Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-02-24Non-profit
Westminster Baldwin Park
2653 Lake Baldwin Lane, Orlando, FL 32814
(407) 621-4100 · Westminster Communities of Florida
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Corporation | Certified beds | 40 |
|---|---|---|---|
| Estimated occupancy | 45.8% | Latest inspection | 2026-01-22 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 5 of 5
Health-inspection score
Facility: 10.0 points
Total nurse staffing
Facility: 5.45 hours/day
RN staffing
Facility: 2.76 hours/day
Staff turnover
Facility: 20.0%
Latest health deficiencies
Facility: 3 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 5 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 10.0 points | 50.9 points | 38.5 points |
| Total nurse staffing | 5.45 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 2.76 hours/day | 0.66 hours/day | 0.62 hours/day |
| Staff turnover | 20.0% | 41.7% | 41.8% |
| Latest health deficiencies | 3 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2026-01-22
3 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-02-24Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-02-242024-12-11
1 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-01-022023-07-20
4 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0865 · Severity E
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Deficient, Provider has date of correction 2023-08-24Tag 0635 · Severity D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-08-24Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-08-24Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-08-24Staffing composition
2.65 hours/dayNurse aide
0.04 hours/dayLPN
2.76 hours/dayRN
- Total staffing
- 5.45 hours/day
- County median
- 3.66 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 4.66 hours/day
- Staff turnover
- 20.0%
- RN turnover
- 28.6%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
Not reported: cms footnoteunavailableFlorida: 2.1 per 1,000 days · County: 2.4 per 1,000 days20250101-20251231
Emergency-department visits
Not reported: cms footnoteunavailableFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
Not reported: cms footnoteunavailableFlorida: 2.2% · County: 2.1%2025Q2-2026Q1
Pressure ulcers
Not reported: cms footnoteunavailableFlorida: 4.2% · County: 4.4%2025Q2-2026Q1
Urinary tract infections
Not reported: cms footnoteunavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
Not reported: cms footnoteunavailableFlorida: 7.0% · County: 7.4%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Orange County
- Certified beds
- 40
- Average daily residents
- 18.3
- Ownership
- Non profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 2018-02-16
- CCN
- 106118
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.64674 |
| Lpn hours | 0.04085 |
| Rn hours | 2.762 |
| Reported total hours | 5.44959 |
| Weekend total hours | 4.66326 |
| Weekend rn hours | 2.11839 |
| Adjusted total hours | 4.78166 |
| Total turnover percent | 20 |
| Rn turnover percent | 28.6 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
3Health citations
5Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| PRESBYTERIAN RETIREMENT COMMUNITIES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| DEBEVOISE, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| DODDRIDGE, DONALD | CORPORATE DIRECTOR | NOT APPLICABLE |
| DYE, STEPHEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| EARLY, MARY ELLEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HILLENMEYER, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HULL, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| KEITH, HENRY | CORPORATE DIRECTOR | NOT APPLICABLE |
| KUTAC, KRISTIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MADDUX, CARLEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MOCK, JEFFREY | CORPORATE DIRECTOR | NOT APPLICABLE |
| RAMSEY, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| SHELLEY, LINDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| DODDRIDGE, DONALD | CORPORATE OFFICER | NOT APPLICABLE |
| HENNIS, GARRY | CORPORATE OFFICER | NOT APPLICABLE |
| HILLENMEYER, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| KEITH, HENRY | CORPORATE OFFICER | NOT APPLICABLE |
| HENNIS, GARRY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KEITH, HENRY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LEHMAN, GARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| YELKEN, JUSTIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LEHMAN, GARY | ADP OF THE SNF | NOT APPLICABLE |
| YELKEN, JUSTIN | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology