South Daytona, FL

Aviata At South Daytona

2-star overall rating with 3-star inspections with $25,723 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

650 Reed Canal Rd, South Daytona, FL

(386) 767-4831

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

65

Certified beds

Average residents

53

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aviata Health Group

Operator or chain grouping

Approved since

1989-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

52 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.48

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.75

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.22

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.23

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

2.89

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.21

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.51

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

11,415

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.82

Composite VBP score used to determine payment impact.

Payment multiplier

0.9817

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 65.43% · Performance 67.92% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

3.36

Baseline 4.41 hours · Performance 4.03 hours · Measure score 3.36 · Achievement 3.36 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.82
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 61 · Denominator 61
Falls with major injury 1.64%
0.77%
0.9 pts worse
Numerator 1 · Denominator 61
Discharge self-care score 40.54%
53.69%
13.1 pts worse
Numerator 15 · Denominator 37
Discharge mobility score 24.32%
50.94%
26.6 pts worse
Numerator 9 · Denominator 37
Pressure ulcers or injuries, new or worsened 6.56%
2.29%
4.3 pts worse
Numerator 4 · Denominator 61 · Adjusted rate 5.09%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 53
Staff flu vaccination coverage 11.27%
42%
30.7 pts worse
Numerator 8 · Denominator 71
Discharge function score 54.05%
56.45%
2.4 pts worse
Numerator 20 · Denominator 37
Transfer of health information to provider 92.31%
95.95%
3.6 pts worse
Numerator 24 · Denominator 26
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.9%
97.8%
1.1 pts better
93.4%
5.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.7% · Q3 100.0% · Q4 97.7% · 4Q avg 98.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
99.2%
0.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 6.1%
2.6%
3.5 pts worse
3.3%
2.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.5% · Q3 8.9% · Q4 6.8% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.6%
3.7%
3.1 pts better
11.4%
10.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 0.6%
Percentage of long-stay residents who lose too much weight 9.5%
5.9%
3.6 pts worse
5.4%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 7.9% · Q3 8.6% · Q4 11.4% · 4Q avg 9.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.5%
15.7%
9.2 pts better
19.6%
13.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 2.6% · Q3 2.7% · Q4 5.7% · 4Q avg 6.5%
Percentage of long-stay residents who received an antipsychotic medication 14.7%
9.8%
4.9 pts worse
16.7%
2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 15.0% · Q3 17.9% · Q4 16.7% · 4Q avg 14.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 10.4%
11.7%
1.3 pts better
16.3%
5.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 9.2% · 4Q avg 10.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 14.5%
9.8%
4.7 pts worse
14.9%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 5.6% · Q3 15.2% · Q4 13.3% · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.2%
0.4%
0.8 pts worse
1.0%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 1.7% · Q4 1.4% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.6%
0.8%
0.2 pts better
1.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.4%
12.5%
1.9 pts worse
19.8%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 11.4% · Q3 16.1% · Q4 13.4% · 4Q avg 14.4%
Percentage of long-stay residents with pressure ulcers 3.5%
5.1%
1.6 pts better
5.1%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.3% · Q3 5.4% · Q4 2.4% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.3%
94.3%
3 pts worse
81.7%
9.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 91.7% · Q3 88.1% · Q4 93.2% · 4Q avg 91.3%
Percentage of short-stay residents who had an outpatient emergency department visit 13.2%
9.3%
3.9 pts worse
12.0%
1.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 15.8% · Expected 13.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82.4%
94.7%
12.3 pts worse
79.7%
2.7 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.9%
26.2%
1.7 pts worse
23.9%
4 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.9% · Observed 28.9% · Expected 24.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-14 · Fire 2025-08-14

6 health deficiencies

Top issue: Environmental (2 deficiencies)

1 fire-safety deficiencies

Top issue: Electrical (1 deficiency)

Cycle 2 Health 2023-08-29 · Fire 2023-08-29

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2021-11-10 · Fire 2021-11-10

9 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-07-16

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2025-08-16

D · Potential for more than minimal harm 2023-08-29

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-29

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-29

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-08-29

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-29

K771 · Miscellaneous Deficiencies

Fire Safety

Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-29

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-08-29

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-09-29

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-14

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-10-24

E · Potential for more than minimal harm 2025-08-14

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-10-24

D · Potential for more than minimal harm 2025-08-14

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-10-24

D · Potential for more than minimal harm 2025-08-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-24

D · Potential for more than minimal harm 2025-08-14

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-10-24

F · Potential for more than minimal harm 2025-07-15

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-08-16

E · Potential for more than minimal harm 2023-08-29

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-09-29

E · Potential for more than minimal harm 2023-08-29

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-29

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-29

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-29

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-09-29

F · Potential for more than minimal harm 2021-11-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-12-28

E · Potential for more than minimal harm 2021-11-10

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2021-12-28

D · Potential for more than minimal harm 2021-11-10

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-12-28

D · Potential for more than minimal harm 2021-11-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2021-12-28

D · Potential for more than minimal harm 2021-11-10

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2021-12-28

D · Potential for more than minimal harm 2021-11-10

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2021-12-28

D · Potential for more than minimal harm 2021-11-10

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2021-12-28

D · Potential for more than minimal harm 2021-11-10

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2021-12-28

D · Potential for more than minimal harm 2021-11-10

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2021-12-28

Penalties and ownership

What sits behind the stars

$3,529 2023-10-30

Fine

Fine · fine $3,529

Fine

$3,176 2023-10-23

Fine

Fine · fine $3,176

Fine

$2,823 2023-10-17

Fine

Fine · fine $2,823

Fine

$2,447 2023-10-10

Fine

Fine · fine $2,447

Fine

$2,098 2023-10-02

Fine

Fine · fine $2,098

Fine

$4,194 2023-09-11

Fine

Fine · fine $4,194

Fine

$3,728 2023-08-29

Fine

Fine · fine $3,728

Fine

$3,728 2023-08-29

Fine

Fine · fine $3,728

Fine

Ownership

Freund, Nochum

Operational/Managerial Control · Individual

0% 109 facilities 2023-09-01
Freund, Nochum

Corporate Officer · Individual

0% 109 facilities 2023-09-01
Heise, David

Operational/Managerial Control · Individual

0% 4 facilities 2024-09-25
Knight, Michelle

Operational/Managerial Control · Individual

0% 1 facilities 2024-11-20

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Daytona Beach, FL

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$0
#3

Beach Street Health And Rehabilitation Center

Daytona Beach, FL

4-star overall rating with 3-star inspections with 8 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$0

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