WESTMINSTER WINTER PARK
Open-data reference.
WESTMINSTER WINTER PARK is a non profit - church related facility in WINTER PARK, FL with 80 certified beds and a 4-star overall CMS rating. The facility has 20 deficiency records on file. Total penalties: $81K.
1111 S LAKEMONT AVE, WINTER PARK, FL 32792
Phone: 4076474083
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 105879
- Ownership
- Non profit - Church related
- Provider Type
- Medicare and Medicaid
- Beds
- 80
- Residents
- 76
- In Hospital
- No
- County
- Orange
- Last Inspection
- Oct 31, 2024
Staffing Data
- RN Hours
- 1.05 (nat'l avg: 0.68)
- LPN Hours
- 0.46
- CNA Hours
- 2.52
- Total Nursing Hours
- 4.03 (nat'l avg: 3.89)
- PT Hours
- 0.12
- Nursing Turnover
- 31.6%
- RN Turnover
- 36.4%
What the CMS Record Reveals About WESTMINSTER WINTER PARK
WESTMINSTER WINTER PARK operates 80 certified beds in WINTER PARK, FL with approximately 76 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (5★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 20 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $81K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.03 total nursing hours per resident day (national average 3.89), with RN coverage at 1.05 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, WESTMINSTER WINTER PARK falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 31.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (20 most recent)
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 3, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 25, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 25, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Nov 25, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jul 2, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Jul 2, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 2, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Jul 2, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 18, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 18, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 30, 2023
Dispose of garbage and refuse properly.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 30, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 30, 2023
Honor each resident's preferences, choices, values and beliefs.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 30, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 30, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category: Resident Rights Deficiencies
Corrected: Apr 30, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 18, 2021
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jun 18, 2021
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Jun 18, 2021
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category: Resident Rights Deficiencies
Corrected: Jun 18, 2021
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.9% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.9% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.5% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.5% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 98.3% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.8% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 5.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 97.8% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 8.0% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.5% | Yes |
Penalty History 3 penalties totaling $81K
| Date | Type | Amount |
|---|---|---|
| Jun 3, 2024 | Fine | $66K |
| May 19, 2023 | Fine | $8K |
| May 19, 2023 | Fine | $8K |
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Frequently Asked Questions
What is the overall CMS rating for WESTMINSTER WINTER PARK?
What are the staffing levels at WESTMINSTER WINTER PARK?
How many beds does WESTMINSTER WINTER PARK have?
Does WESTMINSTER WINTER PARK have any deficiencies on record?
Has WESTMINSTER WINTER PARK received any fines or penalties?
Who owns WESTMINSTER WINTER PARK?
When was WESTMINSTER WINTER PARK last inspected?
What quality measures are tracked for WESTMINSTER WINTER PARK?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.