Westminster Suncoast

In the surveyor’s words

From the most serious findings on record at Westminster Suncoast, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684Feb 25, 2026

  Based on record reviews, observations, and interviews the facility failed to ensure wound care was completed as ordered for two (#1 and #6) of three residents sampled for the treatment of non-pressure wounds, failed to ensure accurate and timely assessments were completed for two (#5 and #6) of three residents sampled for skin assessments. Findings included:1.Review of Resident #1's admission Record showed the resident was admitted on [DATE] and included diagnoses not limited to metabolic encephalopathy, repeated falls, and unspecified dementia unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. The resident was discharged to an acute care hospital on 6/21/25. […]

• No harm, potential for more than minimal, patternF759Feb 16, 2022

  Based on observations, interviews and record review, the facility failed to ensure that the medication error rate was less than 5.00%. Twenty-seven medication administration opportunities were observed and eighteen errors were identified for three residents (#130, #79, #131) observed. These errors constituted a 66.67% medication error rate. Findings included: 1. On 2/14/22 at 10:28 a.m., an observation of medication administration with Staff J, Registered Nurse (RN), was conducted with Resident #79. Staff J. was observed dispensing the following medications: [MEDICAL RECORD OR PHYSICIAN ORDER] -Loratadine 10 milligrams (MG) tablet orally -[MEDICATION(S)] Prop 50 micrograms (MCG) Spray 1 spray each nostril -[MEDICATION(S)] 20 mg. […]

• No harm, potential for more than minimal, patternF921Feb 16, 2022

  Based on observation, interview, and policy review the facility failed to provide a safe environment related to ensuring two of thirteen egress fire exit doors were secured, locked, and monitored to prevent a possible unwitnessed resident exit. Findings included: 1. An interview on 02/15/2022 at 2:34 p.m. with the Nursing Home Administrator (NHA) regarding an unwitnessed exit event in August 2021, and an unwitnessed exit event in September of 2021, involving Resident #7, revealed the resident exited the facility through the egress fire exit door located by the employee time clock. Resident #7 was found in the area directly outside of the egress fire door by staff uninjured. […]

• No harm, potential for more than minimal, patternF883Aug 19, 2021

  Based on interviews, record reviews, and review of facility policy, the facility failed to provide completed documentation related to consent and administration of pneumococcal and influenza vaccinations for 5 out of 5 sampled residents (#1, #2, #3, #4, #5) Findings included: Resident #1 was admitted on [DATE], per the Admission Record. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the [MEDICATION(S)] Vaccine Administration Record showed pneumonia checked and a signature of a person authorizing the vaccine. The signature was not dated. It showed it was received on 12/19/2017 and the pneumonia vaccine was administered on 12/19/2017. The Resident Flu Vaccine Administration Record, showed influenza checked. […]

• No harm, potential for more than minimal, patternF886Aug 19, 2021

  Based on interview and record review of the Centers for Medicare and Medicaid Services (CMS) guidelines and the facility's policy the facility failed to ensure adherence to infection control practices as evidenced by not obtaining documentation that the required testing, corresponding to the facility's testing frequency, was completed by their Facility Staff by definition, which included: consultants, contractors, and caregivers who provide care and services to the resident such as radiology, laboratory, medical providers and hospice. […]