5 Reports
Inspection Report — Mar 26, 2026
Annual Inspection
Date: Mar 26, 2026
Visit Reason
The page covers the inspection history of Westminster Suncoast, including 36 visits with 7 visits citing deficiencies and 25 clean visits.
Findings
Across the inspection history, 20 deficiencies were recorded with 1 serious deficiency. The state has taken 3 legal actions with fines totaling $7,000.
Citations (20)
Resident Care - Elopement Standards — cited February 25, 2026, corrected March 26, 2026
Training - Assis Self-admin Meds & Med Mgmt — cited February 25, 2026, corrected March 26, 2026
Alzheimer Disease/dementia; Training — cited February 25, 2026, corrected March 26, 2026
Alzheimer Disease/dementia; Training — cited April 22, 2024, corrected June 11, 2024
Admissions - Health Assessment — cited January 18, 2024, corrected March 5, 2024
Medication - Assistance With Self-admin — cited January 18, 2024, corrected March 5, 2024
Training - Staff In-service — cited January 18, 2024, corrected April 22, 2024
Training - Adrd — cited January 18, 2024, corrected April 22, 2024
Medication - Records — cited February 16, 2022, corrected March 31, 2022
Staffing Standards - Staff — cited February 16, 2022, corrected March 31, 2022
Training - Hiv/aids — cited February 16, 2022, corrected March 31, 2022
Training - First Aid and Cpr — cited February 16, 2022, corrected March 31, 2022
Training - Adrd — cited February 16, 2022, corrected March 31, 2022
Training - Do Not Resuscitate Orders — cited February 16, 2022, corrected March 31, 2022
Records - Staff — cited February 16, 2022, corrected March 31, 2022
Admissions - Continued Residency — cited December 28, 2021, corrected February 16, 2022
Resident Care - Supervision — cited December 28, 2021, corrected February 16, 2022
Training - Staff In-service — cited December 28, 2021, corrected March 31, 2022
Records - Facility — cited December 28, 2021, corrected February 16, 2022
Records - Resident — cited December 28, 2021, corrected February 16, 2022
Report Facts
Inspections: 36
Visits with deficiencies: 7
Clean visits: 25
Deficiencies: 20
Serious deficiencies: 1
Legal actions: 3
Total fines: 7000
Inspection Report — Nov 12, 2024
Complaint Investigation
Date: Nov 12, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding alleged physical abuse of Resident #6 by a staff member.
Complaint Details
The complaint involved an incident on 9/14/24 where Resident #6 spat at Staff B, who spat back and held the resident's hands down during care. Staff A witnessed the incident but did not report it until 9/16/24, resulting in delayed reporting to authorities. The allegation was substantiated based on interviews and staff admissions.
Findings
The facility failed to protect Resident #6 from physical abuse by Staff B, who admitted to holding down the resident's hands and spitting back at the resident during care. Additionally, the facility failed to report the alleged abuse incident within the required 2-hour timeframe.
Citations (2)
F 0600: The facility failed to protect Resident #6 from physical abuse by a staff member who spat at the resident and held down the resident's hands during care. The resident exhibited combative behavior and spitting, but staff response was inappropriate.
F 0609: The facility failed to report suspected abuse involving Resident #6 immediately or within 2 hours as required, delaying notification to the state agency and law enforcement by approximately 40 hours.
Report Facts
Hours delayed in reporting abuse: 40
Date of incident: Sep 14, 2024
Date of report: Sep 16, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Registered Nurse (RN) | Admitted to holding down Resident #6's hands and spitting back at the resident during care |
| Staff A | Certified Nursing Assistant (CNA) | Witnessed the abuse incident and delayed reporting it by 2 days |
| Staff D | Licensed Practical Nurse (LPN) | Charge Nurse on shift who advised Staff A to report the incident |
| Nursing Home Administrator (NHA) | Interviewed regarding the incident and reporting delays | |
| Director of Nursing (DON) | Interviewed regarding the incident and reporting delays | |
| Regional Health Care Director (RHCD) | Interviewed regarding the incident and reporting delays |
Inspection Report — Apr 25, 2024
Date: Apr 25, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, including care planning, pressure ulcer prevention, respiratory care, dialysis care, trauma-informed care, and caregiver competencies.
Findings
The facility was found deficient in multiple areas including inaccurate care plans for advanced directives, failure to ensure pressure relieving boots were used, lack of physician orders for respiratory devices, inadequate monitoring of dialysis fistula, failure to identify trauma triggers for a resident with PTSD, and employing a private caregiver without proper competencies for resident care.
Citations (6)
F 0657: The facility failed to ensure an accurate care plan was in place related to Advanced Directives for one resident (#101) out of 40 sampled residents.
F 0686: The facility failed to ensure pressure relieving boots were applied to prevent worsening of a pressure wound for one resident (#101).
F 0695: The facility failed to ensure identification and monitoring of a BIPAP machine was in place for one resident (#6).
F 0698: The facility failed to ensure ongoing assessment and monitoring of the dialysis fistula before and after dialysis treatments for one resident (#37).
F 0699: The facility failed to ensure one resident (#72) with PTSD was assessed to identify triggers which may re-traumatize the resident.
F 0726: The facility failed to ensure a paid caregiver for one resident (#205) had specific competencies and skill sets necessary to care for the resident's care needs.
Report Facts
Residents sampled: 40
Residents sampled for pressure wounds: 1
Residents sampled for respiratory care: 1
Residents sampled for dialysis care: 3
Dialysis communication forms reviewed: 6
Dialysis days per week: 3
Private caregiver hours: 7
Private caregiver hours: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | RN, Assistant Director of Nursing | Named in dialysis fistula monitoring deficiency and interview |
| Staff E | LPN | Named in dialysis fistula bleeding incident and interview |
| Staff G | CNA | Named in pressure ulcer care and private caregiver interview |
| Staff F | Assistant Social Worker | Named in advanced directives care plan interview |
| Director of Nursing | Director of Nursing | Interviewed regarding multiple deficiencies including advanced directives, pressure ulcer care, respiratory care, dialysis care, trauma informed care |
| Nursing Home Administrator | Nursing Home Administrator | Interviewed regarding advanced directives, private caregiver competency, and trauma informed care |
| Staff D | Certified Nursing Assistant | Interviewed regarding dialysis education and bleeding response |
Inspection Report — Feb 16, 2022
Routine
Date: Feb 16, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, care planning, medication administration, laboratory services, and other aspects of facility operations.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity by not covering catheter drainage bags, failure to implement advance directive wishes timely, failure to implement care plans related to vision and hearing, a high medication error rate of 66.67%, and failure to obtain and verify laboratory results for a physician ordered urinalysis.
Citations (5)
F 0550: The facility failed to treat residents with respect and dignity by not covering the urine drainage bag of Resident #230 with a privacy cover on two of four survey days.
F 0578: The facility failed to ensure advance directive wishes were implemented for Resident #35, resulting in a delay in recognizing and following a DNR order.
F 0656: The facility failed to implement the care plan for Resident #34 by not offering eyeglasses on three observed days, resulting in failure to identify the resident's eyeglasses were missing.
F 0759: The facility failed to ensure medication error rates were below 5%, with 18 errors in 27 medication administration opportunities, constituting a 66.67% error rate.
F 0770: The facility failed to obtain and verify laboratory results for a physician ordered urinalysis for Resident #6, with no evidence the lab was completed or results reviewed.
Report Facts
Medication error rate: 66.67
Medication administration opportunities observed: 27
Medication errors identified: 18
Residents reviewed for advance directives: 83
Residents sampled for vision and hearing: 2
Inspection Report — Nov 19, 2020
Routine
Date: Nov 19, 2020
Visit Reason
The inspection was conducted to evaluate compliance with medication administration, food safety, sanitation, and environmental cleanliness standards at the nursing home.
Findings
The facility failed to maintain medication error rates below 5%, had issues with food temperature monitoring and sanitary storage of clean dishware, and did not ensure a clean and sanitary environment in at least one resident room. Multiple policy and procedural deficiencies were identified related to medication administration, food safety, and housekeeping.
Citations (3)
F 0759: The facility did not ensure medication error rates were below 5%, resulting in a 16% error rate during medication administration observations involving two residents.
F 0812: The facility failed to ensure food temperatures were consistently taken and recorded before meal service and that clean dishware was stored under sanitary conditions in the kitchen.
F 0921: The facility did not maintain a clean and sanitary environment in one resident room, which had visible soil, sticky floors, and unclean furniture despite housekeeping policies requiring daily cleaning.
Report Facts
Medication error rate: 16
Medication administration sample size: 6
Food temperature logs missing entries: 11
Food temperature cold holding limit: 41
Food temperature hot holding limit: 135
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Registered Nurse (RN) | Named in medication administration observation involving Resident #175. |
| Staff E | Registered Nurse (RN) | Named in medication administration observation involving Resident #55. |
| Staff M | Dietary Supervisor | Conducted kitchen tours and provided information on food temperature logs and sanitation. |
| Staff G | Dietary Supervisor | Conducted kitchen tour and explained food preparation process. |
| Staff H | Server | Observed taking food temperatures and maintaining temperature logs. |
| Certified Dietary Manager (CDM) | Provided information on food temperature logs, audits, and sanitation concerns. | |
| Staff D | Certified Nursing Assistant (CNA) | Observed assisting resident in unclean room. |
| Staff E | Registered Nurse (RN), Assistant Director of Nursing (ADON), Unit Manager (UM) | Interviewed regarding room cleanliness and housekeeping standards. |
| Housekeeping Director | Confirmed unsanitary conditions in resident room and housekeeping procedures. | |
| Director of Nursing (DON) | Confirmed unacceptable room condition and housekeeping deficiencies. | |
| Nursing Home Administrator (NHA) | Participated in QA process meeting regarding food safety and sanitation concerns. |
4 CMS Surveys
CMS Survey — Nov 12, 2024
Nov 12, 2024
CMS Survey — Nov 19, 2020
Nov 19, 2020
CMS Survey — Feb 16, 2022
Feb 16, 2022
CMS Survey — Apr 25, 2024
Apr 25, 2024
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