Westminster Baldwin Park
Orlando, Orange County, Florida · CCN 106118 · Non-profit (Corporation) · part of Westminster Communities Of Florida (9 facilities, chain average 4.3 stars)
CMS rates Westminster Baldwin Park 5 of 5 overall as of August 2026. 40 certified beds, 18 residents a day on average. 8 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | — / 5 of 5 |
Staffing
| Total nurse staffing | 5.44959 hours per resident per day |
|---|---|
| Registered nurses | 2.762 hours per resident per day |
| Weekend total | 4.66326 hours per resident per day |
| Nursing staff turnover | 20% (registered nurses 28.6%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-24 |
| 2026-01-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-24 |
| 2026-01-22 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-24 |
| 2024-12-11 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-02 |
| 2023-07-20 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-24 |
| 2023-07-20 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · tag F0635 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-24 |
| 2023-07-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-24 |
| 2023-07-20 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-24 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Presbyterian Retirement Communities, Inc. Organization | 5% or greater direct ownership interest | 100% | 2014-10-29 |
| Lehman, Gary Individual | adp of the snf | — | 2025-04-02 |
| Yelken, Justin Individual | adp of the snf | — | 2025-04-02 |
| 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 |
| 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 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Westminster Baldwin Park.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Orange County.