Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Westminster Baldwin Park during CMS and state inspections, most recent first.
A resident recovering from aortic valve repair with CAD and A-Fib developed chest pain and abnormal VS, including elevated BP and HR. The care plan addressed cardiac complication risk but did not specify actions for symptoms, and the record lacked documentation of a change-of-condition assessment, MD notification, family notification, or EMS activation despite the resident being transferred to the ER after calling 911.
Incomplete hospital transfer documentation was found for two residents. One resident with stroke-related weakness was found on the floor mat, later sent to the hospital by ambulance, but the record lacked a change in condition note or SBAR. Another resident post-aortic valve repair had an ER transfer documented in the care plan, but the chart lacked supporting orders, skilled assessment, progress notes, and documentation of physician or family notification.
Failure to Follow Contact Precautions for MRSA: An RN entered a resident’s room without first donning the required gown and gloves for contact isolation, then placed the resident’s medication cup on a dresser before returning to don PPE and complete the medication pass. The resident had MRSA in a right foot wound and was on contact isolation per MD order; the RN and DON both acknowledged the PPE was not worn before entry as required by the posted precautions.
A registered nurse in an LTC facility failed to perform hand hygiene after removing gloves post-cleaning a blood pressure machine, before administering medication to a resident with multiple diagnoses. This action was against the facility's hand hygiene policy and CDC guidelines, as confirmed by the Director of Nursing.
Failure to Assess and Notify Physician for Resident With Chest Pain and Abnormal Vital Signs
Penalty
Summary
The facility failed to assess and notify the physician for a resident who developed symptoms after aortic valve repair surgery. The resident had diagnoses including CAD, A-Fib, pulmonary fibrosis, asthma, and generalized muscle weakness, and was admitted for skilled care and rehabilitation after cardiac surgery. Her care plan identified risk for cardiac complications and included monitoring for symptoms such as chest pain, abnormal pulse, and abnormal blood pressure, but it did not specify what staff should do if cardiac complications occurred. According to the resident, she reported feeling unwell with an elevated heart rate, and when her vital signs were taken, her blood pressure and heart rate were elevated. She stated the nurse said they would wait to see if the blood pressure came down on its own, but she contacted her cardiologist, who told her to go to the ER immediately, so she called 911 and was transferred to the hospital. The record showed abnormal vital signs of BP 150/100, HR 133, and O2 saturation 91%, but there was no documented change-of-condition assessment, nursing progress note, physician notification, family notification, or documentation that emergency services were called. The facility could only provide a baseline care plan and a handwritten APRN order stating the resident was sent to the ER for chest pain/hypertensive crisis. The DON stated the resident was evaluated and transferred immediately, but acknowledged the lack of documentation showing assessment or notification.
Incomplete Hospital Transfer Documentation
Penalty
Summary
The facility failed to maintain accurate and complete medical records for 2 of 5 residents reviewed for hospitalization, residents #7 and #20. Resident #7, who had diagnoses including one-sided paralysis and weakness following stroke, spontaneous hypotension, nerve pain, and osteoporosis, was found kneeling on her floor mat beside her bed after stating she was trying to go to the bathroom and thought she could make it herself. The record documented that she had no injuries and neurological checks were initiated, but later that same day she was transferred to the hospital by ambulance. The resident’s record did not contain a change in condition note or SBAR assessment documenting the event leading up to the hospitalization. Resident #20 was admitted after aortic heart valve repair surgery with diagnoses including CAD, A-Fib, pulmonary fibrosis, asthma, and generalized muscle weakness. Her record showed a baseline care plan stating she was transferred to the ER with verbal consent, but there were no physician orders in the electronic record to support the transfer until a paper order dated 10/30/25 was provided during the survey and had not been scanned into the system. The record also lacked a skilled assessment, progress note, change in condition note, or hospital transfer note explaining the change in condition, and it did not identify when the physician was notified or whether family was informed of the ER transfer.
Failure to Follow Contact Precautions for MRSA
Penalty
Summary
The facility failed to adhere to proper infection control practices related to transmission-based precautions and PPE use for a resident on contact isolation for MRSA in the right foot. The resident had been admitted with diagnoses including infection to the skin and subcutaneous tissue, MRSA infection, type 2 diabetes with nerve pain, bacteremia, and chronic kidney disease stage 3A. A physician consult from the hospital prior to admission documented that the resident’s right ankle wound had cultured positive for MRSA, and a physician order directed staff to maintain contact isolation for MRSA starting on 12/24/25. On 1/21/26, an RN was observed entering the resident’s room without first donning gloves and a gown, despite a contact precaution sign outside the room stating that everyone must wear a gown and gloves before entering. The RN placed the resident’s medication cup on top of the dresser in the middle of the room, then returned to the doorway, applied hand sanitizer, donned gloves, retrieved a gown from the PPE bin outside the room, and re-entered to administer the medications. The RN later acknowledged she should have applied the gown before entering the room and stated she had placed the medications down first because her hands were full. The DON later acknowledged the RN should have been wearing a gown and gloves before entering the room and placing the medication cup on the dresser.
Infection Control Lapse During Medication Administration
Penalty
Summary
The facility failed to adhere to proper infection control practices during medication administration for one of the residents reviewed. Specifically, a registered nurse (RN) was observed not performing hand hygiene after removing gloves following the cleaning of a portable blood pressure machine. This occurred during a medication pass for a resident who was admitted with diagnoses including metabolic encephalopathy, diabetes mellitus, and hypertension. The RN cleaned the equipment, covered it with a plastic bag, removed her gloves, and then proceeded to handle a medicine cup without performing hand hygiene, which is against the facility's policy and CDC guidelines. The Director of Nursing confirmed the expectation that staff should perform hand hygiene after removing gloves, after cleaning equipment, and between medication administrations. The facility's hand hygiene policy, revised in July 2023, mandates that all staff perform proper hand hygiene procedures to prevent the spread of infection. This includes performing hand hygiene before donning gloves and immediately after removing them. The RN's failure to follow these procedures was validated during the survey, highlighting a lapse in infection control practices.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Orlando
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alwyn C Cashe State Veterans Nursing Home | 0.9 mi | ★★★★★ | 6 | 2 |
| Avante At Orlando Inc | 1 mi | ★★★★★ | 3 | 0 |
| Westminster Winter Park | 1.1 mi | ★★★★★ | 1 | 0 |
| Parkview Rehabilitation Center At Winter Park | 2.1 mi | ★★★★★ | 0 | 0 |
| Winter Park Care And Rehabilitation | 2.3 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.