Inspection Reports for
Westminster Oaks Tallahassee
4449 Meandering Way, Tallahassee, FL, 32308
Back to Facility Profile22 Reports
Inspection Report — Aug 14, 2025
Complaint Investigation CMS
Date: Aug 14, 2025
Visit Reason
The inspection was conducted to investigate complaints regarding failure to implement care plan interventions for safe mechanical lift transfers and failure to review and revise a resident's care plan to address new medical device needs.
Complaint Details
The visit was complaint-related, triggered by concerns about failure to follow care plan interventions for mechanical lift transfers and failure to update care plans for new medical devices. Substantiation status is not explicitly stated.
Findings
The facility failed to implement care plan interventions requiring two-person mechanical lift transfers for one resident and failed to update the care plan to reflect the presence of an external heart monitor for another resident, resulting in lack of monitoring for approximately 48 hours.
Citations (2)
F 0656: The facility failed to implement care plan interventions for safe transfer with a mechanical lift requiring two staff members for 1 of 24 residents reviewed. A CNA transferred Resident #27 alone despite policy requiring two-person assist.
F 0657: The facility failed to review and revise the care plan within 7 days to address the needs of 1 of 1 residents reviewed. Resident #120's care plan was not updated to reflect the presence of an external heart monitor for approximately 48 hours.
Report Facts
Residents reviewed: 24
Residents reviewed: 1
Days: 7
Hours: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant | Staff Member B who transferred Resident #27 alone despite two-person assist policy | |
| Administrator | Acknowledged two-person assist requirement for mechanical lift transfers | |
| Director of Nursing | Acknowledged two-person assist requirement and lack of care plan update for Resident #120 | |
| Registered Nurse | Staff A who explained procedure for verifying new physician orders upon resident return |
Inspection Report — Mar 13, 2025
Routine State
Date: Mar 13, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2014 to 2025 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had a mix of deficiency statuses including cited, corrected, and no deficiencies. The most recent inspections show no deficiencies or pending status.
Report Facts
Inspections on page: 24
Inspection Report — Mar 13, 2025
Standard State
Date: Mar 13, 2025
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Sep 9, 2024
Complaint State
Date: Sep 9, 2024
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Jun 13, 2024
Monitor State
Date: Jun 13, 2024
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — May 22, 2024
CMS
Date: May 22, 2024
Visit Reason
The inspection was conducted to review compliance with Payroll-Based Journal (PBJ) staffing data submission and COVID-19 vaccination education, offering, and documentation for residents and staff.
Findings
The facility failed to submit the PBJ report correctly for one quarter, showing excessively low weekend staffing data. The facility also failed to provide timely education and offer COVID-19 vaccines to 4 of 5 sampled residents and did not properly document vaccine consent or refusal after certain dates.
Citations (2)
F0851: The facility failed to submit the Payroll-Based Journal report correctly for Quarter 1 of 2024, resulting in inaccurately reported low weekend staffing.
F0887: The facility failed to provide timely education and offer COVID-19 vaccines to 4 of 5 sampled residents and did not properly document vaccine consent or refusal after specified dates.
Report Facts
Quarters reviewed: 4
Residents sampled: 5
Residents affected: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Provided proof of COVID vaccines and consent forms; interviewed regarding vaccination tracking and documentation |
| Facility Administrator | Facility Administrator | Interviewed regarding Payroll-Based Journal report submission and performance improvement plan for immunizations |
Inspection Report — Dec 14, 2023
Complaint State
Date: Dec 14, 2023
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Oct 24, 2023
Standard State
Date: Oct 24, 2023
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Aug 11, 2023
Complaint State
Date: Aug 11, 2023
Visit Reason
Deficiencies found related to admissions, discharge, and resident care supervision.
Findings
Deficiencies found related to admissions, discharge, and resident care supervision.
Citations (2)
Tag A0011 — ADMISSIONS - DISCHARGE
Tag A0025 — RESIDENT CARE - SUPERVISION
Inspection Report — Jul 27, 2023
Annual Inspection CMS
Date: Jul 27, 2023
Visit Reason
Annual inspection survey of Westminster Oaks nursing home to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report — Jul 12, 2023
Complaint State
Date: Jul 12, 2023
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — May 18, 2023
Complaint State
Date: May 18, 2023
Visit Reason
Deficiency found related to staff training in-service.
Findings
Deficiency found related to staff training in-service.
Citations (1)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Inspection Report — Apr 24, 2023
Expansion State
Date: Apr 24, 2023
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Aug 2, 2022
Complaint State
Date: Aug 2, 2022
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Jan 12, 2022
Expansion State
Date: Jan 12, 2022
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Dec 21, 2020
Standard State
Date: Dec 21, 2020
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Aug 24, 2020
Monitor State
Date: Aug 24, 2020
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Apr 9, 2018
Standard State
Date: Apr 9, 2018
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Jun 29, 2017
Complaint State
Date: Jun 29, 2017
Visit Reason
Deficiency found related to medication assistance with self-administration.
Findings
Deficiency found related to medication assistance with self-administration.
Citations (1)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Inspection Report — Jan 10, 2017
Complaint State
Date: Jan 10, 2017
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Apr 12, 2016
Standard State
Date: Apr 12, 2016
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report — Jun 3, 2014
Standard State
Date: Jun 3, 2014
Visit Reason
Deficiencies found related to medication assistance and staffing standards.
Findings
Deficiencies found related to medication assistance and staffing standards.
Citations (2)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0078 — STAFFING STANDARDS - STAFF
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