT APPLICABLE, since 01/01/2023
• TOUCHSTONE COMMUNITIES INC — adp of the snf, NOT APPLICABLE, since 04/01/2019
• TOUCHSTONE REALTY - WEST OAKS LLC — adp of the snf, NOT APPLICABLE, since 04/01/2019
• TOUCHSTONE STRATEGIES - WEST OAKS LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• TOUCHSTONE STRATEGIES - WEST OAKS LLC — adp of the snf, NOT APPLICABLE, since 07/15/2025
• TRIDENT HEALTH SERVICES INC — adp of the snf, NOT APPLICABLE, since 04/01/2019