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 Point Pleasant during CMS and state inspections, most recent first.
A resident with severe cognitive impairment was admitted as a full code, but the facility did not obtain or maintain required advance directive and POA documentation in the medical record, despite being informed by the resident's spouse that such documents existed. Staff failed to follow up to secure these documents as required by facility policy.
The facility did not complete or update PASARR screenings for two residents with mental health diagnoses, resulting in incomplete Level I PASARRs and no Level II referrals despite qualifying conditions. Staff interviews confirmed that appropriate PASARR procedures were not followed according to facility policy.
Residents lost the ability to perform ADLs without a documented medical reason. The facility did not ensure that declines in ADL performance were clinically unavoidable, as required, and records lacked evidence of a medical justification for the loss of function.
Two residents with cognitive impairment and documented need for eating assistance were left without timely help during meal service. One resident waited over 40 minutes before receiving assistance, while another received inconsistent support and was left unattended for extended periods. Staff interviews revealed confusion about care plan requirements, and facility policy regarding meal supervision was not followed.
A resident received six medications outside the facility's required administration window, as a RN gave the doses significantly later than scheduled. This resulted in six medication errors out of thirty-two opportunities, leading to a medication error rate of 18.75%, which exceeds the regulatory limit. Staff interviews and record reviews confirmed the timing violations.
The facility did not follow its policy for timely reporting of alleged abuse and neglect incidents involving three residents, including delays in notifying authorities about missed medications and unaddressed pain, and failed to implement protective measures during investigations. These lapses included late reporting to DCF and inadequate adherence to procedures for resident protection and documentation.
Failure to Obtain and Maintain Advance Directive and POA Documentation
Penalty
Summary
The facility failed to ensure that an advance directive and Power of Attorney (POA) documentation were properly formulated and maintained in the medical record for a resident with severely impaired decision-making skills. Upon admission, the resident was identified as having both short-term and long-term memory problems and was assessed as severely impaired in decision-making. The admission record indicated the resident was a full code status, but there was no documentation of a designated POA or primary decision-maker for care in the medical record. The social assessment form, completed by the resident's spouse, noted that a POA document existed and would be provided to the facility, but there was no evidence that the facility followed up to obtain this documentation until prompted during the survey. Interviews with facility staff confirmed that the POA documentation was not present in the resident's record and that no further contact had been made with the spouse to secure the necessary documents prior to the survey. The spouse confirmed that the existence of the POA and advance directive had been discussed at admission, but the facility did not obtain or file the documentation as required by their policy. The facility's policy states that on admission, staff must determine if an advance directive exists and, if so, ensure copies are placed in the chart and communicated to staff, which was not done in this case.
Failure to Complete and Update PASARRs for Residents with Mental Health Diagnoses
Penalty
Summary
The facility failed to complete and update the Pre-admission Screening and Resident Reviews (PASARRs) for two residents with qualifying mental health diagnoses. For one resident admitted with primary and secondary diagnoses including dementia, mood disorder, depression, irritability, anger, bipolar disorder, anxiety, and failure to thrive, the Level I PASARR was found to be incomplete, with all qualifying diagnoses not checked and no Level II PASARR submitted for further consideration. Similarly, another resident admitted with cerebral infarction, depression, dementia, and psychotic disorder had an incomplete Level I PASARR, with qualifying diagnoses not checked and no Level II PASARR referral made. Staff interviews confirmed that the Social Services Director acknowledged the oversight, stating that a Level II PASARR should have been triggered for both residents after reviewing their records. The facility's policy requires coordination with the PASARR program to ensure appropriate assessment for individuals with mental disorders or intellectual disabilities, but this process was not followed for the two residents identified in the report.
Failure to Prevent Unjustified Decline in ADL Abilities
Penalty
Summary
Residents experienced a loss in their ability to perform activities of daily living (ADLs) without a documented medical reason. The facility failed to ensure that residents maintained their highest practicable level of functioning in ADLs, as required, unless a decline was clinically unavoidable due to a medical condition. This deficiency was identified through surveyor observation and review of resident records, which did not provide evidence of a medical justification for the decline in ADL performance.
Failure to Provide Timely Meal Assistance to Dependent Residents
Penalty
Summary
The facility failed to provide timely and appropriate meal assistance to two residents who required help with eating during observed meal services. One resident with dementia and significant cognitive impairment was left seated at a dining table without a meal tray for 24 minutes while others at the table were eating, and then waited an additional 18 minutes with her meal tray in front of her without receiving any staff assistance to eat. This resident was unable to self-feed and required substantial or maximal assistance, as documented in her care plan and medical record. Staff interviews confirmed that the resident should not have waited so long for assistance and that there was sufficient staff present to provide the necessary help, but the resident was overlooked during the meal service. Another resident with diagnoses including dementia, aphasia, dysphagia, and a history of malnutrition was observed to receive a meal tray but did not attempt to eat and was not approached by staff for assistance for at least ten minutes. When staff did assist, the help was intermittent and inconsistent, with staff leaving the resident to assist others and not returning promptly. The resident required set-up, encouragement, and sometimes physical assistance to initiate and continue eating, as documented in the care plan and therapy notes. Staff interviews revealed uncertainty about the resident's care plan requirements, and some staff were unaware of the specific level of assistance needed, leading to delays and inadequate support during meals. Both residents had documented needs for meal assistance in their care plans and medical records, including requirements for physical help, verbal cues, and encouragement to eat. Despite this, staff failed to provide timely and consistent assistance, resulting in prolonged periods where the residents were unable to eat or required prompting to begin eating. Facility policy required that meals not be served until an attendant was ready to assist, but this was not followed, contributing to the deficiencies observed during the survey.
Medication Error Rate Exceeds Regulatory Threshold
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, as required by regulation. During observation, a registered nurse administered six medications to a resident outside the scheduled administration window, specifically at 10:45 a.m. when the medications were scheduled for 9:00 a.m. Review of the Medication Administration Record confirmed the timing discrepancy. Staff interviews revealed that nurses are expected to administer medications within one hour before or after the scheduled time, in accordance with facility policy. In this instance, the medications were administered beyond the allowed timeframe, resulting in six errors out of thirty-two medication opportunities and an overall error rate of 18.75%.
Failure to Timely Report and Protect Residents in Alleged Abuse and Neglect Incidents
Penalty
Summary
The facility failed to implement its Abuse, Neglect, and Exploitation policy and procedure in a timely manner regarding the reporting of alleged abuse and neglect incidents for three residents. In the first case, a resident did not receive medications for two days, and although the issue was communicated to the Abuse Coordinator on the day the event started, the official report to the Department of Children and Families (DCF) was not made until several days later. Documentation issues and failure to follow the process for placing medications on hold contributed to the delay. In the second case, a family member alleged neglect after observing that a resident with a history of anemia, atrial fibrillation, coronary artery disease, and heart failure was not given medication when experiencing high blood pressure. The allegation was received by the Nursing Home Administrator (NHA) via text, but the report to DCF was not submitted until two days later, exceeding the facility's policy requirement to report within 2 hours, but no later than 24 hours. The NHA confirmed the late reporting during an interview. The third case involved a newly admitted resident with a recent fracture and repeated falls, who self-reported not receiving pain medication until the day after admission. The NHA was informed of the allegation but did not report it to DCF until more than 24 hours later. Additionally, the facility did not implement protective measures for the resident during the investigation period. The facility's policy requires immediate protection of residents and timely reporting of all alleged violations, which was not followed in these instances.
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 222 citations issued within 25 miles in the last 12 months — including the 17 immediate-jeopardy cases — 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 Bradenton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Greenbriar Healthcare Rehabilitation And Nursing C | 1.3 mi | ★★★★★ | 0 | 0 |
| Aviata At Bradenton | 1.7 mi | ★★★★★ | 25 | 0 |
| Riviera Palms Rehabilitation Center | 2.2 mi | ★★★★★ | 0 | 0 |
| Braden River Rehabilitation Center Llc | 2.2 mi | ★★★★★ | 0 | 0 |
| Surrey Place Healthcare And Rehabilitation | 2.7 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Westminster Point Pleasant.
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.