Cycle 1
Health 2024-05-09 · Fire 2024-05-09
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Ormond Beach, FL
Coquina Center
5-star overall rating with 5-star inspections
170 N Center Street, Ormond Beach, FL
(386) 672-7113
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
111
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aston Health
Operator or chain grouping
Approved since
1987-11-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
30 facilities
Chain averages 3 overall / 3 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
0.30
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.19
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.17
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.00
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.31
CMS adjusted RN staffing hours
Adjusted total hours
3.31
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
74%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
72%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,512
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.62
Composite VBP score used to determine payment impact.
Payment multiplier
0.9872
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.24
Baseline 22.18% · Performance 17.15% · Measure score 9.24 · Achievement 9.24 · Improvement 9
Healthcare-associated infections
2.29
Baseline 6.89% · Performance 7.15% · Measure score 2.29 · Achievement 2.29 · Improvement 0
Total nurse turnover
0
Baseline 75.27% · Performance 75.23% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.52
Baseline 3.40 hours · Performance 3.51 hours · Measure score 1.52 · Achievement 1.52 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.94% |
10.72%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 267 · Observed rate 14.98% · Lower 95% interval 9.88% |
| Discharge to community | 58.4% |
50.57%
7.8 pts better
|
Better than the National Rate · Eligible stays 220 · Observed rate 51.36% · Lower 95% interval 53.1% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.35% |
95.27%
4.1 pts better
|
Numerator 153 · Denominator 154 |
| Falls with major injury | 0.65% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 154 |
| Discharge self-care score | 53.21% |
53.69%
0.5 pts worse
|
Numerator 58 · Denominator 109 |
| Discharge mobility score | 31.19% |
50.94%
19.7 pts worse
|
Numerator 34 · Denominator 109 |
| Pressure ulcers or injuries, new or worsened | 1.95% |
2.29%
0.3 pts better
|
Numerator 3 · Denominator 154 · Adjusted rate 2.24% |
| Healthcare-associated infections requiring hospitalization | 7.15% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 108 · Observed rate 7.41% · Lower 95% interval 4.77% |
| Staff COVID-19 vaccination coverage | 46.28% |
8.2%
38.1 pts better
|
Numerator 56 · Denominator 121 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 55.96% |
56.45%
0.5 pts worse
|
Numerator 61 · Denominator 109 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 51 · Denominator 51 |
| Transfer of health information to patient | 98.65% |
96.28%
2.4 pts better
|
Numerator 73 · Denominator 74 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 86 |
Quality measures
Resident outcomes and process scores
| 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 | 1.5 |
1.2
0.3 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.8% |
97.8%
15 pts worse
|
93.4%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 75.3% · Q2 74.3% · Q3 82.8% · Q4 98.7% · 4Q avg 82.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
99.2%
0.4 pts worse
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
2.6%
0.8 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.1% · Q3 3.4% · Q4 2.6% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.8% |
3.7%
0.9 pts better
|
11.4%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.0% · Q3 1.3% · Q4 4.4% · 4Q avg 2.8% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
5.9%
0.2 pts worse
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 3.0% · Q3 7.2% · Q4 2.9% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.8% |
15.7%
0.9 pts better
|
19.6%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 12.9% · Q3 13.3% · Q4 13.9% · 4Q avg 14.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.1% |
9.8%
1.7 pts better
|
16.7%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 6.5% · Q3 7.5% · Q4 8.9% · 4Q avg 8.1% · 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 | 10.6% |
11.7%
1.1 pts better
|
16.3%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 12.8% · Q3 9.5% · Q4 8.0% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.4% |
9.8%
1.6 pts worse
|
14.9%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 12.3% · Q3 15.6% · Q4 8.7% · 4Q avg 11.4% · 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 | 21.4% |
12.5%
8.9 pts worse
|
19.8%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 33.3% · Q3 15.4% · Q4 23.2% · 4Q avg 21.4% |
| Percentage of long-stay residents with pressure ulcers | 10.6% |
5.1%
5.5 pts worse
|
5.1%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 9.9% · Q3 13.0% · Q4 11.3% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 74.8% |
94.3%
19.5 pts worse
|
81.7%
6.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 75.1% · Q2 77.4% · Q3 68.9% · Q4 77.6% · 4Q avg 74.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.2% |
9.3%
0.9 pts worse
|
12.0%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 10.7% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.0% |
94.7%
27.7 pts worse
|
79.7%
12.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 67.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.2% |
26.2%
5 pts better
|
23.9%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 20.7% · Expected 23.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-19 · Fire 2022-05-19
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2020-10-22 · Fire 2020-10-22
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2020-10-22
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-11-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-06-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-07
D · Potential for more than minimal harm
2022-05-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-06-17
D · Potential for more than minimal harm
2022-05-19
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-06-17
D · Potential for more than minimal harm
2022-05-19
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 2022-06-17
D · Potential for more than minimal harm
2020-10-22
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2020-11-20
D · Potential for more than minimal harm
2020-10-22
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2020-11-20
Penalties and ownership
What sits behind the stars
Ownership
Friedman, Leopold
5% Or Greater Indirect Ownership Interest · Individual
Gabriel Living Center, LLC
5% Or Greater Direct Ownership Interest · Organization
Gutman, Samuel
5% Or Greater Indirect Ownership Interest · Individual
Kruse, Trisha
Operational/Managerial Control · Individual
Lorjuste, Thamara
Operational/Managerial Control · Individual
Nichols, Gina
Operational/Managerial Control · Individual
Thacker, Tricia
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Bridgeview Center
Ormond Beach, FL
3-star overall rating with 4-star inspections with 2 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Ormond Rehabilitation And Nursing Center
Ormond Beach, FL
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
Avante At Ormond Beach, Inc
Ormond Beach, FL
4-star overall rating with 3-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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