Facility WatchInspection records for every certified US nursing home
Blue Lake Post Acute
991 E NEW York AVE Deland, FL 32724 (386) 734-9083
CCN
105262
Certified beds
60
Ownership
For profit - Limited Liability company
Chain
Elevation Healthcare
Nurse staffing
3.43
Total nurse staffing hours per resident per day, case-mix adjusted
Registered nurses: 0.65 hours per resident per day
Nursing staff turnover: 67% a year
Derived by CMS from the Payroll-Based Journal and refreshed quarterly.
Inspection history
Inspected December 11, 2025
1 citation · from a complaint investigation · Health
E
F0687No actual harm with potential for more than minimal harm · Pattern
Provide appropriate foot care.
Deficient, Provider has date of correction · corrected January 29, 2026
Inspected April 8, 2025
6 citations · from a complaint investigation · Health
D
F0609No actual harm with potential for more than minimal harm · Isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected April 28, 2025
D
F0624No actual harm with potential for more than minimal harm · Isolated
Prepare residents for a safe transfer or discharge from the nursing home.
Deficient, Provider has date of correction · corrected April 28, 2025
J
F0600Immediate jeopardy to resident health or safety · Isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected April 28, 2025
J
F0610Immediate jeopardy to resident health or safety · Isolated
Respond appropriately to all alleged violations.
Deficient, Provider has date of correction · corrected April 28, 2025
J
F0835Immediate jeopardy to resident health or safety · Isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Deficient, Provider has date of correction · corrected April 28, 2025
J
F0867Immediate jeopardy to resident health or safety · Isolated
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Deficient, Provider has date of correction · corrected April 28, 2025
Inspected July 18, 2024
9 citations · Health
D
F0623No actual harm with potential for more than minimal harm · Isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Deficient, Provider has date of correction · corrected August 18, 2024
D
F0625No actual harm with potential for more than minimal harm · Isolated
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Deficient, Provider has date of correction · corrected August 18, 2024
D
F0644No actual harm with potential for more than minimal harm · Isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Deficient, Provider has date of correction · corrected August 18, 2024
D
F0689No actual harm with potential for more than minimal harm · Isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected August 18, 2024
D
F0880No actual harm with potential for more than minimal harm · Isolated
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected August 18, 2024
E
F0636No actual harm with potential for more than minimal harm · Pattern
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Deficient, Provider has date of correction · corrected August 18, 2024
E
F0638No actual harm with potential for more than minimal harm · Pattern
Assure that each resident’s assessment is updated at least once every 3 months.
Deficient, Provider has date of correction · corrected August 18, 2024
F
F0812No actual harm with potential for more than minimal harm · Widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected August 18, 2024
F
F0865No actual harm with potential for more than minimal harm · Widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Deficient, Provider has date of correction · corrected August 18, 2024
Inspected August 18, 2022
1 citation · Health
D
F0758No actual harm with potential for more than minimal harm · Isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Deficient, Provider has date of correction · corrected September 16, 2022
Inspected February 24, 2022
10 citations · Health
D
F0637No actual harm with potential for more than minimal harm · Isolated
Assess the resident when there is a significant change in condition
Deficient, Provider has date of correction · corrected March 25, 2022
D
F0645No actual harm with potential for more than minimal harm · Isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Deficient, Provider has date of correction · corrected March 25, 2022
D
F0689No actual harm with potential for more than minimal harm · Isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected March 25, 2022
D
F0842No actual harm with potential for more than minimal harm · Isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has date of correction · corrected March 25, 2022
D
F0919No actual harm with potential for more than minimal harm · Isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Deficient, Provider has date of correction · corrected March 25, 2022
E
F0558No actual harm with potential for more than minimal harm · Pattern
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected March 25, 2022
E
F0584No actual harm with potential for more than minimal harm · Pattern
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.
Deficient, Provider has date of correction · corrected March 25, 2022
E
F0642No actual harm with potential for more than minimal harm · Pattern
Ensure a qualified health professional conducts resident assessments.
Deficient, Provider has date of correction · corrected March 25, 2022
E
F0692No actual harm with potential for more than minimal harm · Pattern
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected March 25, 2022
F
F0812No actual harm with potential for more than minimal harm · Widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected March 25, 2022
Penalties
Date
Type
Amount
April 8, 2025
Fine
$56,320
January 22, 2024
Fine
$14,814
January 8, 2024
Fine
$4,938
December 11, 2023
Fine
$13,762
November 20, 2023
Fine
$4,587
November 13, 2023
Fine
$4,587
November 6, 2023
Fine
$4,587
October 30, 2023
Fine
$4,587
October 23, 2023
Fine
$4,587
October 17, 2023
Fine
$4,587
October 10, 2023
Fine
$4,587
October 2, 2023
Fine
$4,587
September 11, 2023
Fine
$11,645
August 28, 2023
Fine
$3,176
August 21, 2023
Fine
$2,823
August 14, 2023
Fine
$2,470
August 7, 2023
Fine
$2,117
July 17, 2023
Fine
$4,233
Ownership transfers
Effective
Seller
Buyer
09/08/2022
University Center East Operating LLC
Blue Lake Post Acute LLC
From the CMS Skilled Nursing Facility Change of Ownership dataset. A sale does not by itself say anything about care quality.