Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Alliance Health And Rehabilitation Center during CMS and state inspections, most recent first.
A facility failed to notify the State Long-Term Care Ombudsman of a resident's discharge, as required. The resident, with multiple health conditions, was discharged home under hospice care. The discharge notice form lacked documentation of Ombudsman notification, and the Social Services Director admitted to not retaining proof of notification. The Ombudsman confirmed they were not informed, indicating a lapse in following the facility's discharge policy.
A resident with a history of falls and multiple medical conditions was found without fall mats, a key intervention in her care plan, during a survey. Despite the care plan's requirement, staff interviews revealed a lack of consistent implementation and awareness of the need for fall mats. The resident confirmed that the mats were only placed for the first time on the day of the survey, highlighting a deficiency in care.
The facility did not conduct required periodic tests on emergency lighting and exit signs as per NFPA 101 (2012). The Maintenance Director acknowledged the lack of inspections and documentation during a record review and interview. These findings were confirmed by the Administrator during the exit conference.
The facility did not maintain the kitchen hood fire suppression system as required by NFPA 17A (2009). The suppression wet chemical tanks were overdue for hydrostatic testing, with the last test conducted in 2011, exceeding the 12-year interval requirement. The Maintenance Director was unaware of this oversight, which was confirmed during a record review and exit conference.
The facility did not maintain and test its fire alarm system as required by NFPA 101. During a review, the Maintenance Director could not provide current documentation for the duct detectors' differential pressure testing and acknowledged the missing fire alarm system inspection. The issue was confirmed by the Maintenance Director and the Administrator.
The facility did not maintain cross corridor fire doors as required by NFPA 80 (2010). During a tour, it was found that the fire doors in the 500 Mall did not latch at floor level due to the absence of a floor latching device. The Maintenance Director confirmed this issue, stating that corporate staff had indicated the device was unnecessary. The deficiency was verified by the Maintenance Director and Administrator.
Failure to Notify Ombudsman of Resident Discharge
Penalty
Summary
The facility failed to notify the State Long-Term Care Ombudsman of a discharge for a resident, which was identified during a review of records and staff interviews. The resident, who had multiple diagnoses including acute on chronic systolic heart failure, cellulitis, bacteremia, chronic kidney disease, and pleural effusion, was discharged home under hospice care. The discharge summary indicated that the resident's spouse signed the discharge papers and reviewed the medications. However, the required notification to the Ombudsman was not documented, as the relevant sections on the discharge notice form were left blank. During an interview, the Social Services Director confirmed the facility's responsibility to notify the Ombudsman of discharges and admitted to not retaining the fax confirmation page as proof of notification. A subsequent interview with the Ombudsman confirmed that they had not been notified of the resident's discharge. The facility's policy on post-discharge planning did not appear to have been followed in this instance, as there was no verification of the Ombudsman being contacted, which is a critical step in the discharge process.
Plan Of Correction
of Correction does not constitute admission or agreement by the provider of the truth of the items alleged or conclusions set forth in the statement of deficiencies. This Plan of Correction is prepared solely because it is required by the provision of Federal and State Laws code section 1280 and 42 CFR 483. 1. On 2/27/25, Office of the Ombudsman notified of resident # 104's discharge by the Social Service Director. 2. On 3/21/25, the Social Services Director/Designee completed a review of residents discharged in the last 30 days to verify ombudsman notified as required. Follow up based on findings. The review revealed the February log was incomplete and the March logs were still in progress. The February log was updated and an accurate listing was sent to the Office of the Ombudsman. 3. On 3/21/25, the Administrator/Designee completed education with Social Services employees regarding ombudsman notification of resident discharge/transfer. 4. Social Services Director/Designee to complete weekly monitoring of resident discharge/transfers to ensure ombudsman notification completed as required for a period of 3 months or until substantial compliance achieved, then quarterly and as needed. Findings to be reviewed at the monthly QAPI Committee Meeting. Modifications implemented as indicated.
Failure to Implement Fall Prevention Measures for Resident
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for a resident identified as being at risk for falls. The resident, who has a history of multiple falls and a range of medical conditions including osteoporosis, dementia, and chronic pain, was observed without fall mats in place, despite these being a specified intervention in her care plan. The absence of fall mats was confirmed during multiple observations and interviews with staff, indicating a lapse in the execution of the care plan. The resident, who has moderate cognitive impairment and uses a wheelchair for mobility, was observed in her room without the prescribed fall mats on the floor. Interviews with the resident and staff, including a CNA and a physical therapist, revealed that the fall mats were not consistently placed as required. The resident confirmed that the mats were only placed in her room for the first time on the day of the survey, despite her care plan indicating their necessity to prevent injury from falls. Staff interviews highlighted a lack of awareness and responsibility regarding the placement of fall mats. The CNA and physical therapist both acknowledged the absence of the mats and the CNA later placed them after being prompted. The Director of Nursing was unaware of the issue until it was brought to her attention during the survey. The facility's policy requires licensed nurses to ensure the application of safety equipment and notify staff of fall risks, but this was not adhered to, resulting in a deficiency in the resident's care.
Plan Of Correction
1. On 2/25/25, resident #7's comprehensive care plan was updated by the Director of Nursing to reflect implemented fall prevention interventions. 2. From 3/20/25 to 3/25/25, the Director of Nursing/Designee completed a review of current facility residents who have experienced a fall to verify the comprehensive care plan reflects the fall prevention interventions implemented. Follow up based on findings. No additional residents were found with interventions not in place as directed by the care plan. 3. On 3/7/25, the Director of Nursing/designee provided education for the interdisciplinary team related to the comprehensive care plan reflecting implemented fall prevention interventions. 4. Director of Nursing/Designee to conduct monitoring of resident comprehensive care plans to verify implemented fall prevention interventions are reflected utilizing the quality-of-care meeting process. Monitoring to be completed weekly x 3 months until substantial compliance or until substantial compliance achieved, then quarterly and as needed. Findings to be reviewed at the monthly QAPI Committee Meeting. Modifications implemented as indicated.
Failure to Test Emergency Lighting and Exit Signs
Penalty
Summary
The facility failed to periodically test emergency lighting equipment and exit signs in accordance with NFPA 101 (2012). During a record review with the Maintenance Director, it was found that the facility did not provide written documentation supporting the maintenance of emergency lighting and exit signage. The required functional test, which should be conducted on every emergency lighting system at 30-day intervals for not less than 30 seconds, was not performed. Additionally, the annual test for battery-powered emergency lighting systems, which should last not less than 1 1/2 hours, was also not conducted. The Maintenance Director acknowledged during an interview that these inspections were not carried out, and he had no further comments. These findings were verified by both the Maintenance Director and the Administrator during the exit conference.
Plan Of Correction
Preparation and/or execution of this Plan of Correction does not constitute admission or agreement by the provider of the truth of the items alleged or conclusions set forth in the statement of deficiencies. This Plan of Correction is prepared solely because it is required by the provision of Federal and State Laws code section 1280 and 42 CFR 483. 1. On 3/17/25, the 30 second and 1 1/2 hour functional test of the emergency lighting system and exit signage was completed by the Maintenance Director. 2. The Maintenance Director identified further concerns with the emergency lighting system and exit signage during the functional tests. On 3/20/25, the replacement parts were ordered and were installed on 4/1/25. Current facility residents have the potential to be affected by the deficient practice. 3. On 3/24/25, the facility Administrator/designee provided education for maintenance employees regarding NFPA 101 emergency light and exit sign testing requirements. 4. On 3/25/25, an alert was added to the facility TELS system to remind maintenance staff of the required 30-day interval and annual testing of emergency and exit sign lighting. Maintenance Director/designee to complete the 30 second required functional testing of the emergency lighting system and exit signage every 30 days for 3 months, or until substantial compliance is achieved. The Findings to be reviewed during the monthly QAPI Committee Meeting. Modifications implemented if indicated.
Failure to Maintain Kitchen Hood Fire Suppression System
Penalty
Summary
The facility failed to maintain the kitchen hood fire suppression system as required by NFPA 17A (2009). During a record review with the Maintenance Director, it was discovered that the suppression wet chemical tanks were overdue for hydrostatic testing, with the last test conducted in 2011. According to regulations, wet chemical extinguishing systems must undergo hydrostatic pressure testing at intervals not exceeding 12 years. The Maintenance Director acknowledged the oversight and stated that he was unaware of the overdue status of the chemical tanks. These findings were confirmed by the Maintenance Director during the record review and by the Administrator during the exit conference.
Plan Of Correction
1. Kitchen/hood fire suppression system hydrostatic testing was completed on 3/10/2025. 2. Current facility residents have the potential to be affected by this deficient practice. No further follow up indicated for the kitchen/hood fire suppression system indicated based on test results. 3. On 3/24/25, the facility Administrator/designee provided education for maintenance employees regarding NFPA 101 kitchen/hood fire suppression system testing/maintenance. 4. On 3/25/25, an alert was added to the facility TELS system to remind maintenance staff of the next required test. Maintenance Director/designee to complete fire suppression system testing/maintenance as required. Findings to be reviewed during the monthly QAPI Committee Meeting. Modifications implemented if indicated.
Failure to Maintain Fire Alarm System Documentation
Penalty
Summary
The facility failed to maintain and test its fire alarm system in accordance with NFPA 101 (2012 edition). During a record review with the Maintenance Director, it was found that the facility could not provide current documentation for the duct detectors' differential pressure testing. In an interview, the Maintenance Director acknowledged the absence of the fire alarm system inspection documentation and mentioned that he would contact the vendor to complete the inspection. These findings were confirmed by the Maintenance Director during the record review and by the Administrator during the exit conference.
Plan Of Correction
1. On 3/3/25, an approved vendor was contacted to complete the duct detector differential pressure testing. This testing was completed on 3/25/25. 2. Current facility residents have the potential to be affected by this deficient practice. No other fire alarm system inspection concerns identified. 3. On 3/24/25, the facility Administrator/designee provided education for maintenance employees regarding NFPA 101 fire alarm system inspection, specifically duct differential pressure testing/maintenance. 4. On 3/25/25, an alert has been added to the facility TELS system to remind maintenance staff of the next required test. Maintenance Director/designee to complete fire alarm system specifically duct differential pressure testing/maintenance as required. Findings to be reviewed during the monthly QAPI Committee Meeting. Modifications implemented if indicated.
Failure to Maintain Cross Corridor Fire Doors
Penalty
Summary
The facility failed to maintain cross corridor fire doors in accordance with NFPA 80 (2010). During a facility tour with the Maintenance Director, it was observed that the cross corridor fire doors in the 500 Mall did not latch at floor level because the floor latching device, also known as the keeper, was not installed. This deficiency was confirmed during an interview with the Maintenance Director, who acknowledged the absence of the floor latching device and mentioned that corporate staff had advised it was not needed. These findings were verified by both the Maintenance Director and the Administrator during the exit conference.
Plan Of Correction
1. On 3/24/25, a floor latching device was ordered and will be installed upon delivery. The device is anticipated to be delivered and installed by 4/7/25. 2. On 3/25/25, the Maintenance Director observed other facility cross corridor doors to verify that latching devices are in place and functional, and all were found to be in good repair. Current facility residents have the potential to be affected by this deficient practice. Follow up based on findings. 3. On 3/24/25, the Facility Administrator/designee provided education for maintenance employees regarding NFPA 80 cross corridor fire door maintenance and required latching devices. 4. Maintenance Director/designee to monitor cross corridor fire doors to ensure latching devices are in place and functional monthly for 3 months. Findings to be reviewed during the monthly QAPI Committee Meeting. Modifications implemented if indicated.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 198 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Deland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parkside Health And Rehabilitation Center | 0.4 mi | ★★★★★ | 0 | 0 |
| Athens Post Acute Llc | 0.6 mi | ★★★★★ | 14 | 0 |
| Villa Healthcare & Rehabilitation Center | 1.1 mi | ★★★★★ | 9 | 0 |
| Blue Lake Post Acute | 1.4 mi | ★★★★★ | 24 | 0 |
| Blue Palms Health And Rehabilitation Center Of Del | 1.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.