Daytona Beach, FL

Indigo Manor

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

Compare this facility

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

Facility snapshot

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

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing

LPN hours / resident day

0.83

Licensed practical nurse staffing

Aide hours / resident day

2.13

Nurse aide staffing

Weekend hours

3.36

Weekend nurse staffing

RN turnover

62%

Annual RN turnover

Total nurse turnover

63%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-13 · Fire 2025-03-13

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

24 fire-safety deficiencies

Top issue: Emergency Preparedness (9 deficiencies)

Cycle 2 Health 2023-04-13 · Fire 2023-04-13

14 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-07-09 · Fire 2021-07-09

6 health 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 citations

E · Potential for more than minimal harm 2025-03-13

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-13

E · Potential for more than minimal harm 2025-03-13

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-06-12

E · Potential for more than minimal harm 2025-03-13

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-04-13

E · Potential for more than minimal harm 2025-03-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-13

E · Potential for more than minimal harm 2025-03-13

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-04-13

E · Potential for more than minimal harm 2025-03-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

E33 · Emergency Preparedness Deficiencies

Fire Safety

Establish methods for sharing information.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

E42 · Emergency Preparedness Deficiencies

Fire Safety

Meet the requirements of an integrated health system.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-03-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-03-13

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

K741 · Miscellaneous Deficiencies

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

D · Potential for more than minimal harm 2025-03-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

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

D · Potential for more than minimal harm 2025-03-13

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-13

D · Potential for more than minimal harm 2023-04-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-28

D · Potential for more than minimal harm 2023-04-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-13

D · Potential for more than minimal harm 2021-07-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-08-08

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-13

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 2025-04-13

D · Potential for more than minimal harm 2025-03-13

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 2025-04-13

D · Potential for more than minimal harm 2025-03-13

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-03-13

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-13

F · Potential for more than minimal harm 2023-10-03

F921 · Environmental Deficiencies

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

E · Potential for more than minimal harm 2023-10-03

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2023-11-03

J · Immediate jeopardy 2023-04-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F · Potential for more than minimal harm 2023-04-13

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 2023-05-26

E · Potential for more than minimal harm 2023-04-13

F761 · Pharmacy Service Deficiencies

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

E · Potential for more than minimal harm 2023-04-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-07-05

D · Potential for more than minimal harm 2023-04-13

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-05-28

D · Potential for more than minimal harm 2023-04-13

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

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 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-05-28

D · Potential for more than minimal harm 2023-04-13

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 2023-05-26

F · Potential for more than minimal harm 2021-07-09

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 2021-08-08

D · Potential for more than minimal harm 2021-07-09

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 2021-08-08

D · Potential for more than minimal harm 2021-07-09

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2021-08-08

D · Potential for more than minimal harm 2021-07-09

F761 · Pharmacy Service Deficiencies

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

What sits behind the stars

$6,380 2025-03-13

Fine

Fine · fine $6,380

Fine

$6,380 2025-03-13

Fine

Fine · fine $6,380

Fine

$9,770 2025-03-13

Fine

Fine · fine $9,770

Fine

$44,889 2023-04-13

Fine

Fine · fine $44,889

Fine

$0 2023-04-13

Payment Denial

Payment Denial · denial start 2023-06-22 · 13 days

13 day denial

Ownership

Bedrock At Daytona Holding, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2021-07-13
Chopp, Martin

5% Or Greater Indirect Ownership Interest · Individual

0% 8 facilities 2021-10-16
Chopp, Martin

Operational/Managerial Control · Individual

0% 8 facilities 2021-10-16
Chopp, Pnina

5% Or Greater Indirect Ownership Interest · Individual

0% 8 facilities 2021-10-16
Chopp, Pnina

Operational/Managerial Control · Individual

0% 8 facilities 2021-10-16
Chopp, Solomon

5% Or Greater Indirect Ownership Interest · Individual

0% 8 facilities 2021-10-16
Chopp, Solomon

Operational/Managerial Control · Individual

0% 8 facilities 2021-10-16
Chopp, Solomon

Corporate Officer · Individual

0% 8 facilities 2021-10-15
Eddin, Husam

Operational/Managerial Control · Individual

0% 6 facilities 2021-10-16
Mc Capital 2 LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2021-07-13
Mc Captial Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2021-07-13
Nichols, Kenneth

Operational/Managerial Control · Individual

0% 4 facilities 2023-09-01
Opal Healthcare Fl LLC

Operational/Managerial Control · Organization

0% 1 facilities 2021-10-16
Sc Capital 2 LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2021-07-13
Sc Capital Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2021-07-13
Tc Capital 2

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2021-07-13
Tc Capital Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2021-07-13

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#3

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