Cycle 1
Health 2025-08-27 · Fire 2025-08-27
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Ormond Beach, FL
Ormond Rehabilitation And Nursing Center
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
103 Clyde Morris Blvd, Ormond Beach, FL
(386) 673-0450
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Benjamin Landa
Operator or chain grouping
Approved since
1984-02-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
54 facilities
Chain averages 3 overall / 3 health / 3 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
Hours and turnover
RN hours / resident day
0.89
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.32
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.95
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.64
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.58
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.74
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.96
CMS adjusted RN staffing hours
Adjusted total hours
4.26
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,111
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.71
Composite VBP score used to determine payment impact.
Payment multiplier
0.9836
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.08
Baseline 20.45% · Performance 19.54% · Measure score 4.08 · Achievement 4.08 · Improvement 2.16
Healthcare-associated infections
2.79
Baseline 5.34% · Performance 7.00% · Measure score 2.79 · Achievement 2.79 · Improvement 0
Total nurse turnover
1.40
Baseline 64.71% · Performance 57.97% · Measure score 1.40 · Achievement 1.40 · Improvement 1.19
Adjusted total nurse staffing
1.62
Baseline 4.36 hours · Performance 3.54 hours · Measure score 1.62 · Achievement 1.62 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.34% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 260 · Observed rate 8.85% · Lower 95% interval 7.16% |
| Discharge to community | 61.04% |
50.57%
10.5 pts better
|
Better than the National Rate · Eligible stays 249 · Observed rate 52.21% · Lower 95% interval 55.19% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.73% |
95.27%
3.5 pts better
|
Numerator 156 · Denominator 158 |
| Falls with major injury | 1.27% |
0.77%
0.5 pts worse
|
Numerator 2 · Denominator 158 |
| Discharge self-care score | 70.37% |
53.69%
16.7 pts better
|
Numerator 57 · Denominator 81 |
| Discharge mobility score | 58.02% |
50.94%
7.1 pts better
|
Numerator 47 · Denominator 81 |
| Pressure ulcers or injuries, new or worsened | 5.77% |
2.29%
3.5 pts worse
|
Numerator 9 · Denominator 156 · Adjusted rate 5.82% |
| Healthcare-associated infections requiring hospitalization | 7% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 144 · Observed rate 7.64% · Lower 95% interval 5% |
| Staff COVID-19 vaccination coverage | 4.6% |
8.2%
3.6 pts worse
|
Numerator 4 · Denominator 87 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 50 |
| Discharge function score | 79.01% |
56.45%
22.6 pts better
|
Numerator 64 · Denominator 81 |
| Transfer of health information to provider | 97.96% |
95.95%
2 pts better
|
Numerator 48 · Denominator 49 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 90 · Denominator 90 |
| Resident COVID-19 vaccinations up to date | 8.22% |
25.2%
17 pts worse
|
Numerator 6 · Denominator 73 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
97.8%
2 pts worse
|
93.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 96.6% · Q3 96.8% · Q4 96.7% · 4Q avg 95.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.8% |
99.2%
5.4 pts worse
|
95.5%
1.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
2.6%
0.1 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 3.2% · Q4 3.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 14.6% |
3.7%
10.9 pts worse
|
11.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 12.5% · Q3 14.3% · Q4 13.8% · 4Q avg 14.6% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
5.9%
1 pts better
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.0% · Q3 3.6% · Q4 7.4% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.6% |
15.7%
8.1 pts better
|
19.6%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 4.0% · Q3 10.7% · Q4 3.6% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.0% |
9.8%
1.8 pts better
|
16.7%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 8.7% · Q3 12.0% · Q4 8.7% · 4Q avg 8.0% · 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 | 15.6% |
11.7%
3.9 pts worse
|
16.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.6% |
9.8%
5.8 pts worse
|
14.9%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 9.1% · Q3 15.4% · Q4 7.4% · 4Q avg 15.6% · 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 | 6.0% |
0.8%
5.2 pts worse
|
1.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 6.9% · Q3 3.2% · Q4 3.4% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.7% |
12.5%
11.2 pts worse
|
19.8%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 32.0% · Q3 12.9% · Q4 26.3% · 4Q avg 23.7% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
5.1%
1 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 0.0% · Q3 2.7% · Q4 8.4% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.4% |
94.3%
9.9 pts worse
|
81.7%
2.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.7% · Q2 83.8% · Q3 82.4% · Q4 84.4% · 4Q avg 84.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.4% |
9.3%
3.1 pts worse
|
12.0%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 12.6% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.5%
0.6 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.6% · Q3 0.0% · Q4 0.8% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.5% |
94.7%
14.2 pts worse
|
79.7%
0.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.5% |
26.2%
3.3 pts worse
|
23.9%
5.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.5% · Observed 28.4% · Expected 23.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-23 · Fire 2024-05-23
15 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-05-26 · Fire 2022-05-26
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-08-27
K917 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure electrical receptacles or cover plates have distinctive color or marking.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
K900 · Miscellaneous Deficiencies
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2025-10-01
D · Potential for more than minimal harm
2024-05-23
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-23
D · Potential for more than minimal harm
2024-05-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-23
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-08-27
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-27
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 2025-10-01
D · Potential for more than minimal harm
2025-08-19
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-18
E · Potential for more than minimal harm
2024-05-23
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 2024-06-23
E · Potential for more than minimal harm
2024-05-23
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2024-06-23
D · Potential for more than minimal harm
2024-05-23
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-06-23
D · Potential for more than minimal harm
2024-05-23
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-06-23
D · Potential for more than minimal harm
2024-05-23
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-06-23
D · Potential for more than minimal harm
2024-05-23
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-23
D · Potential for more than minimal harm
2024-05-23
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-23
D · Potential for more than minimal harm
2024-05-23
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 2024-06-23
D · Potential for more than minimal harm
2024-05-23
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 2024-06-23
D · Potential for more than minimal harm
2024-05-23
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-23
D · Potential for more than minimal harm
2024-05-23
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-06-23
D · Potential for more than minimal harm
2024-05-23
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2024-06-23
D · Potential for more than minimal harm
2024-05-23
F826 · Quality of Life and Care Deficiencies
Health
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Corrected 2024-06-23
D · Potential for more than minimal harm
2024-05-23
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 2024-06-23
D · Potential for more than minimal harm
2024-05-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-23
D · Potential for more than minimal harm
2022-05-26
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-06-26
Penalties and ownership
What sits behind the stars
Ownership
Ormond Rehabilitation And Nursing Member, LLC
5% Or Greater Direct Ownership Interest · Organization
Apja Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Brecher, Hal
5% Or Greater Indirect Ownership Interest · Individual
Brecher, Hal
Corporate Officer · Individual
Flnho Capital Group LLC
5% Or Greater Indirect Ownership Interest · Organization
Gpja Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Jacksonville 4 Member Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Jacksonville 4 Opco Partners LLC
5% Or Greater Indirect Ownership Interest · Organization
Jflnho Capital Group, LLC
5% Or Greater Indirect Ownership Interest · Organization
Kelman, Moshe
5% Or Greater Indirect Ownership Interest · Individual
Landa, Benjamin
5% Or Greater Indirect Ownership Interest · Individual
Landa, Judy
5% Or Greater Indirect Ownership Interest · Individual
Lowy, Shlomo
5% Or Greater Indirect Ownership Interest · Individual
Mkja Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Platschek, Alexander
5% Or Greater Indirect Ownership Interest · Individual
Platschek, Goldie
5% Or Greater Indirect Ownership Interest · Individual
Platschek, Richard
5% Or Greater Indirect Ownership Interest · Individual
Rpja Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Slja Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Strunk-Gamel, Gwendolyn
W-2 Managing Employee · Individual
Zbl-18 LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Coquina Center
Ormond Beach, FL
5-star overall rating with 5-star inspections
#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
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
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