5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
24 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Daytona Beach, FL
1-star overall rating with 1-star inspections with $67,419 in total fines with 5 recent health deficiencies with 24 fire-safety deficiencies in the latest cycle
595 N Williamson Blvd, Daytona Beach, FL
(386) 257-4400
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
173
Certified beds
Average residents
125
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Bedrock Healthcare
Operator or chain grouping
Approved since
1987-07-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 1 overall / 1 health / 2 staffing / 3 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
RN hours / resident day
0.72
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.13
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.68
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.55
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
3.71
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
4,564
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.44
Composite VBP score used to determine payment impact.
Payment multiplier
0.9924
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.47
Baseline 22.29% · Performance 18.62% · Measure score 6.47 · Achievement 6.06 · Improvement 6.47
Healthcare-associated infections
6.45
Baseline 7.93% · Performance 5.91% · Measure score 6.45 · Achievement 6.45 · Improvement 6.40
Total nurse turnover
0
Baseline 64.05% · Performance 67.94% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.85
Baseline 3.96 hours · Performance 3.89 hours · Measure score 2.85 · Achievement 2.85 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.13% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 149 · Observed rate 6.71% · Lower 95% interval 6.68% |
| Discharge to community | 49.61% |
50.57%
1 pts worse
|
No Different than the National Rate · Eligible stays 117 · Observed rate 45.3% · Lower 95% interval 40.41% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 95.94% |
95.27%
0.7 pts better
|
Numerator 189 · Denominator 197 |
| Falls with major injury | 1.02% |
0.77%
0.2 pts worse
|
Numerator 2 · Denominator 197 |
| Discharge self-care score | 33.05% |
53.69%
20.6 pts worse
|
Numerator 39 · Denominator 118 |
| Discharge mobility score | 35.59% |
50.94%
15.3 pts worse
|
Numerator 42 · Denominator 118 |
| Pressure ulcers or injuries, new or worsened | 3.55% |
2.29%
1.3 pts worse
|
Numerator 7 · Denominator 197 · Adjusted rate 4.05% |
| Healthcare-associated infections requiring hospitalization | 5.91% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 66 · Observed rate 3.03% · Lower 95% interval 3.07% |
| Staff COVID-19 vaccination coverage | 1.16% |
8.2%
7 pts worse
|
Numerator 3 · Denominator 258 |
| Staff flu vaccination coverage | 7.41% |
42%
34.6 pts worse
|
Numerator 18 · Denominator 243 |
| Discharge function score | 40.68% |
56.45%
15.8 pts worse
|
Numerator 48 · Denominator 118 |
| Transfer of health information to provider | 98.44% |
95.95%
2.5 pts better
|
Numerator 63 · Denominator 64 |
| Transfer of health information to patient | 91.86% |
96.28%
4.4 pts worse
|
Numerator 79 · Denominator 86 |
| Resident COVID-19 vaccinations up to date | 19.78% |
25.2%
5.4 pts worse
|
Numerator 18 · Denominator 91 |
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 1.2 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.2
0.2 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.0% |
97.8%
2.8 pts worse
|
93.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 93.3% · Q3 94.3% · Q4 100.0% · 4Q avg 95.0% |
| 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 | 1.9% |
2.6%
0.7 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 1.9% · Q4 1.9% · 4Q avg 1.9% · 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 | 5.5% |
5.9%
0.4 pts better
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.5% · Q3 9.0% · Q4 6.1% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.1% |
15.7%
0.4 pts worse
|
19.6%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 20.0% · Q3 11.0% · Q4 14.1% · 4Q avg 16.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.5% |
9.8%
3.3 pts better
|
16.7%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 5.6% · Q3 7.0% · Q4 6.3% · 4Q avg 6.5% · 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 | 26.4% |
11.7%
14.7 pts worse
|
16.3%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 51.2% · Q3 22.2% · Q4 6.2% · 4Q avg 26.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.3% |
9.8%
4.5 pts worse
|
14.9%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 23.8% · Q3 12.2% · Q4 8.9% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.4%
About the same
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
0.8%
0.6 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.0% |
12.5%
17.5 pts worse
|
19.8%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 33.8% · Q3 47.7% · Q4 11.7% · 4Q avg 30.0% |
| 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 3.8% · Q2 2.5% · Q3 4.1% · Q4 3.7% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.3% |
94.3%
6 pts worse
|
81.7%
6.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.3% · Q2 86.6% · Q3 89.6% · Q4 95.3% · 4Q avg 88.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.7% |
9.3%
1.6 pts better
|
12.0%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.7% · Observed 7.6% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.5%
1.3 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.7% |
94.7%
9 pts worse
|
79.7%
6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.0% |
26.2%
2.2 pts better
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 24.2% · Expected 24.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
24 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-13
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-06-12
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-13
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-04-13
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-13
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-04-13
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-04-13
Fire Safety
Establish methods for sharing information.
Corrected 2025-04-13
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2025-04-13
Fire Safety
Provide family notifications of emergency plan.
Corrected 2025-04-13
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-04-13
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-04-13
Fire Safety
Meet the requirements of an integrated health system.
Corrected 2025-04-13
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2025-04-13
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-13
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-11
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-04-13
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-04-13
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-04-13
Fire Safety
Have proper power supply for life support equipment.
Corrected 2025-04-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-08-08
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-13
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-11-03
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-11-03
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-05-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-26
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-05-26
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-26
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-07-05
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-05-26
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-05-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-26
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-05-26
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-26
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-05-26
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-05-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-05-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-08-08
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 2021-08-08
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2021-08-08
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2021-08-08
Penalties and ownership
Fine · fine $6,380
Fine
Fine · fine $6,380
Fine
Fine · fine $9,770
Fine
Fine · fine $44,889
Fine
Payment Denial · denial start 2023-06-22 · 13 days
13 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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Daytona Beach, FL
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