Westminster Baldwin Park
2653 Lake Baldwin Lane, Orlando, FL 32814 · Orange County · 40 certified beds · avg 18 residents/day · certified since Feb 16, 2018
Part of chain: WESTMINSTER COMMUNITIES OF FLORIDA (9 facilities, chain avg rating 4.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (8)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 22, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 22, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 22, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 11, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 20, 2023 | E · Potential for harm, repeated | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Jul 20, 2023 | D · Potential for harm, one-off | The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. |
| Jul 20, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 20, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 1 | 0 | D |
| 2026 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.78 | 4.03 | 3.95 | top 11% in Florida; top 17% in the U.S. |
| Registered Nurse hours | 2.42 | 0.76 | 0.69 | top 1% in Florida; top 1% in the U.S. |
| Weekend total nurse staffing | 4.09 | 3.68 | 3.50 | top 15% in Florida; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 2.12 | 0.53 | 0.48 | top 1% in Florida; top 1% in the U.S. |
| Total nursing staff turnover (%) | 20.0 | 41.4 | 45.8 | top 6% in Florida; top 3% in the U.S. |
| RN turnover (%) | 28.6 | 46.0 | 42.9 | top 17% in Florida; top 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.45, RN 2.76, weekend 4.66. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Presbyterian Retirement Communities, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/29/2014 |
| Debevoise, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Doddridge, Donald | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Doddridge, Donald | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Dye, Stephen | Individual | Corporate Director | NOT APPLICABLE | 01/01/1997 |
| Early, Mary Ellen | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Hennis, Garry | Individual | Corporate Officer | NOT APPLICABLE | 09/21/2011 |
| Hennis, Garry | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/21/2011 |
| Hillenmeyer, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Hillenmeyer, John | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Hull, William | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Keith, Henry | Individual | Corporate Director | NOT APPLICABLE | 09/23/1992 |
| Keith, Henry | Individual | Corporate Officer | NOT APPLICABLE | 09/23/1992 |
| Keith, Henry | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/23/1992 |
| Kutac, Kristin | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Lehman, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Lehman, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| Maddux, Carlen | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Mock, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Ramsey, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Alwyn C Cashe State Veterans Nursing Home | 0.9 mi | Orlando, FL | ★☆☆☆☆ | 2/5 | abuse |
| Avante at Orlando INC | 1.0 mi | Orlando, FL | ★★★☆☆ | 3/5 | |
| Westminster Winter Park | 1.1 mi | Winter Park, FL | ★★★★★ | 4/5 | |
| Parkview Rehabilitation Center at Winter Park | 2.1 mi | Winter Park, FL | ★★★★★ | 4/5 | |
| Winter Park Care and Rehabilitation | 2.3 mi | Winter Park, FL | ★☆☆☆☆ | 2/5 | |
| Regents Park of Winter Park | 2.6 mi | Winter Park, FL | ★☆☆☆☆ | 1/5 | |
| Mayflower Healthcare Center | 2.6 mi | Winter Park, FL | ★★★★★ | 5/5 | |
| Conway Lakes Health & Rehabilitation Center | 2.9 mi | Orlando, FL | ★★☆☆☆ | 2/5 | |
| Solaris Healthcare East Orlando | 3.4 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Commons at Orlando Lutheran Towers | 3.4 mi | Orlando, FL | ★☆☆☆☆ | 1/5 | abuse |
| Lotus Nursing and Rehabilitation Center | 3.5 mi | Orlando, FL | ★★☆☆☆ | 2/5 | |
| Delaney Park Health and Rehabilitation Center | 4.0 mi | Orlando, FL | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 106118.