Inspection Reports for Westchester of Winter Park

558 NORTH SEMORAN BLVD, WINTER PARK, FL, 32792

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Inspection Report Summary

The most recent inspection on September 23, 2025, found no deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to resident care, medication management, staffing standards, training, and records. Complaint investigations were not listed in the available reports, and no fines or enforcement actions appeared. Prior reports noted issues such as medication labeling, resident care supervision, and facility procedures. The facility’s record shows improvement in recent inspections, with the latest two inspections free of deficiencies after a period of recurring citations.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 10 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

117% worse than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Sep 23, 2025

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State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.

Findings
The facility has undergone numerous inspections including standard and complaint investigations with a mix of deficiencies cited, corrected, and some inspections with no deficiencies found over the years.

Report Facts
Inspections on page: 77

Inspection Report

Complaint
Deficiencies: 1 Date: Sep 23, 2025

Visit Reason
No deficiencies noted during this inspection.

Findings
No deficiencies noted during this inspection.

Deficiencies (1)
Tag None — None

Inspection Report

Complaint
Deficiencies: 7 Date: Jul 8, 2025

Visit Reason
Multiple Class 3 and Unclassified deficiencies related to admissions, resident care, medication records, physical plant, staff and resident records, and reporting requirements.

Findings
Multiple Class 3 and Unclassified deficiencies related to admissions, resident care, medication records, physical plant, staff and resident records, and reporting requirements.

Deficiencies (7)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0054 — MEDICATION - RECORDS
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag A0161 — RECORDS - STAFF
Tag A0162 — RECORDS - RESIDENT
Tag ZZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION

Inspection Report

Complaint
Deficiencies: 4 Date: May 9, 2025

Visit Reason
Class 3 and Unclassified deficiencies related to resident care supervision, training, and reporting requirements.

Findings
Class 3 and Unclassified deficiencies related to resident care supervision, training, and reporting requirements.

Deficiencies (4)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0083 — TRAINING - FIRST AID AND CPR
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION

Inspection Report

Complaint
Deficiencies: 1 Date: Dec 19, 2024

Visit Reason
Class 3 deficiency related to medication labeling and orders.

Findings
Class 3 deficiency related to medication labeling and orders.

Deficiencies (1)
Tag A0056 — MEDICATION - LABELING AND ORDERS

Inspection Report

Complaint
Deficiencies: 2 Date: Nov 4, 2024

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Class 3 and Unclassified deficiencies related to medication assistance, background screening, and records.

Findings
Class 3 and Unclassified deficiencies related to medication assistance, background screening, and records.

Deficiencies (2)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE

Inspection Report

Complaint
Deficiencies: 1 Date: Oct 23, 2024

Visit Reason
No deficiencies noted during this inspection.

Findings
No deficiencies noted during this inspection.

Deficiencies (1)
Tag None — None

Inspection Report

Complaint
Deficiencies: 1 Date: Jul 18, 2024

Visit Reason
No deficiencies noted during this inspection.

Findings
No deficiencies noted during this inspection.

Deficiencies (1)
Tag None — None

Inspection Report

Complaint
Deficiencies: 1 Date: May 21, 2024

Visit Reason
Class 3 deficiency related to resident care rights and facility procedures.

Findings
Class 3 deficiency related to resident care rights and facility procedures.

Deficiencies (1)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES

Inspection Report

Monitor
Deficiencies: 7 Date: Mar 7, 2024

Visit Reason
Multiple Class 3 deficiencies related to resident care supervision, medication records, labeling, training, and records.

Findings
Multiple Class 3 deficiencies related to resident care supervision, medication records, labeling, training, and records.

Deficiencies (7)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0160 — RECORDS - FACILITY
Tag A0161 — RECORDS - STAFF
Tag AN277 — LNS - RESIDENT CARE STANDARDS

Inspection Report

Complaint
Deficiencies: 5 Date: Jul 18, 2023

Visit Reason
Multiple Class 3 deficiencies related to admissions, resident care, physical restraints, and records.

Findings
Multiple Class 3 deficiencies related to admissions, resident care, physical restraints, and records.

Deficiencies (5)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0033 — PHYSICAL RESTRAINTS

Inspection Report

Standard
Deficiencies: 9 Date: Jan 30, 2023

Visit Reason
Multiple Class 3 deficiencies related to resident care, medication storage, staffing, training, and records.

Findings
Multiple Class 3 deficiencies related to resident care, medication storage, staffing, training, and records.

Deficiencies (9)
Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0161 — RECORDS - STAFF
Tag CZ830 — EMERGENCY MANAGEMENT PLANNING

Inspection Report

Complaint
Deficiencies: 1 Date: Jul 19, 2022

Visit Reason
Class 3 deficiency related to medication labeling and orders.

Findings
Class 3 deficiency related to medication labeling and orders.

Deficiencies (1)
Tag A0056 — MEDICATION - LABELING AND ORDERS

Inspection Report

Complaint
Deficiencies: 3 Date: May 17, 2022

Visit Reason
Class 3 deficiencies related to resident care rights, staffing standards, and risk management.

Findings
Class 3 deficiencies related to resident care rights, staffing standards, and risk management.

Deficiencies (3)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0165 — RISK MGMT & QA

Inspection Report

Complaint
Deficiencies: 1 Date: Feb 2, 2022

Visit Reason
Class 3 deficiency related to staffing standards levels.

Findings
Class 3 deficiency related to staffing standards levels.

Deficiencies (1)
Tag A0079 — STAFFING STANDARDS - LEVELS

Inspection Report

Complaint
Deficiencies: 1 Date: Dec 7, 2021

Visit Reason
Class 3 deficiency related to staffing standards levels.

Findings
Class 3 deficiency related to staffing standards levels.

Deficiencies (1)
Tag A0079 — STAFFING STANDARDS - LEVELS

Inspection Report

Complaint
Deficiencies: 1 Date: Oct 7, 2021

Visit Reason
Class 3 deficiency related to emergency plan approval.

Findings
Class 3 deficiency related to emergency plan approval.

Deficiencies (1)
Tag A0181 — EMERGENCY PLAN APPROVAL

Inspection Report

Standard
Deficiencies: 4 Date: Apr 6, 2021

Visit Reason
Multiple Class 3 deficiencies related to staffing standards, training, and HIV/AIDS education.

Findings
Multiple Class 3 deficiencies related to staffing standards, training, and HIV/AIDS education.

Deficiencies (4)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS

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