Cycle 1
Health 2024-04-25 · Fire 2024-04-25
6 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Saint Petersburg, FL
Westminster Suncoast
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1095 Pinellas Point Dr S, Saint Petersburg, FL
(727) 867-1131
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
108
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Westminster Communities Of Florida
Operator or chain grouping
Approved since
1996-08-23
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
0.79
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.86
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.51
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.80
CMS adjusted RN staffing hours
Adjusted total hours
3.92
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
45%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,072
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9907
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.65
Baseline 23.61% · Performance 19.56% · Measure score 5.65 · Achievement 4.03 · Improvement 5.65
Healthcare-associated infections
2.50
Baseline 8.30% · Performance 7.31% · Measure score 2.50 · Achievement 1.76 · Improvement 2.50
Total nurse turnover
4
Baseline 47.31% · Performance 47.32% · Measure score 4 · Achievement 4 · Improvement 0
Adjusted total nurse staffing
2.84
Baseline 4.02 hours · Performance 3.89 hours · Measure score 2.84 · Achievement 2.84 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.22% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 312 · Observed rate 8.01% · Lower 95% interval 7.84% |
| Discharge to community | 55.95% |
50.57%
5.4 pts better
|
Better than the National Rate · Eligible stays 328 · Observed rate 53.05% · Lower 95% interval 51.5% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 93.42% |
95.27%
1.8 pts worse
|
Numerator 227 · Denominator 243 |
| Falls with major injury | 0.41% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 243 |
| Discharge self-care score | 62.31% |
53.69%
8.6 pts better
|
Numerator 81 · Denominator 130 |
| Discharge mobility score | 36.15% |
50.94%
14.8 pts worse
|
Numerator 47 · Denominator 130 |
| Pressure ulcers or injuries, new or worsened | 0.41% |
2.29%
1.9 pts better
|
Numerator 1 · Denominator 243 · Adjusted rate 0.41% |
| Healthcare-associated infections requiring hospitalization | 7.31% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 221 · Observed rate 6.33% · Lower 95% interval 5.28% |
| Staff COVID-19 vaccination coverage | 55.88% |
8.2%
47.7 pts better
|
Numerator 76 · Denominator 136 |
| Staff flu vaccination coverage | 94.14% |
42%
52.1 pts better
|
Numerator 305 · Denominator 324 |
| Discharge function score | 49.23% |
56.45%
7.2 pts worse
|
Numerator 64 · Denominator 130 |
| Transfer of health information to provider | 94.87% |
95.95%
1.1 pts worse
|
Numerator 74 · Denominator 78 |
| Transfer of health information to patient | 93.98% |
96.28%
2.3 pts worse
|
Numerator 125 · Denominator 133 |
| Resident COVID-19 vaccinations up to date | 4.96% |
25.2%
20.2 pts worse
|
Numerator 6 · Denominator 121 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.7 |
2.1
1.6 pts worse
|
1.9
1.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 4.6 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.2
0.7 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.6 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
97.8%
1 pts worse
|
93.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 91.8% · Q2 95.2% · Q3 100.0% · Q4 100.0% · 4Q avg 96.8% |
| 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 | 2.4% |
2.6%
0.2 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 4.7% · Q4 1.7% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.2% |
3.7%
0.5 pts better
|
11.4%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 5.8% · Q3 0.0% · Q4 3.7% · 4Q avg 3.2% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
5.9%
1.4 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 2.0% · Q3 2.2% · Q4 7.8% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.3% |
15.7%
7.4 pts better
|
19.6%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 7.5% · Q3 10.4% · Q4 11.8% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.5% |
9.8%
6.3 pts better
|
16.7%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 6.8% · Q3 2.4% · Q4 0.0% · 4Q avg 3.5% · 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 | 9.7% |
11.7%
2 pts better
|
16.3%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 12.8% · Q3 7.1% · Q4 10.3% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.2% |
9.8%
3.6 pts better
|
14.9%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 9.6% · Q3 4.3% · Q4 4.3% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.4%
0.8 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
0.8%
0.4 pts worse
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 1.6% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.5% |
12.5%
About the same
|
19.8%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 10.5% · Q3 9.8% · Q4 4.9% · 4Q avg 12.5% |
| Percentage of long-stay residents with pressure ulcers | 5.7% |
5.1%
0.6 pts worse
|
5.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 6.2% · Q3 5.2% · Q4 6.5% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.9% |
94.3%
5.4 pts worse
|
81.7%
7.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.4% · Q2 89.0% · Q3 93.9% · Q4 91.0% · 4Q avg 88.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.1% |
9.3%
1.8 pts worse
|
12.0%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 9.7% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.1% · Q4 0.6% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.9% |
94.7%
8.8 pts worse
|
79.7%
6.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.3% |
26.2%
2.1 pts worse
|
23.9%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 22.3% · Expected 18.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-02-16 · Fire 2022-02-16
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2020-11-19 · Fire 2020-11-19
3 health deficiencies
Top issue: Environmental (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
C · Minimal harm
2024-04-25
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-31
C · Minimal harm
2024-04-25
K771 · Miscellaneous Deficiencies
Fire Safety
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Corrected 2024-05-31
D · Potential for more than minimal harm
2022-02-16
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-03-16
D · Potential for more than minimal harm
2020-11-19
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2020-12-19
D · Potential for more than minimal harm
2020-11-19
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-12-19
D · Potential for more than minimal harm
2020-11-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-12-19
D · Potential for more than minimal harm
2020-11-19
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-12-19
D · Potential for more than minimal harm
2020-11-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-12-19
D · Potential for more than minimal harm
2020-11-19
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-12-19
D · Potential for more than minimal harm
2020-11-19
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2020-12-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-11-12
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-12
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-04-25
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-25
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-25
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-25
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-25
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-05-24
E · Potential for more than minimal harm
2022-02-16
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-03-16
D · Potential for more than minimal harm
2022-02-16
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-03-16
D · Potential for more than minimal harm
2022-02-16
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 2022-03-16
D · Potential for more than minimal harm
2022-02-16
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 2022-03-16
D · Potential for more than minimal harm
2022-02-16
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2022-03-16
E · Potential for more than minimal harm
2020-11-19
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 2020-12-19
D · Potential for more than minimal harm
2020-11-19
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-12-19
D · Potential for more than minimal harm
2020-11-19
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2020-12-19
Penalties and ownership
What sits behind the stars
Ownership
Brunner, Jason
Operational/Managerial Control · Individual
Doddridge, Donald
Corporate Director · Individual
Faubel, Megan
Corporate Officer · Individual
Hennis, Garry
Corporate Officer · Individual
Keith, Henry
Corporate Director · Individual
Keith, Henry
Corporate Officer · Individual
Prawer, Adam
Operational/Managerial Control · Individual
Westminster Services Inc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Pinellas Point Nursing And Rehab Center
Saint Petersburg, FL
2-star overall rating with 1-star inspections with $290,823 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Bay Pointe Nursing Pavilion
Saint Petersburg, FL
5-star overall rating with 4-star inspections with 6 recent health deficiencies
#3
Addington Place At College Harbor
Saint Petersburg, FL
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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