WESTMINSTER BALDWIN PARK
2653 LAKE BALDWIN LANE, ORLANDO, FL 32814 · CCN 106118
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Church related
- Certified beds
- 40
- Avg residents/day
- 18.3
- Phone
- 4076214100
Inspection history vs Florida & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Florida avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-11 | 1 | 7.3 | 9.5 | -6.3 better |
| 2 | 2023-07-20 | 4 | 6.3 | 9.8 | -2.3 better |
| 3 | 2022-01-20 | 10 | 6.0 | 9.3 | +4.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.24 | 21.7% |
| RN staffing (reported) | 2.69 | 27.3% |
| Total nurse staffing (adjusted) | 4.22 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (15)
- DF0880Provide and implement an infection prevention and control program.2024-12-11 · Health · corrected 2025-01-02
Potential for more than minimal harm
- DF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2023-07-20 · Health · corrected 2023-08-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-20 · Health · corrected 2023-08-24
Potential for more than minimal harm
- EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2023-07-20 · Health · corrected 2023-08-24
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-07-20 · Health · corrected 2023-08-24
Potential for more than minimal harm
- EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-01-20 · Health · corrected 2022-02-20
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-01-20 · Health · corrected 2022-02-20
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-01-20 · Health · corrected 2022-02-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-01-20 · Health · corrected 2022-02-20
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-01-20 · Health · corrected 2022-02-20
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-01-20 · Health · corrected 2022-02-20
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-01-20 · Health · corrected 2022-02-20
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-01-20 · Health · corrected 2022-02-20
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-01-20 · Health · corrected 2022-02-20
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-01-20 · Health · corrected 2022-02-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PRESBYTERIAN RETIREMENT COMMUNITIES, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-10-29 |
| HENNIS, GARRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-09-21 |
| KEITH, HENRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 1992-09-23 |
| LEHMAN, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-01-01 |
| YELKEN, JUSTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-10 |
| DEBEVOISE, JOHN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| DODDRIDGE, DONALD | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| DYE, STEPHEN | Individual | CORPORATE DIRECTOR | — | 1997-01-01 |
| EARLY, MARY ELLEN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| HILLENMEYER, JOHN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| HULL, WILLIAM | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| KEITH, HENRY | Individual | CORPORATE DIRECTOR | — | 1992-09-23 |
| KUTAC, KRISTIN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| MADDUX, CARLEN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| MOCK, JEFFREY | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| RAMSEY, JOHN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| SHELLEY, LINDA | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| DODDRIDGE, DONALD | Individual | CORPORATE OFFICER | — | 2025-01-01 |
| HENNIS, GARRY | Individual | CORPORATE OFFICER | — | 2011-09-21 |
| HILLENMEYER, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| KEITH, HENRY | Individual | CORPORATE OFFICER | — | 1992-09-23 |
Other facilities in ORLANDO
| Name | Overall | Beds |
|---|---|---|
| SOLARIS HEALTHCARE WINDERMERE | ★★★★★ | 120 |
| SOLARIS HEALTHCARE EAST ORLANDO | ★★★★★ | 110 |
| LIFE CARE CENTER OF ORLANDO | ★★★★☆ | 132 |
| PALM GARDEN OF ORLANDO | ★★★★☆ | 132 |
| SOUTH ORANGE HEALTH AND REHABILITATION CENTER | ★★★★☆ | 115 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.