Euless, TX

Westpark Rehabilitation and Living

2-star overall rating with 1-star inspections with $54,415 in total fines with 16 recent health deficiencies

900 Westpark Way, Euless, TX

(817) 545-4071

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

140

Certified beds

Average residents

105

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

2004-08-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.61

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.62

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.95

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.18

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.91

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.15

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.69

CMS adjusted RN staffing hours

Adjusted total hours

3.60

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

68%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,328

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

17.21

Composite VBP score used to determine payment impact.

Payment multiplier

0.9817

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.33

Baseline 44.62% · Performance 58.23% · Measure score 1.33 · Achievement 1.33 · Improvement 0

Adjusted total nurse staffing

2.11

Baseline 2.83 hours · Performance 3.60 hours · Measure score 2.11 · Achievement 1.84 · Improvement 2.11

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.28%	10.72% 1.6 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 18.37% · Lower 95% interval 8.51%
Discharge to community	43.71%	50.57% 6.9 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 37.5% · Lower 95% interval 31.37%
Medicare spending per beneficiary	1.03	1.02 About the same
Drug regimen review with follow-up	58.33%	95.27% 36.9 pts worse	Numerator 14 · Denominator 24
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 24
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 24 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 142
Staff flu vaccination coverage	16.84%	42% 25.2 pts worse	Numerator 32 · Denominator 190
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.8	2.1 0.7 pts worse	1.9 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 3.3 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	2.1 0.6 pts better	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.7 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	97.1% 2.6 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.9% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.3%	3.3% 2 pts better	3.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 2.0% · Q4 2.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.5%	2.7% 2.2 pts better	11.4% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight	1.8%	3.3% 1.5 pts better	5.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 4.5% · Q4 1.1% · 4Q avg 1.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.0%	18.9% 3.1 pts worse	19.6% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 22.9% · Q3 22.2% · Q4 20.2% · 4Q avg 22.0%
Percentage of long-stay residents who received an antipsychotic medication	8.6%	10.8% 2.2 pts better	16.7% 8.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 8.2% · Q3 8.5% · Q4 6.7% · 4Q avg 8.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	18.3%	15.4% 2.9 pts worse	16.3% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 32.8% · Q3 24.8% · Q4 8.8% · 4Q avg 18.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.7%	16.1% 0.6 pts worse	14.9% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 52.2% · Q3 6.5% · Q4 14.0% · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.1%	15.0% 2.1 pts worse	19.8% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 21.3% · Q3 15.4% · Q4 16.4% · 4Q avg 17.1%
Percentage of long-stay residents with pressure ulcers	3.6%	4.2% 0.6 pts better	5.1% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 5.1% · Q3 2.1% · Q4 4.0% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.6%	89.7% 8.9 pts better	81.7% 16.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.0% · Q4 96.9% · 4Q avg 98.6%
Percentage of short-stay residents who had an outpatient emergency department visit	5.2%	12.0% 6.8 pts better	12.0% 6.8 pts better	Short Stay · 20240701-20250630 · Adjusted 5.2% · Observed 7.3% · Expected 15.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	5.1%	1.5% 3.6 pts worse	1.6% 3.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 8.3% · Q4 0.0% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.5%	88.0% 8.5 pts better	79.7% 16.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.4%	25.9% 6.5 pts better	23.9% 4.5 pts better	Short Stay · 20240701-20250630 · Adjusted 19.4% · Observed 26.8% · Expected 33.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-21 · Fire 2024-11-21

16 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-10-19 · Fire 2023-10-19

13 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-08-25 · Fire 2022-08-25

13 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-10-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-07

E · Potential for more than minimal harm 2023-10-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-19

E · Potential for more than minimal harm 2022-08-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-12

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2025-12-12

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2025-12-12

F695 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2025-08-21

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-04-05

F761 · Pharmacy Service Deficiencies

Health

Ensure 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.

Corrected 2025-04-06

E · Potential for more than minimal harm 2025-03-24

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-03-28

J · Immediate jeopardy 2025-02-19

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-02-19

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-02-19

F690 · Quality of Life and Care Deficiencies

Health

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 2025-02-24

D · Potential for more than minimal harm 2025-02-19

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-02-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-24

D · Potential for more than minimal harm 2024-12-28

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-01-03

E · Potential for more than minimal harm 2024-11-21

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-11-22

E · Potential for more than minimal harm 2024-11-21

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-22

E · Potential for more than minimal harm 2024-11-21

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-11-22

E · Potential for more than minimal harm 2024-11-21