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C
Below Standard

Westfield Rehabilitation and Health Center

3100 Tramway Road · Sanford, NC 27330

9197755404 · For profit - Corporation

83 beds78.9 residents180 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Westfield Rehabilitation and Health Center receives an overall staffing grade of C (Below Standard). With 3.5543 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4396 HPRD, below the recommended 0.75. It is 0.34 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.67% compared to weekdays. The facility relies heavily on temporary agency staff (20.59% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.4396 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️20.59% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.5543hrs/resident/day▼ 0.34
CMS benchmark: 3.48
RN HPRD
0.4396hrs/resident/day▼ 0.24
Recommended: 0.75
Weekend Drop-off
12.67%
3.6863 weekday → 3.2191 weekend
Agency Staff
20.59%
11.3% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1991hrs/resident/day
Direct care aides
LPN HPRD
0.9156hrs/resident/day
Licensed practical nurses
Consistency
0.2988std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lee County Average+0.08 HPRD
3.47
03.55 HPRD
vs. North Carolina State Average-0.21 HPRD
3.77
03.55 HPRD
vs. National Average-0.34 HPRD
3.90
03.55 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Westfield Rehabilitation and Health Center ★
Sanford · This facility
—
C
3.55430.4396★★★★★
Penick Village
Southern Pines
21.2 mi
A+
6.68411.3235★★★★★
Emerald Health & Rehab Center
Lillington
21.3 mi
D
3.30170.3854★★☆☆☆
The Greens at Pinehurst Rehabilitation & Living Ce
Pinehurst
22.3 mi
C
3.44970.4989★★★☆☆
Saint Joseph of the Pines Health Center
Pinehurst
23.3 mi
A
4.47050.8738★★★★★
Lillington Health and Rehabilitation Center
Lillington
23.6 mi
C
3.6630.4289★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
12
Total Deficiencies
$12,735
Fines Assessed
Aug 21, 2025Health
1 deficiency cited· Includes actual harm
▼
Aug 23, 2024Health
2 deficiencies cited
▼
Mar 9, 2023Health
9 deficiencies cited
▼

Penalty History

Aug 21, 2025Fine
$12,735
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.