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
4 of 5 overall
Westfield Rehabilitation and Health Center has an overall rating of 4 out of 5 stars, with strong health inspection and quality measures ratings but a low staffing rating of 2 out of 5 stars. Reported nurse staffing is 3.41 hours per resident per day, below the federal benchmark of 4.1, and the facility had $8,278 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4142 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 3.4142.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.88
- Nurse aides
- 2.13
- Weekend nursing
- 3.21
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 38%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.4%Improving
Residents with a fall causing major injury
3.7%Worsening
Residents with pressure ulcers (bedsores)
2.1%Worsening
Residents with a urinary tract infection
2.9%Steady
Residents who lost too much weight
2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.6%Improving
Residents whose ability to walk got worse
11.5%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
7.4%Worsening
Short-stay residents newly given an antipsychotic
1.4%Improving
Residents with a long-term catheter
2.3%Steady
Residents with new or worsening incontinence
29.6%Worsening
Residents with depressive symptoms
1.3%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.2%Steady
Short-stay residents given the seasonal flu vaccine
95.5%Steady
Short-stay residents given the pneumonia vaccine
96.3%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 · 2.6 stars avg
- Occupancy
- 78.2 residents on an average day (94% 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.