D

WESTMINSTER WINTER PARK

1111 S LAKEMONT AVE, WINTER PARK, FL 32792
Score: 54 / 100

CMS data shows Westminster Winter Park earning a D grade with a score of 54/100, placing it below most facilities in Florida. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Westminster Winter Park is near the national average, with 4.03 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 20 deficiencies at Westminster Winter Park, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide safe and appropriate respiratory care for a resident when needed..

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.03 3.8 Average
Registered Nurses (RN) 1.05 0.7 Above Average
Licensed Practical Nurses (LPN) 0.46 0.7 Below Average
Certified Nursing Assistants (CNA) 2.52 2.4 Average
Weekend Total Nursing 3.90 3.8 Average
Weekend RN Hours 0.88 0.7 Above Average

🔍 Inspection & Deficiency History

20
Total Deficiencies
Aug 11, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 17 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Aug 11, 2025 · Quality of Life and Care Deficiencies
  • Tag 0561 Severity D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    Oct 30, 2024 · Resident Rights Deficiencies
  • Tag 0655 Severity D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    Oct 30, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Oct 30, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Jun 2, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.0% 4.5% Better
Falls with major injury 0.5% 3.0% Better
On antipsychotic medication 5.5% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 13.3% 14.0% Average
Excessive weight loss 2.9% 7.5% Better
New/worsened incontinence 8.0% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $81,276

How This Grade Was Calculated

This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -8 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Church related
Certified Beds
80
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Oct 30, 2024
Deficiencies (Cycle 1)
4