Inspection Reports for
Westminster Oaks Tallahassee
4449 Meandering Way, Tallahassee, FL, 32308
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Inspection Report — May 28, 2026
Complaint Investigation
Date: May 28, 2026
Visit Reason
The page covers the entire inspection history of Westminster Oaks, including 24 inspections from June 3, 2014 to May 28, 2026.
Findings
Across the inspection history, 6 deficiencies were recorded, all Class 3 or Unclassified, with no serious deficiencies or legal actions taken.
Citations (6)
Admissions - Discharge — cited August 11, 2023, corrected October 19, 2023
Resident Care - Supervision — cited August 11, 2023, corrected October 19, 2023
Training - Staff In-service — cited May 18, 2023, corrected June 20, 2023
Medication - Assistance With Self-admin — cited June 29, 2017, corrected August 15, 2017
Medication - Assistance With Self-admin — cited June 3, 2014, corrected July 24, 2014
Staffing Standards - Staff — cited June 3, 2014, corrected July 24, 2014
Report Facts
Inspections: 24
Visits with deficiencies: 4
Clean visits: 14
Deficiencies: 6
Serious deficiencies: 0
Legal actions: 0
Total fines: 0
Inspection Report — Aug 14, 2025
Complaint Investigation
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 — May 22, 2024
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 — Jul 27, 2023
Annual Inspection
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.
3 CMS Surveys
CMS Survey — Jul 27, 2023
Jul 27, 2023
CMS Survey — May 22, 2024
May 22, 2024
CMS Survey — Aug 14, 2025
Aug 14, 2025
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