Cycle 1
Health 2025-12-04 · Fire 2025-12-04
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Bunnell, FL
Flagler Health And Rehabilitation Center
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
300 Dr Carter Boulevard, Bunnell, FL
(386) 437-4168
Overall
2 / 5
CMS overall stars
Health inspections
2 / 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
98
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aston Health
Operator or chain grouping
Approved since
1986-05-01
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
0.33
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.85
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.05
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
1.17
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.10
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.26
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
0.33
CMS adjusted RN staffing hours
Adjusted total hours
3.25
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
69%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
79%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,692
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9840
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.79
Baseline 18.74% · Performance 18.29% · Measure score 6.79 · Achievement 6.79 · Improvement 2.14
Healthcare-associated infections
2.22
Baseline 7.15% · Performance 7.17% · Measure score 2.22 · Achievement 2.22 · Improvement 0
Total nurse turnover
0
Baseline 64.08% · Performance 72.66% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.38
Baseline 3.83 hours · Performance 3.47 hours · Measure score 1.38 · Achievement 1.38 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.18% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 304 · Observed rate 12.17% · Lower 95% interval 8.9% |
| Discharge to community | 53.45% |
50.57%
2.9 pts better
|
No Different than the National Rate · Eligible stays 262 · Observed rate 45.04% · Lower 95% interval 47.06% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.51% |
95.27%
4.2 pts better
|
Numerator 202 · Denominator 203 |
| Falls with major injury | 0.49% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 203 |
| Discharge self-care score | 39.84% |
53.69%
13.8 pts worse
|
Numerator 51 · Denominator 128 |
| Discharge mobility score | 37.5% |
50.94%
13.4 pts worse
|
Numerator 48 · Denominator 128 |
| Pressure ulcers or injuries, new or worsened | 1.48% |
2.29%
0.8 pts better
|
Numerator 3 · Denominator 203 · Adjusted rate 1.44% |
| Healthcare-associated infections requiring hospitalization | 7.17% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 151 · Observed rate 7.95% · Lower 95% interval 4.26% |
| Staff COVID-19 vaccination coverage | 23.85% |
8.2%
15.7 pts better
|
Numerator 31 · Denominator 130 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 44.53% |
56.45%
11.9 pts worse
|
Numerator 57 · Denominator 128 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 47 · Denominator 47 |
| Transfer of health information to patient | 99.1% |
96.28%
2.8 pts better
|
Numerator 110 · Denominator 111 |
| Resident COVID-19 vaccinations up to date | 2.91% |
25.2%
22.3 pts worse
|
Numerator 3 · Denominator 103 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.2
0.5 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
97.8%
1.2 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 95.7% · 4Q avg 99.0% |
| 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 | 0.3% |
2.6%
2.3 pts better
|
3.3%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
3.7%
3.7 pts better
|
11.4%
11.4 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 who lose too much weight | 12.8% |
5.9%
6.9 pts worse
|
5.4%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 11.5% · Q3 8.2% · Q4 17.9% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.2% |
15.7%
5.5 pts better
|
19.6%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 7.7% · Q3 9.5% · Q4 15.5% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.5% |
9.8%
7.3 pts better
|
16.7%
14.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 4.4% · Q3 2.1% · Q4 0.0% · 4Q avg 2.5% · 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 | 19.1% |
11.7%
7.4 pts worse
|
16.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 17.2% · Q3 25.4% · Q4 19.6% · 4Q avg 19.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.6% |
9.8%
4.8 pts worse
|
14.9%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 18.6% · Q3 19.7% · Q4 7.1% · 4Q avg 14.6% · 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 | 27.9% |
12.5%
15.4 pts worse
|
19.8%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 32.3% · Q3 33.2% · Q4 25.4% · 4Q avg 27.9% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
5.1%
0.8 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 3.6% · Q3 2.9% · Q4 3.9% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.9% |
94.3%
5.4 pts worse
|
81.7%
7.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.9% · Q2 92.3% · Q3 89.1% · Q4 81.2% · 4Q avg 88.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.5% |
9.3%
1.2 pts worse
|
12.0%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 11.7% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.7% · Q4 0.8% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.4% |
94.7%
2.3 pts worse
|
79.7%
12.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
26.2%
5.2 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 24.2% · Expected 27.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-21 · Fire 2023-12-21
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2022-02-03 · Fire 2022-02-03
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-12-04
E42 · Emergency Preparedness Deficiencies
Fire Safety
Meet the requirements of an integrated health system.
Corrected 2026-01-02
D · Potential for more than minimal harm
2025-12-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-01-02
D · Potential for more than minimal harm
2025-12-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-02
F · Potential for more than minimal harm
2023-12-21
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-12-22
F · Potential for more than minimal harm
2023-12-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-31
F · Potential for more than minimal harm
2023-12-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-31
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-04
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2026-01-02
F · Potential for more than minimal harm
2025-12-04
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 2026-01-02
E · Potential for more than minimal harm
2025-12-04
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-02
D · Potential for more than minimal harm
2025-12-04
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 2026-01-02
D · Potential for more than minimal harm
2025-12-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-02
D · Potential for more than minimal harm
2025-12-04
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-02
D · Potential for more than minimal harm
2025-12-04
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-01-02
D · Potential for more than minimal harm
2025-12-04
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2026-01-02
D · Potential for more than minimal harm
2025-12-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-02
F · Potential for more than minimal harm
2023-12-21
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 2024-01-15
F · Potential for more than minimal harm
2023-12-21
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2023-12-22
D · Potential for more than minimal harm
2023-12-21
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 2023-12-22
D · Potential for more than minimal harm
2023-12-21
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-12-22
D · Potential for more than minimal harm
2022-02-03
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2022-03-25
D · Potential for more than minimal harm
2022-02-03
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 2022-03-25
Penalties and ownership
What sits behind the stars
Ownership
Flagler Pines Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Blue Spring Healthcare Partners LLC
5% Or Greater Indirect Ownership Interest · Organization
Canidate, Delana
Operational/Managerial Control · Individual
Gutman, Samuel
5% Or Greater Indirect Ownership Interest · Individual
Jardine, Tammy
Operational/Managerial Control · Individual
Martinez Irizarry, Axel
Operational/Managerial Control · Individual
Wildes, Donna
Operational/Managerial Control · Individual
Wildes, Donna
Corporate Officer · Individual
Wothers, Eileen
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Aviata At Grand Oaks
Palm Coast, FL
2-star overall rating with 2-star inspections with $15,646 in total fines with 2 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
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
#3
The Pavilion At Crescent Lake
Crescent City, FL
5-star overall rating with 4-star inspections with $13,150 in total fines with 3 recent health deficiencies
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