Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Westminster At Lake Ridge during CMS and state inspections, most recent first.
Four oxygen E-tanks were found freestanding and unsecured in a resident’s room on a secured memory care unit. The resident had severe cognitive impairment, impaired safety awareness, COPD, pneumonia, atrial fibrillation, and was on hospice with oxygen ordered via NC. Staff said the tanks had been in the room for over a week, and the DON acknowledged they were not stored properly and could be knocked over. The facility policy required portable oxygen cylinders to be strapped to a stand, and hospice confirmed the tanks should be stored securely in a holder, carrier, dolly, or stand.
Missing Hospital Transfer Agreement: The facility failed to maintain a written transfer agreement with a Medicare/Medicaid-certified hospital. During survey review, the Administrator could not produce any evidence of the agreement, and the DON/Clinical Nurse Consultant confirmed the agreement was necessary and that the hospital had been contacted. The issue affected all residents on 3 of 3 units.
Unsecured oxygen cylinders found in resident room
Penalty
Summary
The facility failed to maintain a safe environment free from accident hazards when four oxygen E-tanks were found stored freestanding and unsecured in a resident’s room on the secured Memory Care Unit. During initial rounds, surveyors observed the tanks upright without a stand or holder, and repeated observations later the same day showed the cylinders still freestanding near the door and close to the resident’s wheelchair. The resident in the room had diagnoses including acute respiratory failure with hypoxia, hypertensive heart disease, COPD, pneumonia, and atrial fibrillation, and was receiving hospice services and oxygen at 2 liters per minute via nasal cannula. The resident’s most recent MDS showed severe cognitive impairment and impaired safety awareness. Staff interviews confirmed the tanks had been in the room for over a week and had not been secured in a rolling stand or holder. The DON stated the tanks were not stored properly and acknowledged they could fall over or be knocked over by staff or visitors. The DON also stated the tanks had been delivered by hospice and that the facility nurse had called the prior week to have them picked up. A review of the facility’s oxygen administration policy stated that portable oxygen cylinders should be strapped to the stand. The survey team also confirmed with the hospice provider that portable oxygen tanks should be stored securely in a holder, carrier, dolly, or stand, and that the oxygen had been delivered to the resident on 12/30/25. On review of the Memory Care Unit census, most residents had low BIMS scores indicating significant cognitive impairment, and the Director of Clinical Operations stated that all residents on the unit had impaired safety awareness due to cognitive impairment.
Missing Hospital Transfer Agreement
Penalty
Summary
The facility failed to ensure there was a written transfer agreement with a local hospital certified by Medicare or Medicaid. During an extended survey, the Administrator was asked to provide evidence of a transfer agreement, but he could not locate any copy of the agreement and stated there was no evidence of one in the facility's documentation. The Clinical Nurse Consultant stated that a transfer agreement was necessary and that the hospital had been contacted, while the Administrator later stated he had reached out to hospital administrative staff but had not received any information. The deficiency was identified as affecting all residents residing on 3 of 3 units.
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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.
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Nursing homes near Lake Ridge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Belmont Bay Rehabilitation And Healthcare Center | 2.5 mi | ★★★★★ | 1 | 0 |
| Belvoir Woods Health Care Center At The Fairfax | 4.9 mi | ★★★★★ | 14 | 0 |
| Burke Health & Rehabilitation Center | 6.7 mi | ★★★★★ | 0 | 0 |
| Greenspring Village | 6.8 mi | ★★★★★ | 0 | 0 |
| August Healthcare At Leewood | 9.8 mi | ★★★★★ | 3 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.