Westminster Baldwin Park
2653 Lake Baldwin Lane, Orlando, FL 32814 · Orange County · (407) 621-4100
40 certified beds, about 18 residents a day · Non profit - Corporation · Medicare and Medicaid since 2018
CMS Care Compare ratings, data as of September 1, 2026 · CCN 106118 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 22, 2026, inspectors cited 3 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 8 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.45 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 2.76 of those hours.
20.0% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Westminster Communities of Florida, an affiliated group of 9 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
January 22, 2026Standard inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, and record review, the facility failed to provide assessment, and notification of physician for a symptomatic resident having chest pain after cardiac surgery, for one of one resident reviewed for hospitalizations, out of a total sample of 21 residents, (#20).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain accurate and complete medical records for 2 of 5 residents reviewed for hospitalization, of a total sample 21 residents, (#7 and #20).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to adhere to proper infection control practices related to transmission-based precautions and personal protection equipment (PPE) use for 1 of 5 residents reviewed, of a total sample of 21 residents, (#4).
December 11, 2024Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to practice appropriate infection control during medication administration and per facility policy and procedures to prevent cross-contamination for 1 of 3 residents reviewed for medication administration, of a total sample of 18 residents.
July 20, 2023Standard inspection · 4 citations
- E Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on interview, and record review, the facility failed to demonstrate the effectiveness of a Performance Improvement Plan related to wound care for 1 of 1 resident reviewed for non-pressure skin-condition out of a total sample of 21 residents, (#3).
- D Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Inspectors wroteBased on record review, and interview, the facility failed to obtain admission physician orders for glucose monitoring for 1 of 1 resident, (#6), and for care and services of a sling for 1 of 1 resident, (#15) reviewed for admission orders, out of a total sample of 21 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure wound care and treatment services were provided for 1 of 1 resident reviewed for non-pressure related skin conditions from a total sample of 21 residents, (#3).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper infection control practices of items stored in the medication cart and failed to disinfect a rubber septum before piercing the medication bottle for administration of insulin for 1 of 1 resident out of a total sample of 6 residents during medication administration pass observation, (#6).
Fire safety inspections
5 fire safety citations on file: 5 on January 22, 2026.
Every fire safety citation5 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure that testing and maintenance of electrical equipment is performed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.45 | 3.82 | 3.86 |
| Registered nurses | 2.76 | 0.73 | 0.69 |
| All nursing staff on weekends | 4.66 | 3.49 | 3.42 |
| Nurse aides | 2.65 | ||
| Licensed practical nurses | 0.04 | ||
| Nursing staff turnover (share who left in a year) | 20.0% | 41.4% | 45.8% |
| Registered nurse turnover | 28.6% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.37 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.77 on weekdays and 4.66 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.47 in April to June 2025 to 5.45 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.45 | 2.76 | 5.77 | 4.66 | 1.5% | 0 of 90 | 18 |
| Oct to Dec 2025 | 5.35 | 2.74 | 5.57 | 4.80 | 1.8% | 0 of 92 | 18 |
| Jul to Sep 2025 | 5.24 | 2.69 | 5.50 | 4.57 | 1.8% | 0 of 92 | 18 |
| Apr to Jun 2025 | 5.47 | 2.73 | 5.77 | 4.73 | 0.0% | 0 of 91 | 19 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.5 | 1.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.6 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.8 | 9.1 | 12.0 |
Owners and operators
Legal business name: PRESBYTERIAN RETIREMENT COMMUNITIES, INC.. CMS links this home to Westminster Communities of Florida, a group of 9 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Presbyterian Retirement Communities, Inc. | 5% or greater direct ownership interest | Organization | 100% | 10/29/2014 |
| Debevoise, John | Corporate director | Individual | 01/01/2025 | |
| Doddridge, Donald | Corporate director | Individual | 01/01/2025 | |
| Dye, Stephen | Corporate director | Individual | 01/01/1997 | |
| Early, Mary Ellen | Corporate director | Individual | 01/01/2025 | |
| Hillenmeyer, John | Corporate director | Individual | 01/01/2024 | |
| Hull, William | Corporate director | Individual | 01/01/2025 | |
| Keith, Henry | Corporate director | Individual | 09/23/1992 | |
| Kutac, Kristin | Corporate director | Individual | 01/01/2025 | |
| Maddux, Carlen | Corporate director | Individual | 01/01/2025 | |
| Mock, Jeffrey | Corporate director | Individual | 01/01/2025 | |
| Ramsey, John | Corporate director | Individual | 01/01/2025 | |
| Shelley, Linda | Corporate director | Individual | 01/01/2025 | |
| Doddridge, Donald | Corporate officer | Individual | 01/01/2025 | |
| Hennis, Garry | Corporate officer | Individual | 09/21/2011 | |
| Hillenmeyer, John | Corporate officer | Individual | 01/01/2024 | |
| Keith, Henry | Corporate officer | Individual | 09/23/1992 | |
| Hennis, Garry | Operational/managerial control | Individual | 09/21/2011 | |
| Keith, Henry | Operational/managerial control | Individual | 09/23/1992 | |
| Lehman, Gary | Operational/managerial control | Individual | 01/01/2017 | |
| Yelken, Justin | Operational/managerial control | Individual | 04/10/2023 | |
| Lehman, Gary | Adp of the SNF | Individual | 04/02/2025 | |
| Yelken, Justin | Adp of the SNF | Individual | 04/02/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on January 22, 2026: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 22, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 22, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on July 20, 2023: "Have a plan that describes the process for conducting QAPI and QAA activities."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Alwyn C Cashe State Veterans Nursing Home Orlando, 0.9 mi · 1 of 5 stars · 22 citations
- Avante at Orlando Inc Orlando, 1 mi · 3 of 5 stars · 10 citations
- Westminster Winter Park Winter Park, 1.1 mi · 5 of 5 stars · 14 citations
- Parkview Rehabilitation Center at Winter Park Winter Park, 2.1 mi · 5 of 5 stars · 14 citations
- Winter Park Care and Rehabilitation Winter Park, 2.3 mi · 1 of 5 stars · 33 citations
- Mayflower Healthcare Center Winter Park, 2.6 mi · 5 of 5 stars · 4 citations
- Regents Park of Winter Park Winter Park, 2.6 mi · 1 of 5 stars · 23 citations
- Conway Lakes Health & Rehabilitation Center Orlando, 2.9 mi · 2 of 5 stars · 31 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Westminster Baldwin Park's Medicare star rating?
- CMS rates Westminster Baldwin Park 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Westminster Baldwin Park get at its last inspection?
- 3 health deficiencies at the standard inspection on January 22, 2026. The Florida average is 7.1.
- Has Westminster Baldwin Park been fined?
- CMS lists no fines in the last three years.
- Does Westminster Baldwin Park accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Westminster Baldwin Park?
- CMS lists 23 owners and managers, and links the home to Westminster Communities of Florida. Legal business name: PRESBYTERIAN RETIREMENT COMMUNITIES, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.