Cycle 1
Health 2025-08-14 · Fire 2025-08-14
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Bradenton, FL
Westminster Point Pleasant
4-star overall rating with 3-star inspections with 7 recent health deficiencies
1533 4th Ave W, Bradenton, FL
(941) 747-1881
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
113
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Westminster Communities Of Florida
Operator or chain grouping
Approved since
2000-10-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 4 health / 5 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.86
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.57
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.78
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.44
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.62
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.84
CMS adjusted RN staffing hours
Adjusted total hours
3.68
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,334
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9876
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.54% · Performance 21.56% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.73
Baseline 6.01% · Performance 7.02% · Measure score 2.73 · Achievement 2.73 · Improvement 0
Total nurse turnover
7.73
Baseline 54.21% · Performance 32.07% · Measure score 7.73 · Achievement 7.73 · Improvement 7.04
Adjusted total nurse staffing
2.85
Baseline 3.66 hours · Performance 3.89 hours · Measure score 2.85 · Achievement 2.85 · Improvement 0.57
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.03% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 426 · Observed rate 9.15% · Lower 95% interval 8.6% |
| Discharge to community | 52.8% |
50.57%
2.2 pts better
|
No Different than the National Rate · Eligible stays 411 · Observed rate 50.85% · Lower 95% interval 48.96% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 70.36% |
95.27%
24.9 pts worse
|
Numerator 216 · Denominator 307 |
| Falls with major injury | 0.33% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 307 |
| Discharge self-care score | 53.11% |
53.69%
0.6 pts worse
|
Numerator 111 · Denominator 209 |
| Discharge mobility score | 43.06% |
50.94%
7.9 pts worse
|
Numerator 90 · Denominator 209 |
| Pressure ulcers or injuries, new or worsened | 1.3% |
2.29%
1 pts better
|
Numerator 4 · Denominator 307 · Adjusted rate 1.33% |
| Healthcare-associated infections requiring hospitalization | 7.02% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 280 · Observed rate 5.71% · Lower 95% interval 4.6% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 116 |
| Staff flu vaccination coverage | 79.65% |
42%
37.7 pts better
|
Numerator 137 · Denominator 172 |
| Discharge function score | 55.5% |
56.45%
1 pts worse
|
Numerator 116 · Denominator 209 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 129 · Denominator 129 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 140 · Denominator 140 |
| Resident COVID-19 vaccinations up to date | 8.43% |
25.2%
16.8 pts worse
|
Numerator 14 · Denominator 166 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.1
0.2 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.2
0.6 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
99.2%
0.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
2.6%
0.1 pts worse
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.7% · Q3 1.3% · Q4 2.7% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.4% |
3.7%
2.7 pts worse
|
11.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 4.1% · Q3 5.6% · Q4 8.7% · 4Q avg 6.4% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
5.9%
2.7 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.6% · Q3 1.9% · Q4 5.8% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
15.7%
3.1 pts worse
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 21.1% · Q3 16.4% · Q4 17.9% · 4Q avg 18.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.1% |
9.8%
5.7 pts better
|
16.7%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 5.4% · Q3 3.4% · Q4 6.1% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.8% |
11.7%
7.9 pts better
|
16.3%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.7% |
9.8%
5.1 pts better
|
14.9%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 5.9% · Q4 11.3% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.4%
0.7 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 1.3% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.8% |
12.5%
2.7 pts better
|
19.8%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 7.7% · Q3 7.0% · Q4 19.7% · 4Q avg 9.8% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
5.1%
2.1 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.0% · Q3 4.3% · Q4 2.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
94.3%
3.8 pts better
|
81.7%
16.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 97.3% · Q3 99.7% · Q4 99.4% · 4Q avg 98.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.7% |
9.3%
2.4 pts worse
|
12.0%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 10.8% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.4% · Q3 0.5% · Q4 1.9% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.1% |
94.7%
2.4 pts better
|
79.7%
17.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
26.2%
5.2 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 17.3% · Expected 19.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-04-27 · Fire 2023-04-27
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2021-05-27 · Fire 2021-05-27
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-04-27
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-05-27
D · Potential for more than minimal harm
2023-04-27
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-27
D · Potential for more than minimal harm
2023-04-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-27
D · Potential for more than minimal harm
2023-04-27
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-27
D · Potential for more than minimal harm
2023-04-27
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-05-27
D · Potential for more than minimal harm
2021-05-27
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-06-25
D · Potential for more than minimal harm
2021-05-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-06-25
D · Potential for more than minimal harm
2021-05-27
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-06-25
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-14
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-09-13
D · Potential for more than minimal harm
2025-08-14
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-09-13
D · Potential for more than minimal harm
2025-08-14
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-09-13
D · Potential for more than minimal harm
2025-08-14
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-09-13
D · Potential for more than minimal harm
2025-08-14
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-13
D · Potential for more than minimal harm
2025-08-14
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-13
E · Potential for more than minimal harm
2025-06-10
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-07-10
D · Potential for more than minimal harm
2023-04-27
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-27
D · Potential for more than minimal harm
2023-04-27
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-05-27
D · Potential for more than minimal harm
2023-04-27
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-27
D · Potential for more than minimal harm
2021-05-27
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2021-06-25
D · Potential for more than minimal harm
2021-05-27
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-06-25
Penalties and ownership
What sits behind the stars
Ownership
Bell, William
Corporate Director · Individual
Chabrier, Catherine
Operational/Managerial Control · Individual
Debevoise, John
Corporate Director · Individual
Doddridge, Donald
Corporate Director · Individual
Doddridge, Donald
Corporate Officer · Individual
Dye, Stephen
Corporate Director · Individual
Early, Mary Ellen
Corporate Director · Individual
Faubel, Megan
Corporate Officer · Individual
Hennis, Garry
Corporate Officer · Individual
Hillenmeyer, John
Corporate Director · Individual
Hull, William
Corporate Director · Individual
Keith, Henry
Corporate Officer · Individual
Kralik, Shadrick
Operational/Managerial Control · Individual
Kutac, Kristin
Corporate Director · Individual
Maddux, Carlen
Corporate Director · Individual
Mock, Jeffrey
Corporate Director · Individual
Ramsey, John
Corporate Director · Individual
Shelley, Linda
Corporate Director · Individual
Westminster Services Inc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Greenbriar Healthcare Rehabilitation And Nursing C
Bradenton, FL
3-star overall rating with 3-star inspections with $21,099 in total fines with 5 recent health deficiencies
#2
Aviata At Bradenton
Bradenton, FL
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Riviera Palms Rehabilitation Center
Palmetto, FL
2-star overall rating with 1-star inspections with abuse icon flag with $278,615 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out