909 Lakeside Ave, Lakeland, FL 33803
(863) 688-5521 · Westminster Communities of Florida
| Ownership | Non profit - Church related | Certified beds | 68 |
|---|---|---|---|
| Estimated occupancy | 93.2% | Latest inspection | 2024-02-26 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 5 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 43.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.81 hours/day | 3.52 hours/day | 3.63 hours/day |
| RN staffing | 1.04 hours/day | 0.52 hours/day | 0.62 hours/day |
| Staff turnover | 26.3% | 45.5% | 41.8% |
| Latest health deficiencies | 8 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-03-15Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-03-15Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-03-15Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-03-18Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-03-15Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-03-15Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-03-15Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-03-15Immediate-jeopardy citations: 0
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-04-02Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-04-02Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-04-02Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-04-02Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-04-02Immediate-jeopardy citations: 0
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-02-04Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-02-04Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2021-02-04Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.20941 |
| Lpn hours | 0.56456 |
| Rn hours | 1.03687 |
| Reported total hours | 3.81085 |
| Weekend total hours | 3.53309 |
| Weekend rn hours | 0.87056 |
| Adjusted total hours | 4.35229 |
| Total turnover percent | 26.3 |
| Rn turnover percent | 13.3 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
| Name | Role | Share |
|---|---|---|
| DODDRIDGE, DONALD | CORPORATE DIRECTOR | NOT APPLICABLE |
| HENNIS, GARRY | CORPORATE DIRECTOR | NOT APPLICABLE |
| KEITH, HENRY | CORPORATE DIRECTOR | NOT APPLICABLE |
| DODDRIDGE, DONALD | CORPORATE OFFICER | NOT APPLICABLE |
| FAUBEL, MEGAN | CORPORATE OFFICER | NOT APPLICABLE |
| HENNIS, GARRY | CORPORATE OFFICER | NOT APPLICABLE |
| KEITH, HENRY | CORPORATE OFFICER | NOT APPLICABLE |
| TAMNEY, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| ABUAITA, ALA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DURRANT, ELLISA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ABUAITA, ALA | ADP OF THE SNF | NOT APPLICABLE |
| DURRANT, ELLISA | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology