Tag 0561 · Severity D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-11-251111 S Lakemont Ave, Winter Park, FL 32792
(407) 647-4083 · Westminster Communities of Florida
| Ownership | Non profit - Church related | Certified beds | 80 |
|---|---|---|---|
| Estimated occupancy | 93.9% | Latest inspection | 2026-07-09 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 5 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 16.0 points | 50.9 points | 38.5 points |
| Total nurse staffing | 3.98 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 1.08 hours/day | 0.66 hours/day | 0.62 hours/day |
| Staff turnover | 25.6% | 41.7% | 41.8% |
| Latest health deficiencies | 1 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
No matching citation detail was published.
Immediate-jeopardy citations: 0
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-11-25Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-11-25Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-11-25Immediate-jeopardy citations: 0
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-04-30Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-04-30Honor 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-04-30Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-04-30Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-04-30Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-30Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.53563 |
| Lpn hours | 0.36021 |
| Rn hours | 1.07995 |
| Reported total hours | 3.97579 |
| Weekend total hours | 3.78677 |
| Weekend rn hours | 0.96326 |
| Adjusted total hours | 4.3331 |
| Total turnover percent | 25.6 |
| Rn turnover percent | 20 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2024-06-03 | Fine | $65,683.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
| Name | Role | Share |
|---|---|---|
| BELL, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| 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 |
| 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 |
| FAUBEL, MEGAN | CORPORATE OFFICER | NOT APPLICABLE |
| HENNIS, GARRY | CORPORATE OFFICER | NOT APPLICABLE |
| KEITH, HENRY | CORPORATE OFFICER | NOT APPLICABLE |
| WESTMINSTER SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KURIAKOSE, JOEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LEHMAN, GARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KURIAKOSE, JOEL | ADP OF THE SNF | NOT APPLICABLE |
| LEHMAN, GARY | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology