CCRC

Overview

Address
1111 S LAKEMONT AVE, WINTER PARK, FL 32792
Phone
4076474083
Certified beds
80
Avg daily residents
76 (95% of beds filled)
Ownership
Non-profit (church-affiliated)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1995-03-03
Setting
Urban
4 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
5/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 3/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
4.03 3.70 4.21 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
1.05 0.65 1.10 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.46 0.82 0.48
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.52 2.23 2.63
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.51
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.12

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.90
hrs / resident / day
RN (weekend)
0.88
hrs / resident / day
Total nurse (adjusted, weekend)
4.08
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
31.6%
annual
RN turnover
36.4%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.31
higher acuity than avg
Case-Mix Index Ratio
0.95
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-10-31 4 3 1 16 1 16
Cycle 2/3 (prior) 2023-03-30 12 6 6 246 1 246
Total weighted health score
73.5
lower is better

Deficiencies (20)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
16 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-08-12 2025-09-03
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2024-10-31 2024-11-25
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-10-31 2024-11-25
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-10-31 2024-11-25
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-06-03 2024-07-02
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2024-06-03 2024-07-02
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2024-06-03 2024-07-02
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-06-03 2024-07-02
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2023-05-19 2023-06-18
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. J 2023-05-19 2023-06-18
0584 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. E 2023-03-30 2023-04-30
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-03-30 2023-04-30
0675 Honor each resident's preferences, choices, values and beliefs. D 2023-03-30 2023-04-30
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-03-30 2023-04-30
0814 Dispose of garbage and refuse properly. F 2023-03-30 2023-04-30
0880 Provide and implement an infection prevention and control program. E 2023-03-30 2023-04-30
0584 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. D 2021-05-20 2021-06-18
0732 Post nurse staffing information every day. C 2021-05-20 2021-06-18
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2021-05-20 2021-06-18
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2021-05-20 2021-06-18

Penalties (3)

Fines issued
3
last 3 years
Total fines
$81,276
Date Type Fine amount
2023-05-19 Fine $7,796
2023-05-19 Fine $7,797
2024-06-03 Fine $65,683

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 11.5% Medicaid 47.8% Other 40.7%

Operating performance

Total Margin
-6.0%
Occupancy Rate
95.7%
Cost per Resident Day
$66

Revenue & costs

Net Patient Revenue
$10.2M
Total Costs
$1.8M
Net Income
-$2.3M

Balance sheet

Total Assets
$57.8M
Total Liabilities
$101.2M
Fund Balance
-$43.4M
Current Ratio
0.37

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: WESTMINSTER COMMUNITIES OF FLORIDA

Chain ID
563
Facilities in chain
8
Legal business name
PRESBYTERIAN RETIREMENT COMMUNITIES, INC.
Chain-average star ratings (for peer context)
Overall
4.4
Health
3.6
Staffing
4.5
QM
4.9

Owner / manager organizations (1)

Organization Role Association
WESTMINSTER SERVICES INC OPERATIONAL/MANAGERIAL CONTROL since 01/01/1966

Owner / manager individuals (17)

Name Role Association
KURIAKOSE, JOEL OPERATIONAL/MANAGERIAL CONTROL since 05/06/2019
LEHMAN, GARY OPERATIONAL/MANAGERIAL CONTROL since 01/01/2025
BELL, WILLIAM CORPORATE DIRECTOR since 08/19/2009
DEBEVOISE, JOHN CORPORATE DIRECTOR since 01/01/2020
DODDRIDGE, DONALD CORPORATE DIRECTOR since 01/01/2025
DYE, STEPHEN CORPORATE DIRECTOR since 08/19/2009
EARLY, MARY ELLEN CORPORATE DIRECTOR since 01/01/2025
HILLENMEYER, JOHN CORPORATE DIRECTOR since 08/19/2009
HULL, WILLIAM CORPORATE DIRECTOR since 01/01/2024
KUTAC, KRISTIN CORPORATE DIRECTOR since 01/01/2024
MADDUX, CARLEN CORPORATE DIRECTOR since 01/01/2020
MOCK, JEFFREY CORPORATE DIRECTOR since 01/01/2020
RAMSEY, JOHN CORPORATE DIRECTOR since 01/01/2020
SHELLEY, LINDA CORPORATE DIRECTOR since 01/01/2020
FAUBEL, MEGAN CORPORATE OFFICER since 01/01/2025
HENNIS, GARRY CORPORATE OFFICER since 01/01/2025
KEITH, HENRY CORPORATE OFFICER since 01/01/1994

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $66 metrics.cost_per_resident_day
Cost Report Current Ratio 0.37 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 47.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 11.5% metrics.medicare_day_share
Cost Report Net Income ($) $-2,347,970 metrics.net_income
Cost Report Net Patient Revenue ($) $10,180,173 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 95.7% metrics.occupancy_rate
Cost Report Total Assets ($) $57,802,762 metrics.total_assets
Cost Report Total Costs ($) $1,842,152 metrics.total_costs
Cost Report Total Fund Balances ($) $-43,370,136 metrics.fund_balance
Cost Report Total Liabilities ($) $101,172,898 metrics.total_liabilities
Cost Report Total Margin (%) -6.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.48157 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.63191 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.09873 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.21222 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.07693 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 76.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.82022 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.22916 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.64651 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.69589 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.25754 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 4.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.5 Chain Average Staffing Rating
Provider Information Chain ID 563 Chain ID
Provider Information Chain Name WESTMINSTER COMMUNITIES OF FLORIDA Chain Name
Provider Information City/Town WINTER PARK City/Town
Provider Information CMS Certification Number (CCN) 105879 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Orange County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1995-03-03 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 28.5829 Latitude
Provider Information Legal Business Name PRESBYTERIAN RETIREMENT COMMUNITIES, INC. Legal Business Name
Provider Information Location 1111 S LAKEMONT AVE,WINTER PARK,FL,32792 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -81.328 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 80 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 8 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.30929 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.95038 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type Non profit - Church related Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1111 S LAKEMONT AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name WESTMINSTER WINTER PARK Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 470 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 16 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 3 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-10-31 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 16 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 4 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 6 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-03-30 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 246 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 6 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 246 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 12 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.87534 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 36.4 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.51276 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.46099 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.51941 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.12243 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.05177 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.03216 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 5 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 4076474083 Telephone Number
Provider Information Total Amount of Fines in Dollars 81276.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.90266 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 31.6 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 73.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 32792 ZIP Code