Federal inspection record · CMS data as of October 1, 2026

Daytona Beach Health And Rehabilitation Center

1055 3rd Street, Daytona Beach, FL · (386) 252-3686

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
180
Residents per day
138
Ownership
For-Profit
Chain
Nhs Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 1, 1977

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Florida homes

Daytona Beach Health And Rehabilitation Center carries 6 inspection points. That is fewer than 91% of Florida's 691 rated homes.

5★4★3★2★1★+21 homes above 238.505102550100200inspection points → fewer is better on the leftThis home · 6 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–8 pts
  • 4★ 8–25 pts
  • 3★ 25–46 pts
  • 2★ 46–85 pts
  • 1★ over 85 pts

Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

7 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights3E
  1. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    June 17, 2025 · Complaint · F628 · Corrected July 2, 2025

  2. E

    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.

    February 1, 2024 · Standard · F625 · Corrected March 1, 2024

  3. D

    Keep residents' personal and medical records private and confidential.

    February 1, 2024 · Standard · F583 · Corrected February 26, 2024

Quality of Life and Care2D
  1. D

    Provide safe and appropriate respiratory care for a resident when needed.

    February 1, 2024 · Standard · F695 · Corrected February 26, 2024

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 27, 2022 · Standard · F689 · Corrected November 27, 2022

Resident Assessment and Care Planning1D
  1. D

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

    February 1, 2024 · Standard · F842 · Corrected February 26, 2024

Administration1D
  1. D

    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.

    October 27, 2022 · Standard · F849 · Corrected November 27, 2022

Inspection history

  1. 2026-01-15

    0 health deficiencies · 5 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2024-02-01

    5 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

  3. 2022-10-27

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 3 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

4 h 3 min

Florida average

3 h 51 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 31% of nursing staff and 41% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts better1.92.01.8
Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same1.11.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.2 pts worse98.2%98.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts worse99.3%99.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts worse3.8%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms5.4 pts better0.0%5.4%13.5%
Percentage of long-stay residents who lose too much weight2.3 pts better3.2%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.2 pts better9.7%13.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.4 pts better6.3%8.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.9 pts better5.5%8.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts better5.2%8.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.1%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts worse1.7%0.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.5 pts worse16.0%9.5%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts better3.3%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.8 pts worse83.8%95.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4 pts better4.9%8.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better0.9%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4 pts worse92.3%96.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts worse27.7%25.8%23.4%

·

Who owns and runs it

19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Estes, James5% Or Greater Direct Ownership Interest · Individual68%43 facilities
James N Estes Jr Family Dynasty Tr No 25% Or Greater Direct Ownership Interest · Organization10%24 facilities
Jennifer E Agee Family Dynasty Tr No 25% Or Greater Direct Ownership Interest · Organization10%24 facilities
James Norman Estes Jr Tr5% Or Greater Direct Ownership Interest · Organization6%40 facilities
Jennifer Lee Estes Tr 0310935% Or Greater Direct Ownership Interest · Organization6%40 facilities
Estes, JamesCorporate Officer · Individual0%43 facilities
Long, PhillipCorporate Officer · Individual0%44 facilities
Mathes, LorettaW-2 Managing Employee · Individual0%1 facilities
Mathes, LorettaOperational/Managerial Control · Individual0%1 facilities
Mcvea, CheriCorporate Director · Individual0%5 facilities
Mcvea, CheriOperational/Managerial Control · Individual0%5 facilities
Rasco, LynnCorporate Director · Individual0%43 facilities
Rasco, LynnOperational/Managerial Control · Individual0%43 facilities
Regions Bank5% Or Greater Mortgage Interest · Organization0%51 facilities
Regions Bank5% Or Greater Security Interest · Organization0%51 facilities
Schneider, JulieCorporate Director · Individual0%5 facilities
Schneider, JulieOperational/Managerial Control · Individual0%5 facilities
Toney, DarinCorporate Director · Individual0%5 facilities
Toney, DarinOperational/Managerial Control · Individual0%5 facilities

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke2D
  1. D

    Install corridor and hallway doors that block smoke.

    January 15, 2026 · K363 · Corrected February 10, 2026

  2. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 15, 2026 · K372 · Corrected February 10, 2026

Egress2D
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    February 1, 2024 · K211 · Corrected February 6, 2024

  2. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    February 1, 2024 · K222 · Corrected February 26, 2024

Miscellaneous1F
  1. F

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

    January 15, 2026 · K761 · Corrected February 18, 2026

Construction1D
  1. D

    Meet other general requirements.

    January 15, 2026 · K100 · Corrected February 10, 2026

Gas, Vacuum, and Electrical Systems1D
  1. D

    Have generator or other power source capable of supplying service within 10 seconds.

    January 15, 2026 · K918 · Corrected February 18, 2026

·

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