Cycle 1
Health 2024-06-20 · Fire 2024-06-20
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Port Orange, FL
Port Orange Nursing And Rehab Center
5-star overall rating with 5-star inspections
5600 Victoria Gardens Blvd, Port Orange, FL
(386) 760-7773
Overall
5 / 5
CMS overall stars
Health inspections
5 / 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
106
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sovereign Healthcare Holdings
Operator or chain grouping
Approved since
1992-10-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 4 overall / 3 health / 3 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
0.35
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.12
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.55
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.19
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
0.13
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
3.58
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,272
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.44
Composite VBP score used to determine payment impact.
Payment multiplier
0.9818
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.68% · Performance 27.56% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.20% · Performance 8.24% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.81
Baseline 60.16% · Performance 44.00% · Measure score 4.81 · Achievement 4.81 · Improvement 4.08
Adjusted total nurse staffing
2.16
Baseline 3.94 hours · Performance 3.69 hours · Measure score 2.16 · Achievement 2.16 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.72% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 466 · Observed rate 10.3% · Lower 95% interval 9.47% |
| Discharge to community | 56.34% |
50.57%
5.8 pts better
|
Better than the National Rate · Eligible stays 474 · Observed rate 54.85% · Lower 95% interval 52.71% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 88.42% |
95.27%
6.8 pts worse
|
Numerator 336 · Denominator 380 |
| Falls with major injury | 1.58% |
0.77%
0.8 pts worse
|
Numerator 6 · Denominator 380 |
| Discharge self-care score | 68.25% |
53.69%
14.6 pts better
|
Numerator 144 · Denominator 211 |
| Discharge mobility score | 64.93% |
50.94%
14 pts better
|
Numerator 137 · Denominator 211 |
| Pressure ulcers or injuries, new or worsened | 6.32% |
2.29%
4 pts worse
|
Numerator 24 · Denominator 380 · Adjusted rate 5.94% |
| Healthcare-associated infections requiring hospitalization | 8.24% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 283 · Observed rate 7.77% · Lower 95% interval 5.52% |
| Staff COVID-19 vaccination coverage | 4.31% |
8.2%
3.9 pts worse
|
Numerator 5 · Denominator 116 |
| Staff flu vaccination coverage | 33.94% |
42%
8.1 pts worse
|
Numerator 75 · Denominator 221 |
| Discharge function score | 66.35% |
56.45%
9.9 pts better
|
Numerator 140 · Denominator 211 |
| Transfer of health information to provider | 96.36% |
95.95%
0.4 pts better
|
Numerator 265 · Denominator 275 |
| Transfer of health information to patient | 92.73% |
96.28%
3.5 pts worse
|
Numerator 51 · Denominator 55 |
| Resident COVID-19 vaccinations up to date | 19.8% |
25.2%
5.4 pts worse
|
Numerator 39 · Denominator 197 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
2.1
0.4 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.9 · Expected 2.2 · 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 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 1.4% |
2.6%
1.2 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 3.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.4% |
3.7%
0.3 pts better
|
11.4%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.1% · Q3 3.1% · Q4 2.8% · 4Q avg 3.4% |
| Percentage of long-stay residents who lose too much weight | 10.2% |
5.9%
4.3 pts worse
|
5.4%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 9.3% · Q3 3.6% · Q4 9.8% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.5% |
15.7%
6.2 pts better
|
19.6%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 10.9% · Q3 5.3% · Q4 7.8% · 4Q avg 9.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.8% |
9.8%
4 pts better
|
16.7%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 3.7% · Q3 7.4% · Q4 4.6% · 4Q avg 5.8% · 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 | 16.0% |
11.7%
4.3 pts worse
|
16.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 19.1% · Q3 14.5% · Q4 5.6% · 4Q avg 16.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.9% |
9.8%
2.1 pts worse
|
14.9%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 15.1% · Q3 13.0% · Q4 8.5% · 4Q avg 11.9% · 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 | 0.4% |
0.8%
0.4 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.3% |
12.5%
0.2 pts better
|
19.8%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 22.6% · Q3 8.1% · Q4 6.3% · 4Q avg 12.3% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.1%
0.4 pts worse
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 6.9% · Q3 4.8% · Q4 4.2% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
94.3%
5.2 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.7% · Q4 98.2% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.8% |
9.3%
0.5 pts better
|
12.0%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 8.3% · Expected 10.5% · 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 0.5% · Q3 0.5% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.7%
5.3 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.3% |
26.2%
1.9 pts better
|
23.9%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 21.7% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-06-23 · Fire 2022-06-23
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2020-12-03 · Fire 2020-12-03
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2020-12-03
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-01-11
Inspection history
Recent health citations
F · Potential for more than minimal harm
2020-12-03
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 2021-01-11
D · Potential for more than minimal harm
2020-12-03
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2021-01-11
Penalties and ownership
What sits behind the stars
Ownership
Berkadia Commercial Mortgage LLC
5% Or Greater Security Interest · Organization
Cone, Tina
Operational/Managerial Control · Individual
Cronquist, Royce
Operational/Managerial Control · Individual
Eddin, Husam
Operational/Managerial Control · Individual
Fl Port Orange Holdings LLC
5% Or Greater Security Interest · Organization
Health Services Properties LLC
5% Or Greater Security Interest · Organization
Melton, Donald
Operational/Managerial Control · Individual
Southern Healthcare Management LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
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2-star overall rating with 3-star inspections with $25,723 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Carlton Shores Healthcare And Rehabilitation Cente
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4-star overall rating with 4-star inspections with 1 recent health deficiencies
#3
Seaside Health And Rehabilitation Center
Daytona Beach, FL
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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