Westminster Baldwin Park
2653 Lake Baldwin Lane, Orlando, FL 32814
Westminster Baldwin Park is a nursing home in Orlando, Florida. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (407) 621-4100
- Last standard health inspection
- January 22, 2026 (9 months ago)
- Certified beds
- 40
- Residents per day, on average
- 18
- Ownership type
- Non profit - Corporation
- Legal business name
- Presbyterian Retirement Communities, INC.
- Chain
- Westminster Communities of Florida
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Florida average (8 vs 20).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of May 27, 2026
Ownership
CMS lists this home under a new chain.
CMS update of April 29, 2026
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
3 citations
Health inspection on January 22, 2026
CMS lists this as a standard inspection.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on February 24, 2026.
CMS has cited this home for F0684 2 times since 2023.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on February 24, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 24, 2026.
CMS has cited this home for F0880 3 times since 2023.
5 citations
Fire safety inspection on January 22, 2026
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on February 23, 2026.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on February 23, 2026.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on February 23, 2026.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on February 23, 2026.
Citation K0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on February 23, 2026.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of July 30, 2025
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
1 citation
Health inspection on December 11, 2024
CMS lists this as a standard inspection.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 2, 2025.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 5.3 to 4.6 hours per resident per day.
4 citations
Health inspection on July 20, 2023
CMS lists this as a standard inspection.
Citation F0865. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on August 24, 2023.
Citation F0635. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
CMS lists it as corrected on August 24, 2023.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on August 24, 2023.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 24, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- PRESBYTERIAN RETIREMENT COMMUNITIES, INC.5% or greater direct ownership interest · 100% · since 10/29/2014
- HENNIS, GARRYOperational/managerial control · not applicable · since 09/21/2011
- KEITH, HENRYOperational/managerial control · not applicable · since 09/23/1992
- LEHMAN, GARYOperational/managerial control · not applicable · since 01/01/2017
- YELKEN, JUSTINOperational/managerial control · not applicable · since 04/10/2023
Questions
When was Westminster Baldwin Park last inspected?
CMS lists January 22, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Westminster Baldwin Park have?
CMS lists 8 health citations since July 20, 2023. CMS also calls these deficiencies.
Has Westminster Baldwin Park been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Westminster Baldwin Park?
Its CMS overall star rating is 5 of 5.
Is Westminster Baldwin Park a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.
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