Tag 0684 · Severity E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-04-0270 West Lucerne Circle, Orlando, FL 32801
(407) 841-1310 · Westminster Communities of Florida
| Ownership | Non profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 77.8% | Latest inspection | 2025-03-13 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 49.8 points | 50.9 points | 38.5 points |
| Total nurse staffing | 3.70 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 1.06 hours/day | 0.66 hours/day | 0.62 hours/day |
| Staff turnover | Not reported by CMS | 41.7% | 41.8% |
| Latest health deficiencies | 6 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-04-02Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-04-02Create 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 2025-04-02Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-04-02Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Administration Deficiencies · Deficient, Provider has date of correction 2025-04-02Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-04-02Immediate-jeopardy citations: 0
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-09-08Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-09-08Coordinate 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 2023-09-08Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-09-08Immediate-jeopardy citations: 0
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-11-07Develop 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 2021-11-07Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-11-07Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-11-07Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-11-07Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.28331 |
| Lpn hours | 0.35879 |
| Rn hours | 1.05677 |
| Reported total hours | 3.69887 |
| Weekend total hours | 3.40139 |
| Weekend rn hours | 0.82919 |
| Adjusted total hours | 3.77402 |
| Total turnover percent | Not reported by CMS |
| Rn turnover percent | Not reported by CMS |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2025-03-04 | Fine | $5,980.00 |
| 2025-03-04 | Fine | $16,153.00 |
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.
1
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
| Name | Role | Share |
|---|---|---|
| BELL, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| DYE, STEPHEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HILLENMEYER, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MADDUX, CARLEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MOCK, JEFFREY | CORPORATE DIRECTOR | NOT APPLICABLE |
| SHELLEY, LINDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| KEITH, HENRY | CORPORATE OFFICER | NOT APPLICABLE |
| WESTMINSTER SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DIAZ, RICARDO | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KEITH, HENRY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LEHMAN, GARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DIAZ, RICARDO | ADP OF THE SNF | NOT APPLICABLE |
| LEHMAN, GARY | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology