A96

WESTMINSTER BALDWIN PARK

Grade A 96/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
5/5
Health Insp.
5/5
Quality
5/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

40

Ownership

Non profit - Church related

Total Fines

None

Last Survey

N/A

2653 LAKE BALDWIN LANE, ORLANDO, FL 32814
4076214100

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
2.17h
LPN
0.04h
CNA
2.01h
Total
4.22h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PRESBYTERIAN RETIREMENT COMMUNITIES, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2014

100%

HENNIS, GARRY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2011

KEITH, HENRY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 1992

LEHMAN, GARY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2017

YELKEN, JUSTIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2023

DEBEVOISE, JOHN

IndividualCORPORATE DIRECTORSince Jan 2025

DODDRIDGE, DONALD

IndividualCORPORATE DIRECTORSince Jan 2025

DYE, STEPHEN

IndividualCORPORATE DIRECTORSince Jan 1997

EARLY, MARY ELLEN

IndividualCORPORATE DIRECTORSince Jan 2025

HILLENMEYER, JOHN

IndividualCORPORATE DIRECTORSince Jan 2024

HULL, WILLIAM

IndividualCORPORATE DIRECTORSince Jan 2025

KEITH, HENRY

IndividualCORPORATE DIRECTORSince Sep 1992

KUTAC, KRISTIN

IndividualCORPORATE DIRECTORSince Jan 2025

MADDUX, CARLEN

IndividualCORPORATE DIRECTORSince Jan 2025

MOCK, JEFFREY

IndividualCORPORATE DIRECTORSince Jan 2025

RAMSEY, JOHN

IndividualCORPORATE DIRECTORSince Jan 2025

SHELLEY, LINDA

IndividualCORPORATE DIRECTORSince Jan 2025

DODDRIDGE, DONALD

IndividualCORPORATE OFFICERSince Jan 2025

HENNIS, GARRY

IndividualCORPORATE OFFICERSince Sep 2011

HILLENMEYER, JOHN

IndividualCORPORATE OFFICERSince Jan 2024

KEITH, HENRY

IndividualCORPORATE OFFICERSince Sep 1992

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (15)

December 11, 2024Health1 deficiency
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 2, 2025
July 20, 2023Health4 deficiencies
0635DMinimal harm, Isolated

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 24, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 24, 2023
0865EMinimal harm, Pattern

Have a plan that describes the process for conducting QAPI and QAA activities.

Administration Deficiencies

Corrected Aug 24, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 24, 2023
January 20, 2022Health10 deficiencies
0578EMinimal harm, Pattern

Honor 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.

Resident Rights Deficiencies

Corrected Feb 20, 2022
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Feb 20, 2022
0655EMinimal harm, Pattern

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Feb 20, 2022
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 20, 2022
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 20, 2022
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Feb 20, 2022
0693DMinimal harm, Isolated

Ensure 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.

Quality of Life and Care Deficiencies

Corrected Feb 20, 2022
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Feb 20, 2022
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Feb 20, 2022
0758DMinimal harm, Isolated

Implement 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.

Pharmacy Service Deficiencies

Corrected Feb 20, 2022

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Frequently Asked Questions

What is the CareGrader rating for WESTMINSTER BALDWIN PARK?

WESTMINSTER BALDWIN PARK in ORLANDO, Florida has a CareGrader grade of A (Excellent), with a composite score of 95.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WESTMINSTER BALDWIN PARK?

WESTMINSTER BALDWIN PARK has an overall CMS star rating of 5 out of 5, a health inspection rating of 5/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WESTMINSTER BALDWIN PARK have?

WESTMINSTER BALDWIN PARK has 15 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does WESTMINSTER BALDWIN PARK have?

WESTMINSTER BALDWIN PARK has 40 certified beds with approximately 18 current residents (45% occupancy). The facility is located at 2653 LAKE BALDWIN LANE, ORLANDO, Florida 32814. It is a non profit - church related facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.