Buckner Westminster Place

Penalties

• Mar 11, 2025 — Fine ($10,280)
• May 9, 2024 — Fine ($19,436)

Inspection findings

1. Jun 4, 2025 Health · 7 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jun 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0801 Nutrition and Dietary Deficiencies

     Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

     Corrected Jun 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0940 Administration Deficiencies

     Develop, implement, and/or maintain an effective training program for all new and existing staff members.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Jun 10, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0344 Smoke Deficiencies

     Have an alternate power supply for its alarm system.

     Corrected Jun 12, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jun 12, 2025 · CMS fire safety

2. Mar 11, 2025 Health · 2 findings
   • Serious Scope/severity H Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Sep 27, 2024 · CMS health inspection

   • Serious Scope/severity H Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Sep 27, 2024 · CMS health inspection

3. May 15, 2024 Health · 4 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected May 17, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected May 17, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected May 17, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 17, 2024 · CMS health inspection

4. May 9, 2024 Health · 2 findings
   • Serious Scope/severity K Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 10, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Feb 29, 2024 · CMS health inspection

5. Mar 22, 2023 Health · 5 findings
   • Not serious Scope/severity D

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Apr 30, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Apr 30, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 30, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Jul 10, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jul 10, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• EADY, LISA — corporate director, NOT APPLICABLE, since 01/01/2018
• EADY, LISA — trustee of the snf, NOT APPLICABLE, since 01/01/2018
• MOORE, JESSICA — operational/managerial control, NOT APPLICABLE, since 04/12/2012
• MOORE, JESSICA — adp of the snf, NOT APPLICABLE, since 04/12/2012
• POTTER, DEBORAH — trustee of the snf, NOT APPLICABLE, since 01/01/2018
• POTTER, DEBORAH — corporate director, NOT APPLICABLE, since 01/01/2018
• REYES, ALBERT — corporate officer, NOT APPLICABLE, since 01/02/2007
• ROBBINS, KENNETH — corporate director, NOT APPLICABLE, since 04/21/2025
• ROBBINS, KENNETH — adp of the snf, NOT APPLICABLE, since 04/21/2025
• ROBBINS, KENNETH — trustee of the snf, NOT APPLICABLE, since 04/21/2025
• SAADE, WALID — trustee of the snf, NOT APPLICABLE, since 01/01/2018
• SAADE, WALID — corporate director, NOT APPLICABLE, since 01/01/2018
• BUCKNER RETIREMENT SERVICES INC — adp of the snf, NOT APPLICABLE, since 07/13/2025
• BUCKNER RETIREMENT SERVICES INC — trustee of the snf, NOT APPLICABLE, since 01/01/1996