Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Westminster Oaks during CMS and state inspections, most recent first.
A resident with dementia and impaired balance was transferred using a mechanical lift by a CNA without the required two-person assist, contrary to the care plan and facility policy. The CNA proceeded alone because other staff were unavailable, despite having received training on the two-person protocol. This deficiency was confirmed through observation, staff interview, and review of facility policies.
A resident returned from a cardiology appointment with a new external heart monitor, but staff did not document the device or update the care plan for approximately 48 hours. The DON and nursing staff were unaware of the monitor, and required assessments and progress notes were not completed, resulting in the resident's care plan not reflecting her current needs.
The facility incorrectly submitted the PBJ report for one quarter, showing low weekend staffing. The Administrator stated the facility was not understaffed, attributing the error to the corporate office's incorrect form completion.
The facility failed to provide timely education and offer COVID-19 vaccines to four residents, with incomplete documentation of vaccinations and missing consent or declination forms. The DON acknowledged a lost binder used for tracking immunizations, contributing to the deficiency. The facility's policy required offering vaccines and documenting acceptance or refusal, which was not consistently followed.
Failure to Follow Two-Person Mechanical Lift Protocol
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) transferred a resident using a mechanical lift without the required two-person assist. The resident, who had a care plan indicating a self-care performance deficit due to dementia, confusion, activity intolerance, and impaired balance, was observed suspended in a mechanical lift sling over the bed while the CNA prepared the resident's wheelchair. The CNA admitted to performing the transfer alone because other staff were unavailable, despite facility policy and care plan interventions mandating two staff members for all mechanical lift transfers. The facility's policy on safe resident handling and transfers, as well as facility-wide education (which the CNA had signed), clearly state that two staff members must be present when using a mechanical lift. The administrator and DON confirmed that this protocol is required at all times. The failure to follow the care plan and facility policy resulted in the resident being transferred without the necessary assistance, as directly observed and documented by surveyors.
Failure to Update Care Plan for Resident with New Heart Monitor
Penalty
Summary
The facility failed to review and revise the care plan for a resident who returned from a cardiology appointment with a new external heart monitor. The resident was observed with the device in her room, and she reported that the monitor was placed during her recent follow-up appointment to evaluate for possible atrial fibrillation. Upon returning to the facility, she provided the related paperwork to a staff member. However, for approximately 48 hours, the facility staff, including the Director of Nursing, were unaware of the presence of the heart monitor and did not implement monitoring or update the resident's care plan to reflect this new device. Record reviews, including shower and skin monitoring sheets and progress notes for the relevant dates, showed no documentation acknowledging the heart monitor. Interviews with staff confirmed that the process for verifying and documenting new physician orders was not followed in this instance. The care plan was not updated to address the resident's new needs related to the heart monitor, as confirmed by both documentation review and photographic evidence.
Incorrect PBJ Report Submission
Penalty
Summary
The facility failed to submit the Payroll-Based Journal (PBJ) report correctly for one of the four quarters reviewed. Specifically, the PBJ data report submitted to the Centers for Medicare and Medicaid Services (CMS) for Quarter 1 of 2024, covering the period from October 1 to December 31, 2023, indicated excessively low weekend staffing. During an interview, the facility's Administrator stated that the facility was not low staffed on weekends and attributed the incorrect submission to an error by the corporate office in filling out the form.
Failure to Provide Timely COVID-19 Vaccine Education and Documentation
Penalty
Summary
The facility failed to provide timely education and offer COVID-19 vaccines to four out of five sampled residents. The immunization records for these residents showed incomplete documentation of COVID-19 vaccinations and lacked proof of consent or declination forms after certain dates. For instance, Resident #15's record showed COVID-19 vaccinations up to June 2022, but no documentation of consent or refusal after that date. Similarly, Resident #28's record had vaccinations documented up to August 2022, but no further consent or declination forms were provided. Resident #39's record showed vaccinations up to November 2021, and Resident #64's record only had a COVID-19 vaccine documented in November 2021, with no subsequent consent or refusal documentation. The Director of Nursing (DON) acknowledged that the facility had lost a binder used for tracking immunizations during a transition to electronic records. This loss contributed to the lack of documentation. The DON also mentioned that three Assistant Directors of Nursing (ADONs) were responsible for tracking, ordering, and providing vaccinations, but the oversight led to the deficiency. The facility's infection prevention and control policy, dated July 2023, stated that residents should be offered the vaccine and have the opportunity to accept or refuse it, but this was not consistently followed, leading to the deficiency.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 62 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Tallahassee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Seven Hills Health & Rehabilitation Center | 1.2 mi | ★★★★★ | 7 | 0 |
| Aviata At Tallahassee | 1.4 mi | ★★★★★ | 26 | 0 |
| Centre Pointe Health And Rehab Center | 2.1 mi | ★★★★★ | 10 | 0 |
| Aviata At The Gardens - Tallahassee | 2.5 mi | ★★★★★ | 10 | 0 |
| Tallahassee Memorial Hospital Extended Care | 3.5 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Westminster Oaks.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.