2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
New Smyrna Beach, FL
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2810 South Atlantic Avenue, New Smyrna Beach, FL
(386) 428-6424
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
239
Certified beds
Average residents
153
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1980-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.57
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.28
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.74
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.40
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
3.75
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
13,025
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.93
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.57
Baseline 21.34% · Performance 19.78% · Measure score 3.57 · Achievement 3.57 · Improvement 3.12
Healthcare-associated infections
0
Baseline 6.54% · Performance 7.83% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 44.74% · Performance 78.48% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 4.21 hours · Performance 3.20 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.03% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 333 · Observed rate 6.91% · Lower 95% interval 6.61% |
| Discharge to community | 65.85% |
50.57%
15.3 pts better
|
Better than the National Rate · Eligible stays 323 · Observed rate 64.09% · Lower 95% interval 61% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.76% |
95.27%
4.5 pts better
|
Numerator 409 · Denominator 410 |
| Falls with major injury | 0.73% |
0.77%
About the same
|
Numerator 3 · Denominator 409 |
| Discharge self-care score | 54.48% |
53.69%
0.8 pts better
|
Numerator 158 · Denominator 290 |
| Discharge mobility score | 53.45% |
50.94%
2.5 pts better
|
Numerator 155 · Denominator 290 |
| Pressure ulcers or injuries, new or worsened | 0.24% |
2.29%
2 pts better
|
Numerator 1 · Denominator 409 · Adjusted rate 0.25% |
| Healthcare-associated infections requiring hospitalization | 7.83% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 179 · Observed rate 7.26% · Lower 95% interval 5.06% |
| Staff COVID-19 vaccination coverage | 3.98% |
8.2%
4.2 pts worse
|
Numerator 9 · Denominator 226 |
| Staff flu vaccination coverage | 11.16% |
42%
30.8 pts worse
|
Numerator 24 · Denominator 215 |
| Discharge function score | 54.83% |
56.45%
1.6 pts worse
|
Numerator 159 · Denominator 290 |
| Transfer of health information to provider | 98.92% |
95.95%
3 pts better
|
Numerator 92 · Denominator 93 |
| Transfer of health information to patient | 97.93% |
96.28%
1.7 pts better
|
Numerator 236 · Denominator 241 |
| Resident COVID-19 vaccinations up to date | 15.67% |
25.2%
9.5 pts worse
|
Numerator 34 · Denominator 217 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.6 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.2
0.3 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 1.4% |
2.6%
1.2 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.8% · Q3 1.9% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
3.7%
2 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.9% · Q3 1.9% · Q4 1.9% · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 8.0% |
5.9%
2.1 pts worse
|
5.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 8.8% · Q3 8.0% · Q4 9.1% · 4Q avg 8.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.6% |
15.7%
16.9 pts worse
|
19.6%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 30.2% · Q3 34.4% · Q4 35.6% · 4Q avg 32.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.4% |
9.8%
2.6 pts worse
|
16.7%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 14.1% · Q3 10.8% · Q4 10.3% · 4Q avg 12.4% · 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 | 4.0% |
11.7%
7.7 pts better
|
16.3%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 0.0% · Q3 1.8% · Q4 1.7% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.0% |
9.8%
2.8 pts better
|
14.9%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 5.5% · Q3 6.8% · Q4 1.1% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 pts better
|
Long 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 long-stay residents with new or worsened bowel or bladder incontinence | 5.0% |
12.5%
7.5 pts better
|
19.8%
14.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 2.9% · Q3 2.8% · Q4 0.9% · 4Q avg 5.0% |
| 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 3.4% · Q2 3.5% · Q3 3.1% · Q4 4.1% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
94.3%
5.1 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 99.2% · Q3 99.2% · Q4 99.7% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.5% |
9.3%
0.2 pts worse
|
12.0%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.5% · Observed 8.4% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.2% · Q3 1.2% · Q4 0.5% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.7% |
94.7%
4 pts better
|
79.7%
19 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.6% |
26.2%
1.6 pts better
|
23.9%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 22.7% · Expected 22.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-04-28
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-04-28
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-04-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-04-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-04-28
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2020-04-28
Inspection history
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-04-28
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-04-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-28
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-04-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-05-10
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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