Westminster Suncoast
WESTMINSTER SUNCOAST in SAINT PETERSBURG, FL — inspection on February 25, 2026.
Found 5 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
and services provided in the residence medical record in accordance with state law and facility
- Documentation shall be completed at the time of service, but no later than the shift in which the
- Principles of documentation include, but are not limited to:
a.
Documentation shall be factual, objective, and resident centered. i.
False information shall not be documented. ii.
Record descriptive and objective information based on first-hand now edge of the assessment, observation, or service provided. b.
Documentation shall be accurate, relevant, and complete, containing sufficient details about the residence care and/ or responses to care.
105926 02/25/2026
Westminster Suncoast 1095 Pinellas Point Dr S Saint Petersburg, FL 33705
Nursing stated the weekly skin checks for Resident #5 were going to be scheduled differently
Wound Treatment Management, revised 5/2025, revealed To promote wound healing of various types
current standards of practice and physician orders.
The policy explanation and compliance guidelines included but not limited to:1.
Wound treatments will be provided in accordance with physician orders, including the cleansing method, type of dressing, and frequency of dressing change.3.
Dressing changes may be provided outside the frequency parameters in certain situations: a.
Feces has seeped underneath the dressing. b.
The dressing has dislodged. c.
The dressing is soiled otherwise, or as wet.7.
Treatments will be documented on the treatment administration record or in the electronic health record.8.
The effectiveness of treatments will be monitored through ongoing assessment of the wound.
Considerations for needed modifications include: a.
Lack of progression towards healing. b.
Changes in the characteristics of the wound (see above).
105926 02/25/2026
Westminster Suncoast 1095 Pinellas Point Dr S Saint Petersburg, FL 33705
Review of the policy – Medication Storage, revised 5/2025 showed It is the policy of this facility to ensure all medications housed on our premises will be stored in the pharmacy and/ or medication rooms according to the manufacturers recommendations insufficient to ensure proper sanitation, temperature, light, then relation, moisture control, segregation, and security.
The General guidelines included: a.
All drugs and biologicals will be stored in compartments (i.e.
Medication carts, cabinets, drawers, refrigerators, medication rooms) under proper temperature controls. c.
During a medication pass, medications must be under direct observation of the person administering medications or locked in the medication storage area/ cart. (Photographic evidence obtained)
105926 02/25/2026
Westminster Suncoast 1095 Pinellas Point Dr S Saint Petersburg, FL 33705
in accordance with accepted professional standards.
documentation for one resident (#4) of three residents reviewed for incontinence care.
Findings
diagnoses to include need for assistance with personal care, difficulty in walking, speech and language deficits following unspecified cerebrovascular disease, and major depressive disorder, recurrent, moderate.A review of Resident #4's Quarterly Minimum Data Set (MDS) assessment, dated 5/22/25 in Section C - cognitive patterns revealed a Brief Interview Mental Score (BIMS) of 9, indicating moderately impaired cognition.A review of Resident #4's Bowel and Bladder tasks revealed incontinent care was not provided on 8/28/25 for the 3-11 shift, 9/8/25 for the 7-3 shift, 9/11/25 for the 11-7 shift, 9/12/25 for the 3-11 shift, 9/30/25 for the 11-7 shift, and 10/5/25 for the 3-11 shift for Resident #4.On 2/25/26 at 2:45 p.m. an interview with the Director of Nursing (DON) revealed none of the resident's bowel and bladder tasks should be blank, and staff should notate No bowel or bladder movement if there is no care needing to be provided.
The DON expressed for the end of every shift, every task for residents should be documented on by care staff.A review of the facility's CNA Job Description revealed the following: Preserves residents' dignity, honors resident's rights, provides good customer service, communicates appropriately, and adheres to federal and state compliance regulations.
Comply with all applicable rules, policies, standards and guidelines related to employments with Westminster Services and its communities.
Practice infection prevention and control measures in compliance with Federal, State and facility requirements.
Make routine and frequent rounds to ensure those safety precautions/equipment are in place and in working order.
Avoid development of skin problems or skin breakdown by providing timely incontinent care and frequent repositioning of residents that need assistance.
Review of the policy - Documentation in Medical Record, revised 6/2025, revealed Each resident's medical record shall contain an accurate representation of the actual experiences of the resident and include enough information to provide a picture of the residents progress through complete, accurate, and timely documentation.1.
Licensed staff and interdisciplinary team members shall document all assessments, observations, and services provided in the residence medical record in accordance with state law and facility policy.2.
Documentation shall be completed at the time of service, but no later than the shift in which the assessment, observation, or care service occurred.4.
Principles of documentation include, but are not limited to: a.
Documentation shall be factual, objective, and resident centered. i.
False information shall not be documented.ii.
Record descriptive and objective information based on first-hand now edge of the assessment, observation, or service provided.b.
Documentation shall be accurate, relevant, and complete, containing sufficient details about the residence care and/ or responses to care.
105926 02/25/2026
Westminster Suncoast 1095 Pinellas Point Dr S Saint Petersburg, FL 33705
protective equipment (PPE) upon room entry and discarding before exiting the room is done to contain
intestinal tract pathogens, (and) respiratory syncytial virus (RSV)).
The recommendations for PPE
surfaces in articles in close proximity to the patient (e.g. medical equipment, bed rails).
Done gloves upon entry into the room or cubicle.
Gowns: Whenever anticipating that clothing will have direct contact with the patient or potentially contaminated environmental services or equipment in close proximity to the patient.
Down gown upon entry into the room or cubicle.The policy showed type and duration of transmission-based precautions for selected infections and conditions related to Clostridioides difficile was contact precautions for the duration of illness with hand hygiene with soap and water.
The selected infections and conditions did not include TBP directives for methicillin susceptible staphylococcus aureus (MSSA infection).
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.