The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
West Rest Haven
West, TX · Medicare-certified · 120 beds
Needs attention
For-profit
1 of 5 overall
West Rest Haven in West, TX has a 1-star overall rating, with a 1-star health inspection rating, 2-star staffing, and 3-star quality measures. Reported nurse staffing is 3.92 hours per resident per day versus the 4.1 federal benchmark, and it had $21,645 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.9166 hrs/resident/day
Quality measures
Last inspection: February 19, 2026Penalties, last 24 months: $21,645recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9166.
Staffing detail
- Registered nurses
- 0.17
- Licensed practical nurses
- 1.36
- Nurse aides
- 2.39
- Weekend nursing
- 3.40
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.2%19.3%Worsening
Residents with a fall causing major injury
2.9%2.9%No change
Residents with pressure ulcers (bedsores)
3.5%3%No change
Residents with a urinary tract infection
1.1%3%Worsening
Residents who lost too much weight
3.3%2.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
38.4%18.5%Improving
Residents whose ability to walk got worse
21%0%Improving
Long-stay residents on antianxiety or sleep medication
28%30.5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.1%8.7%Improving
Residents with depressive symptoms
3.2%1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%99%Worsening
Short-stay residents given the seasonal flu vaccine
—96.2%—
Short-stay residents given the pneumonia vaccine
96.1%98.2%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited June 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The home failed to make sure residents fully understood their health status, care, and treatments. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to support and respect residents’ choices and self-determination. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 561 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $21,645 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $21,645 in total fines.
- $21,645
Federal fine
Dec 22, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 106.1 residents on an average day (88% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 10 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.