Westminster Winter Park
1111 S Lakemont Ave, Winter Park, FL 32792 · Orange County · (407) 647-4083
80 certified beds, about 75 residents a day · Non profit - Church related · Medicare and Medicaid since 1995
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105879 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 9, 2026, inspectors cited 0 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 14 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $65,683 in the last three years; the largest was $65,683, and the latest is dated June 3, 2024.
Nurses and nurse aides worked 3.98 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 1.08 of those hours.
25.6% 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.
603/23
406/24
310/24
108/25
007/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
4E
2F
Potential for minimal harm
0A
0B
0C
July 9, 2026Standard inspection · 0 citations
August 12, 2025Complaint inspection · 1 citation
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to administer Oxygen (O2) therapy as ordered by the physician for 2 of 4 residents reviewed for respiratory care, of a total sample of 4 residents, (#3 and #4).1. Resident #3 was admitted to the facility on [DATE] with diagnoses of pneumonia, acute respiratory failure, chronic obstructive pulmonary disease (COPD), and congestive heart failure (CHF). Review of resident #3's medical record revealed a care plan revised on 8/07/25 which indicated the resident's oxygen to be applied, as ordered by physician, for respiratory complications related to CHF, COPD, and pneumonia. Supplemental oxygen therapy helps people with COPD, COVID-19, emphysema, sleep apnea and other breathing problems get enough oxygen to function and stay well. [...]
October 31, 2024Standard inspection · 3 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on interview, and record review, the facility failed to honor residents' rights to choose their preferred bathing preferences for 1 of 2 residents reviewed for choices, of a total sample of 29 residents, (#55).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview, and record review, the facility failed to provide a written summary of the Baseline Care Plan as required for 1 of 2 residents reviewed for Care Planning, of a total sample of 29 residents, (#869).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview, and record review, the facility failed to ensure resident and/or their representative were invited/involved in the development of their care plan for 1 of 2 residents reviewed for care planning, of a total sample of 29 residents, (#38).
June 3, 2024Complaint inspection · 4 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services, according to professional standards of practice, to promote skin integrity and prevent the development and worsening of pressure injuries for 2 of 4 residents reviewed for pressure injuries, out of a total sample of 27 residents, (#5 and #7). The facility's failure to implement preventative interventions and ensure timely and adequate care and treatments for pressure injuries resulted in actual harm, for two dependent residents who were deemed at risk for development of wounds. Resident #5 acquired a pressure injury that was not thoroughly assessed when identified, to determine appropriate approaches to prevent the wound from worsening. [...]
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide sufficient licensed nurses on the 7:00 AM to 3:00 PM shift to meet medication administration needs, according to plans of care for residents on 2 of 2 floors (1st and 2nd floors); and failed to ensure sufficient Certified Nursing Assistants (CNAs) to meet person-centered needs for repositioning and incontinence care for 3 of 4 residents reviewed for activities of daily living (ADLs), out of a total sample of 27 residents, (#2, #5, and #7).
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services to ensure timely medication administration in accordance with its policies, procedures and accepted standards of practice for 25 residents reviewed for medication administration, out of a total sample of 27 residents, (#3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #26, and #27).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed to notify the physician and/or resident representatives of changes in condition related to development of a pressure ulcer and performance of a surgical procedure for 1 of 4 residents reviewed for pressure injuries, of a total sample of 27 residents, (#5).
March 30, 2023Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and policy and quality assurance audits, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety, based on the following: - Clean equipment was not stored in a manner to protect it from contamination. - The dish machine hot water pressure gauge was not reaching 20 PSI (Pounds per Square Inch) pressure, as required, to ensure multi-use equipment was properly washed and sanitized. - Bulk ready-to eat, non-Time/Temperature Control for Safety (TCS) food was not properly labeled to its identity. - Employees were using beverage containers in the kitchen that were not designed to be handled to prevent contamination of the employee's hands and container. [...]
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observation and interview, the facility failed to dispose of the garbage properly in the facility compactor. The facility compactor was used for the entire campus.
- E 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.
Inspectors wroteBased on observation and interview, the facility failed to provide a homelike environment for all the residents who ate their meals in the first floor dining room (ranging from 11 to 17 residents) at three different meals, by serving the resident's meals on serving trays at the table in an institutional manner.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, staff failed to perform proper hand hygiene during two meals observed in the first floor dining area. Staff failure to do proper hand hygiene has a potential to spread infection to the 11 to 17 residents who ate meals in the first floor dining area.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on closed record review and interview, the facility failed to develop a comprehensive care plan for one of one resident, (#82) reviewed for death in the facility. Resident #82 had an identified swallowing problem and the Speech-Language Pathologist had recommended compensatory strategies which were not included in the resident's comprehensive care plan. The resident had a choking incident on 2/10/23, and despite the facility staff and Emergency Medical Services emergency efforts, the resident died.
- D Honor each resident's preferences, choices, values and beliefs.
Inspectors wroten observation and interview, the facility failed to ensure 3 residents (#6, #30, and #38) out of 11 to 17 residents eating in the first floor dining room during three different meals, were positioned to maximize eating abilities.
Fire safety inspections
1 fire safety citation on file: 1 on March 30, 2023.
Every fire safety citation1 citation
- F Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 3, 2024 | Fine | $65,683 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.98 | 3.82 | 3.86 |
| Registered nurses | 1.08 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.79 | 3.49 | 3.42 |
| Nurse aides | 2.54 | ||
| Licensed practical nurses | 0.36 | ||
| Nursing staff turnover (share who left in a year) | 25.6% | 41.4% | 45.8% |
| Registered nurse turnover | 20.0% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.52 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 4.05 on weekdays and 3.79 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.95 in April to June 2025 to 3.98 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 | 3.98 | 1.08 | 4.05 | 3.79 | 3.9% | 0 of 90 | 75 |
| Oct to Dec 2025 | 4.02 | 1.05 | 4.11 | 3.81 | 7.0% | 0 of 92 | 73 |
| Jul to Sep 2025 | 4.03 | 1.05 | 4.08 | 3.90 | 9.9% | 0 of 92 | 76 |
| Apr to Jun 2025 | 3.95 | 1.02 | 4.05 | 3.70 | 7.5% | 0 of 91 | 74 |
| 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 long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.3 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.9 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.3 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.4 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.3 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.2 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.1 | 1.8 |
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 |
|---|---|---|---|---|
| Bell, William | Corporate director | Individual | 08/19/2009 | |
| Debevoise, John | Corporate director | Individual | 01/01/2020 | |
| Doddridge, Donald | Corporate director | Individual | 01/01/2025 | |
| Dye, Stephen | Corporate director | Individual | 08/19/2009 | |
| Early, Mary Ellen | Corporate director | Individual | 01/01/2025 | |
| Hillenmeyer, John | Corporate director | Individual | 08/19/2009 | |
| Hull, William | Corporate director | Individual | 01/01/2024 | |
| Kutac, Kristin | Corporate director | Individual | 01/01/2024 | |
| Maddux, Carlen | Corporate director | Individual | 01/01/2020 | |
| Mock, Jeffrey | Corporate director | Individual | 01/01/2020 | |
| Ramsey, John | Corporate director | Individual | 01/01/2020 | |
| Shelley, Linda | Corporate director | Individual | 01/01/2020 | |
| Faubel, Megan | Corporate officer | Individual | 01/01/2025 | |
| Hennis, Garry | Corporate officer | Individual | 01/01/2025 | |
| Keith, Henry | Corporate officer | Individual | 01/01/1994 | |
| Westminster Services Inc | Operational/managerial control | Organization | 01/01/1966 | |
| Kuriakose, Joel | Operational/managerial control | Individual | 05/06/2019 | |
| Lehman, Gary | Operational/managerial control | Individual | 01/01/2025 | |
| Kuriakose, Joel | Adp of the SNF | Individual | 04/14/2025 | |
| Lehman, Gary | Adp of the SNF | Individual | 05/27/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 12, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on October 31, 2024: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 31, 2024: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 30, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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, 0.5 mi · 1 of 5 stars · 22 citations
- Parkview Rehabilitation Center at Winter Park Winter Park, 1 mi · 5 of 5 stars · 14 citations
- Westminster Baldwin Park Orlando, 1.1 mi · 5 of 5 stars · 8 citations
- Avante at Orlando Inc Orlando, 1.2 mi · 3 of 5 stars · 10 citations
- Mayflower Healthcare Center Winter Park, 1.6 mi · 5 of 5 stars · 4 citations
- Winter Park Care and Rehabilitation Winter Park, 1.6 mi · 1 of 5 stars · 33 citations
- Regents Park of Winter Park Winter Park, 1.8 mi · 1 of 5 stars · 23 citations
- Rehabilitation Center of Winter Park Maitland, 3.2 mi · 3 of 5 stars · 43 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 Winter Park's Medicare star rating?
- CMS rates Westminster Winter Park 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Westminster Winter Park get at its last inspection?
- 0 health deficiencies at the standard inspection on July 9, 2026. The Florida average is 7.1.
- Has Westminster Winter Park been fined?
- Yes. CMS lists 1 fine totaling $65,683 in the last three years.
- Does Westminster Winter 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 Winter Park?
- CMS lists 20 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.