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Westminster Baldwin Park
2653 Lake Baldwin Lane, Orlando, FL 32814 · CMS Certification Number (CCN) 106118
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At a glance
- CMS overall rating
- ★★★★★ 5 of 5
- Health inspection citations
- 8 in the last 3 inspection cycles (0 immediate jeopardy, 0 actual harm, 0 from complaints)
- Fire safety citations
- 5
- Fines (last 3 years)
- 0 fines, total $0
- Payment denials
- 0
- Most recent standard inspection
- January 22, 2026
- Official record
- Medicare Care Compare page for this facility
Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
CMS star ratings
CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide
| Rating | This facility | Florida average | U.S. average |
|---|---|---|---|
| Overall | ★★★★★ 5 of 5 | 3.3 | 3 |
| Health inspections | ★★★★☆ 4 of 5 | 2.9 | 2.8 |
| Staffing | ★★★★★ 5 of 5 | 3.3 | 2.9 |
| Quality measures | ★★★★★ 5 of 5 | 4.2 | 3.6 |
| Long-stay quality | Not published Not enough data available to calculate a star rating. | Not published | Not published |
| Short-stay quality | ★★★★★ 5 of 5 | Not published | Not published |
Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Health inspections
| Inspection cycle | Standard survey date | Health citations | From standard survey | From complaints |
|---|---|---|---|---|
| Cycle 1 (most recent) | January 22, 2026 | 3 | 3 | 0 |
| Cycle 2 | December 11, 2024 | 1 | 1 | 0 |
CMS weighted health inspection score: 10 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations
8 health citations across 3 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.
January 22, 2026: 3 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Deficient, Provider has date of correction Corrected 02/24/2026 |
| D | F-0842 | 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 | Standard | Deficient, Provider has date of correction Corrected 02/24/2026 |
| D | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 02/24/2026 |
December 11, 2024: 1 citation (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Deficient, Provider has date of correction Corrected 01/02/2025 |
July 20, 2023: 4 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Deficient, Provider has date of correction Corrected 08/24/2023 |
| E | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies | Standard | Deficient, Provider has date of correction Corrected 08/24/2023 |
| D | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 08/24/2023 |
| D | F-0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies | Standard | Deficient, Provider has date of correction Corrected 08/24/2023 |
Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Fire safety inspections
5 fire safety citations across 1 inspection dates
| Date | Severity | Tag | What was cited | Status |
|---|---|---|---|---|
| 01/22/2026 | D | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 02/23/2026 |
| 01/22/2026 | D | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 02/23/2026 |
| 01/22/2026 | D | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 02/23/2026 |
| 01/22/2026 | F | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 02/23/2026 |
| 01/22/2026 | F | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 02/23/2026 |
Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.
Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Penalties
No fines or payment denials published for this facility in the CMS Penalties file (last 3 years).
Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Staffing
| Measure | This facility | Florida average | U.S. average |
|---|---|---|---|
| Total nurse staff hours per resident per day | 5.45 | 3.82 | 3.86 |
| Registered nurse (RN) hours per resident per day | 2.76 | 0.73 | 0.69 |
| LPN/LVN hours per resident per day | 0.04 | Not published | Not published |
| Nurse aide hours per resident per day | 2.65 | Not published | Not published |
| Total nurse staff hours per resident per day, weekends | 4.66 | Not published | Not published |
| RN hours per resident per day, weekends | 2.12 | Not published | Not published |
| Total nursing staff turnover (%) | 20 | 41.4 | 45.8 |
| Registered nurse turnover (%) | 28.6 | Not published | Not published |
| Administrators who have left | 1 | Not published | Not published |
Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.
Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Facility details
- Legal business name
- Presbyterian Retirement Communities, INC.
- Ownership type
- Non profit - Corporation
- Chain
- Westminster Communities of Florida (9 facilities)
- Ownership changed in last 12 months
- No
- Certified beds
- 40
- Average residents per day
- 18.3
- Participates in
- Medicare and Medicaid
- Located inside a hospital
- No
- Continuing care retirement community
- Yes
- Resident and family council
- None
- First approved for Medicare/Medicaid
- February 16, 2018
- County/parish
- Orange
Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Owners and managers reported to CMS
23 ownership and management records
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PRESBYTERIAN RETIREMENT COMMUNITIES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | undefined undefined, NaN |
| DEBEVOISE, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| DODDRIDGE, DONALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| DYE, STEPHEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EARLY, MARY ELLEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HILLENMEYER, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HULL, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KEITH, HENRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KUTAC, KRISTIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MADDUX, CARLEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MOCK, JEFFREY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| RAMSEY, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SHELLEY, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| DODDRIDGE, DONALD | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HENNIS, GARRY | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HILLENMEYER, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KEITH, HENRY | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HENNIS, GARRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KEITH, HENRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LEHMAN, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| YELKEN, JUSTIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LEHMAN, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| YELKEN, JUSTIN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Check it yourself
- Medicare Care Compare: Westminster Baldwin Park. Full inspection reports, quality measures and staffing.
- AHCA licensed health care facility complaint form. The state agency also takes nursing home complaints.
- Ask the facility to show you its most recent inspection report and plan of correction.
Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.