Deficiencies (last 9 years)
Deficiencies (over 9 years)
1.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% better than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 2
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.
Deficiencies (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
Routine
Deficiencies: 0
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
Standard
Deficiencies: 0
Date: Mar 13, 2025
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Complaint
Deficiencies: 0
Date: Sep 9, 2024
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Monitor
Deficiencies: 0
Date: Jun 13, 2024
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Deficiencies: 2
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.
Deficiencies (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
Complaint
Deficiencies: 0
Date: Dec 14, 2023
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Standard
Deficiencies: 0
Date: Oct 24, 2023
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Complaint
Deficiencies: 2
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.
Deficiencies (2)
Tag A0011 — ADMISSIONS - DISCHARGE
Tag A0025 — RESIDENT CARE - SUPERVISION
Inspection Report
Annual Inspection
Deficiencies: 0
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
Complaint
Deficiencies: 0
Date: Jul 12, 2023
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Complaint
Deficiencies: 1
Date: May 18, 2023
Visit Reason
Deficiency found related to staff training in-service.
Findings
Deficiency found related to staff training in-service.
Deficiencies (1)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Inspection Report
Expansion
Deficiencies: 0
Date: Apr 24, 2023
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Complaint
Deficiencies: 0
Date: Aug 2, 2022
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Expansion
Deficiencies: 0
Date: Jan 12, 2022
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Standard
Deficiencies: 0
Date: Dec 21, 2020
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Monitor
Deficiencies: 0
Date: Aug 24, 2020
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Standard
Deficiencies: 0
Date: Apr 9, 2018
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Complaint
Deficiencies: 1
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.
Deficiencies (1)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Inspection Report
Complaint
Deficiencies: 0
Date: Jan 10, 2017
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Standard
Deficiencies: 0
Date: Apr 12, 2016
Visit Reason
No deficiencies found.
Findings
No deficiencies found.
Inspection Report
Standard
Deficiencies: 2
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.
Deficiencies (2)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0078 — STAFFING STANDARDS - STAFF
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