Westminster Commons
WESTMINSTER COMMONS in ATLANTA, GA — inspection on May 22, 2025.
Found 2 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
115674
Review of the facility's policy titled, Call Light, Answering, dated April 2022 indicated, The purpose of this procedure is to respond to the resident's requests and needs.
Key Procedural Points .When the resident is in bed or confined to a chair be sure the call light is within easy reach of the resident .
Review of R136's undated Admission Record, located in the Electronic Medical Record (EMR) under the Profile tab, revealed R136 was admitted to the facility on [DATE] with diagnoses that included functional quadriplegia, displaced spiral fracture of shaft of humerus, right arm, posterior subluxation [incomplete or partial dislocation of a joint or organ] of right hip, contracture of muscle unspecified upper arm, contracture of muscle left upper arm, contracture of muscle right lower leg, contracture of muscle left lower leg, and complete lesion at C5 [cervical spinal vertebrae] level of cervical spinal cord.
Review of R136's Nursing Initial 48-hour Care Plan, dated 10/31/24 and located under the Assessment tab of the EMR, indicated, Specialty Interventions Related to Resident's Health Condition.
Intervention: Resident call light and bedside table on dominant side.
Review of R136's Care Plan, dated 11/01/24 and located under the Care Plan tab of the EMR, indicated [name of R136] is (high) risk for falls r/t [related to] Paralysis, bilateral [affecting both sides] lower/upper extremity contractures.
Interventions were Be sure the resident's call light is within reach and encourage the resident to use it for assistance as needed.
The resident needs prompt response to all requests for assistance.
Review of the R136's Admission Minimum Data Set (MDS) with an assessment reference date (ARD) of 11/07/24 and located in the resident's EMR under the MDS tab indicated the facility assessed the resident to have a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated the resident was cognitively intact.
The MDS also indicated R136 had impairments on both sides of the upper and lower extremities, and the resident was completely dependent on staff for Activities of Daily Living (ADLs).
115674
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 115674 B.
Wing 05/22/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Westminster Commons 560 St Charles Ave, NE Atlanta, GA 30308