Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Blue Palms Health And Rehabilitation Center Of Day during CMS and state inspections, most recent first.
Kitchen Ice Machine Not Kept Clean: Survey observations found the kitchen ice machine air filters covered with dust and spider webs and the chute coated with black biofilm. The CDM said maintenance took over cleaning the unit, while the Maintenance Director confirmed the biofilm on the chute and an interior hose. Records showed the last cleaning log entry was months earlier, and work history reflected cleaning and disinfection only every three months.
A resident with COPD, HTN, CHF, and paroxysmal atrial fibrillation had an order for Bumetanide 0.5 mg BID with instructions to hold if SBP was below 115. Review of the MAR showed the medication was given multiple times despite SBP readings below the ordered parameter, and one MAR entry was unsigned. An LPN stated she did not know the hold code on the MAR, and the DON confirmed the medication had been administered when SBP was less than 115.
The facility failed to provide complete and accurate Beneficiary Notices to residents, affecting those receiving Medicare/Medicaid. Despite multiple requests, the facility could not produce the required documentation, with the Social Services Director and Administrator unable to rectify the issue before the survey exit.
A resident with dementia and multiple medical conditions was observed with skin tears and bruises, but the LTC facility failed to report these injuries of unknown origin to the State Agency. The LPN did not document the injuries in the skin check report, and no investigation was conducted. The DON described a process for handling such injuries, but it was not followed, resulting in a deficiency in compliance with regulatory requirements.
The facility failed to provide adequate nail care and personal hygiene for three residents, leading to deficiencies in their care. One resident had elongated toenails with no podiatry services documented, another had long, jagged fingernails despite records indicating they were trimmed, and a third resident also had elongated toenails with no evidence of podiatry visits. The facility lacked policies for nail care, contributing to these deficiencies.
A resident with COPD and CHF was observed receiving oxygen at a flow rate higher than the physician's order of 2 liters per minute. The resident, who has moderately impaired cognition, was found to adjust the oxygen flow rate after smoking. An LPN confirmed this behavior and corrected the flow rate during a surveyor's visit. The facility's policy mandates adherence to physician orders for oxygen administration.
A facility failed to maintain infection control standards by leaving a resident's enteral nutrition line uncapped and open to air, and an LPN did not clean a blood pressure cuff between uses. The facility's policies lacked specific guidelines on minimizing contamination and handling potentially contaminated equipment.
Kitchen Ice Machine Not Kept Clean
Penalty
Summary
The facility failed to follow proper sanitation and food handling practices by not ensuring the kitchen ice machine was clean and free of black biofilm. Survey observations on multiple dates found the ice machine air filters covered with dust and spider webs, and the ice machine chute covered with a black biofilm build-up. Photographic evidence was obtained during these observations. The weekly ice machine cleaning log posted near the machine showed that the last documented cleaning was 07/17/25, approximately eight months before the later observations. During interview, the Certified Dietary Manager stated that the maintenance department became responsible for cleaning the kitchen ice machine in August 2025, whereas kitchen staff had previously cleaned it monthly and documented each cleaning on the ice machine cleaning log. The Maintenance Director explained that the ice machine cleaning process was entered in the electronic work order system once a month and included removing and cleaning the filters, turning off the unit, and using the cleaning mode. He also verified the black biofilm on the ice chute and on the interior of a hose above the chute. Facility work history showed the ice machine was cleaned and disinfected by maintenance every three months, with documented cleanings on 03/31/26, 12/31/25, 09/30/25, and 03/31/25.
Failure to Follow Blood Pressure Parameters for Bumetanide
Penalty
Summary
The facility failed to implement the resident’s care plan for medication administration for one resident with diagnoses including COPD, HTN, CHF, and paroxysmal atrial fibrillation. The resident had an active physician’s order for Bumetanide 0.5 mg twice daily with a parameter to hold the medication if systolic blood pressure was less than 115. Review of the April 2026 MAR showed Bumetanide was administered on multiple occasions when the resident’s systolic blood pressure was below 115, including readings of 112/60, 106/68, 107/63, 108/72, 97/61, 91/62, 106/62, 111/68, 104/63, 110/73, 98/57, 111/62, and 102/56. One MAR entry on 4/3/26 was not signed. The resident’s care plan, dated 4/22/26, included a focus area for Alteration in Cardiovascular Function with a diagnosis of hypertension, and the first approach listed was to administer medications as ordered. During interview, an LPN stated she did not know what code to use if medications were held, and later confirmed that Bumetanide had been administered multiple times when the resident’s systolic blood pressure was below 115. The DON also confirmed that Bumetanide was administered multiple times when the resident’s SBP was less than 115.
Failure to Provide Complete Beneficiary Notices
Penalty
Summary
The facility failed to provide documented evidence of informing residents about the services available and the charges for those services, including any charges not covered under Medicare/Medicaid or by the facility's per diem rate. This deficiency potentially affected 65 of the 82 residents who were actively receiving Medicare/Medicaid. During the survey, the facility was unable to provide a complete and accurate list of Medicare beneficiaries who were discharged with benefit days remaining, as requested by the surveyors. The initial list provided included residents who should have been excluded, such as those who had expired or were transferred to another skilled nursing facility. Throughout the survey process, the facility struggled to provide the requested Beneficiary Notices for three random residents. Despite multiple requests and reminders, the notices provided were incomplete and did not meet the requirements. The Social Services Director (SSD) and the Administrator were involved in attempting to gather and correct the information, but they were unable to provide accurate and complete documentation by the time of the survey exit. The SSD acknowledged that the information previously provided was not accurate and only partial information was available.
Failure to Report Injuries of Unknown Origin
Penalty
Summary
The facility failed to report injuries of unknown origin for a resident to the State Agency, as required by regulations. The resident, who had multiple medical conditions including dementia and was receiving hospice care, was observed with several skin tears and bruises on his shins over a period of time. Despite these observations, there was no documentation of an investigation into the cause of these injuries, nor were they reported to the appropriate authorities. The facility's policy required such incidents to be reported, but this was not adhered to in this case. The resident's medical record showed a lack of documentation regarding the care of his injuries, and the facility's staff did not follow through with the necessary reporting and investigation procedures. The Licensed Practical Nurse (LPN) responsible for the resident's care did not include the injuries in the skin check report, assuming they were not new, and admitted that an investigation was not conducted. The Director of Nursing (DON) described the facility's process for handling injuries of unknown origin, which included starting an investigation and reporting to the Department of Children and Families (DCF) and the Agency for Health Care Administration (ACHA), but this process was not followed. Interviews with facility staff revealed a lack of communication and documentation regarding the resident's injuries. The Hospice Registered Nurse (RN) was not informed of the resident's condition, and the DON stated that incidents were typically discussed in morning meetings, but there was no evidence that this occurred. The facility's policy on incidents and accidents required reporting of unobserved injuries, but this was not done, leading to a deficiency in the facility's compliance with regulatory requirements.
Deficiency in Resident Nail Care and Hygiene
Penalty
Summary
The facility failed to provide necessary care and services for three residents who were unable to perform activities of daily living, specifically in maintaining grooming and personal hygiene. Resident #34 was observed with elongated toenails, including a right great toenail curled around his toe, indicating a lack of toenail care since his admission. Despite having a history of cerebral vascular accident, anemia, neuropathy, and other conditions requiring supervision for personal hygiene, there were no podiatry services documented in his medical record. Interviews with the Director of Nursing and Social Services Director revealed that the facility had been without a podiatrist for several months, and there was no policy allowing staff to trim toenails. Resident #43 was observed with long, jagged fingernails on multiple occasions, despite a skin check note indicating that his nails were trimmed. The resident, who had diagnoses including dementia and was receiving hospice care, required supervision for personal hygiene tasks. The facility lacked a policy for fingernail care, and interviews with staff indicated that CNAs were responsible for trimming nails unless the resident was diabetic, in which case nurses would perform the task. Resident #66, who had intact cognition but required assistance for personal hygiene, was observed with elongated toenails. His medical record showed no evidence of podiatry visits since his admission. The facility did not provide a policy for toenail care, and interviews confirmed that the podiatrist was responsible for cutting all toenails. The lack of documented podiatry services and absence of policies for nail care contributed to the deficiencies observed in the care of these residents.
Failure to Administer Oxygen Therapy per Physician's Orders
Penalty
Summary
The facility failed to provide oxygen therapy to a resident according to the physician's orders. Resident #38, who has diagnoses including chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF), was observed receiving oxygen at a flow rate of 2.5 liters per minute, despite the physician's order specifying 2 liters per minute. This discrepancy was noted during observations on two separate occasions. The resident's medical record indicated a history of shortness of breath on exertion and when lying flat, necessitating oxygen therapy. The resident's care plan and progress notes did not indicate any behavioral issues or non-compliance with oxygen therapy. However, during an interview, an LPN acknowledged that the resident would increase the oxygen flow rate after smoking, which was not in accordance with the physician's order. The LPN adjusted the flow rate to the correct setting after this was brought to her attention. The facility's policy on oxygen administration requires adherence to physician orders, except in emergencies, which was not followed in this instance.
Infection Control Deficiencies in Enteral Feeding and Equipment Cleaning
Penalty
Summary
The facility failed to maintain infection prevention and control standards for a resident by leaving the enteral nutrition line uncapped and open to air when it was not in use. Observations revealed that the resident's enteral nutrition bottle was spiked and open, with the tubing hanging on the pole without a cap or protective device. This was noted on multiple occasions, with the bottle being half empty and not connected to the resident, despite an active physician's order for continuous feeding. The lack of a sterile cap on the tubing exposed it to potential contaminants, which could lead to infection if reconnected to the resident. Additionally, the facility did not adhere to infection control standards during medication administration. An LPN was observed checking a resident's blood pressure and then placing the blood pressure cuff back in the case on her medication cart without cleaning it. The LPN stated that she usually cleaned the cuff once per shift, which does not align with standard precautions that require routine cleaning and disinfection of shared resident care equipment. The facility's policies on infection control and care of feeding tubes lacked specific guidelines on minimizing contamination and handling potentially contaminated equipment. The absence of detailed procedures for capping and disinfecting equipment, as well as the failure to implement standard precautions, contributed to the deficiencies observed during the survey.
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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.
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Nursing homes near Daytona Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Beach Street Health And Rehabilitation Center | 0.9 mi | ★★★★★ | 0 | 0 |
| Seaside Health And Rehabilitation Center | 1.3 mi | ★★★★★ | 0 | 0 |
| Carlton Shores Healthcare And Rehabilitation Cente | 1.8 mi | ★★★★★ | 4 | 0 |
| Daytona Beach Health And Rehabilitation Center | 2.3 mi | ★★★★★ | 5 | 0 |
| Solaris Healthcare Daytona | 2.5 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.