The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Westfield Rehabilitation and Health Center
Sanford, NC · Medicare-certified · 83 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Westfield Rehabilitation and Health Center in Sanford, NC has an overall rating of 4 out of 5 stars. Its health inspection rating is also 4 out of 5 stars, but staffing and quality measures are both 2 out of 5 stars; reported nurse staffing is 3.31 hours per resident per day versus the 4.1 federal benchmark, and it has had $8,278 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3067 hrs/resident/day
Quality measures
Last inspection: August 21, 2025Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3067.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 0.88
- Nurse aides
- 2.00
- Weekend nursing
- 3.00
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 46%
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
13.3%9.6%Improving
Residents with a fall causing major injury
1.7%3.1%Worsening
Residents with pressure ulcers (bedsores)
0%8.4%Worsening
Residents with a urinary tract infection
1.7%6.2%Worsening
Residents who lost too much weight
2%5.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.2%26.3%Worsening
Residents whose ability to walk got worse
12.6%19.6%Worsening
Long-stay residents on antianxiety or sleep medication
10.2%12.1%Worsening
Short-stay residents newly given an antipsychotic
1.7%1%Improving
Residents with a long-term catheter
2.4%3.3%Worsening
Residents with new or worsening incontinence
33.1%32.8%No change
Residents with depressive symptoms
0%3.5%Worsening
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%100%No change
Short-stay residents given the seasonal flu vaccine
—95.5%—
Short-stay residents given the pneumonia vaccine
96.5%94.7%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: E
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines.
- $8,278
Federal fine
Aug 21, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of LIBERTY SENIOR LIVING · 37 homes · 2.8 stars avg
- Occupancy
- 79.2 residents on an average day (95% of 83 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 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.