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 Blue Palms Health And Rehabilitation Center Of Del during CMS and state inspections, most recent first.
During a GI outbreak affecting nearly half of the residents, the facility did not implement required infection prevention and control measures, including isolation precautions and enhanced barrier precautions for residents with indwelling devices or wounds. Staff failed to accurately track symptomatic residents, did not use PPE or post illness notifications, and delayed contacting the DOH for guidance. The DON and staff were unclear about which residents required enhanced barrier precautions, and the facility's own policies for outbreak response and infection control were not followed.
A resident with multiple mental health diagnoses and significant functional limitations was not provided with a required PASRR Level II evaluation after a Level I screen indicated the need. The facility did not submit the necessary documentation for the Level II review, and the administrator could not confirm if the process was completed, citing the absence of a PASRR policy.
Several residents with complex medical needs did not have comprehensive care plans addressing all prescribed medications, treatments, or changes in condition. For example, a resident with a PICC line and pressure ulcer lacked care plan interventions for critical therapies, while another on multiple high-risk medications had no care plan for those drugs or pain management. Acute changes, such as new infections and antibiotic use, were also not reflected in care plans, and required behavior monitoring was not documented. Nursing staff confirmed these omissions were inconsistent with facility policy.
Two residents did not receive care in accordance with physician orders and professional standards: one was not provided with appropriate orders or documentation for JP drain care after surgery, and another did not have a timely hospice consult arranged despite a physician's order. Facility policy requires timely and documented follow-through on such orders, which was not met in these cases.
Failure to Implement Infection Prevention and Control Program During GI Outbreak
Penalty
Summary
The facility failed to establish and implement an effective infection prevention and control program (IPCP) to prevent, identify, report, investigate, and control infections, specifically during a gastrointestinal (GI) outbreak that affected 15 out of 50 residents. Upon surveyor entrance, staff reported a GI outbreak with approximately half of the residents symptomatic, but there was no evidence of personal protective equipment (PPE) outside resident rooms or signage to notify staff and visitors of illness. Interviews with nursing staff revealed that symptomatic residents were not placed on any type of isolation precautions, including enhanced barrier precautions, and there was a lack of accurate tracking of symptomatic residents. The Director of Nursing (DON) was unable to provide an accurate count of affected residents and had not contacted the Department of Health (DOH) for guidance until several days after the outbreak began. Medical record reviews and staff interviews indicated that symptomatic residents were not consistently identified or tracked, and the facility's line listing of affected residents was incomplete and updated only after surveyor prompting. Some residents continued to exhibit symptoms after the DON reported that all symptoms had resolved, and laboratory samples were not obtained promptly for all symptomatic residents. The DON confirmed that enhanced barrier precautions were not implemented for residents with indwelling devices or wounds, and staff were unsure which residents required these precautions. Additionally, the facility did not discontinue communal dining or group activities until advised by the DOH several days into the outbreak. The facility's policies required prompt recognition and reporting of outbreaks, initiation of investigations, and implementation of enhanced barrier precautions for residents with indwelling devices or wounds. However, these policies were not followed, as evidenced by the lack of isolation precautions, incomplete tracking of symptomatic residents, and failure to implement enhanced barrier precautions for residents with devices such as catheters and PICC lines. The DON and staff demonstrated a lack of awareness and adherence to the facility's own infection control policies during the outbreak.
Failure to Complete Required PASRR Level II Evaluation
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a Level II Preadmission Screening and Resident Review (PASRR) evaluation was completed for a resident after a Level I screening indicated the possibility of a serious mental illness. The resident in question had a complex medical history, including diagnoses of hereditary and idiopathic neuropathy, intellectual disabilities, dementia with agitation, schizophrenia, major depressive disorder, and other chronic conditions. The care plan documented behavioral symptoms such as cognitive impairment, refusal of care, and aggressive behavior, with interventions aimed at managing these behaviors. The resident's PASRR Level I screening, completed by a social worker, identified multiple mental health diagnoses and substantial functional limitations in major life activities, warranting a Level II evaluation. Despite the Level I findings, the facility did not provide evidence that the required documentation for the Level II PASRR evaluation was submitted. The only record available was a notice from the state requesting additional documentation to complete the Level II review, including informed consent, MDS, transfer forms, and relevant case notes. The administrator was unable to confirm whether the requested documents were ever submitted and acknowledged the absence of a facility policy or procedure for PASRR. This lack of follow-through resulted in the failure to complete the mandated Level II PASRR evaluation for the resident.
Failure to Develop Comprehensive, Measurable Care Plans for Multiple Residents
Penalty
Summary
The facility failed to develop and implement comprehensive care plans with measurable objectives and timeframes for several residents, as required by policy and regulation. For four residents reviewed, care plans were missing or incomplete for critical medical needs and prescribed medications, including anticoagulants, diuretics, PICC line care, urinary catheter care, antibiotics, and advanced directives. In each case, the care plans did not address all of the residents' current diagnoses, treatments, or changes in condition, despite clear evidence from physician orders and resident assessments that such interventions were necessary. One resident with multiple complex diagnoses, including multiple sclerosis, contractures, a stage 4 pressure ulcer, and a PICC line, did not have care plan focus areas, goals, or interventions for diuretic or anticoagulant use, PICC line, urinary catheter care, or moisture-associated skin damage. Another resident with Parkinson's disease and depression was receiving multiple high-risk medications, such as opioids, anticoagulants, antidepressants, and benzodiazepines, but had no care plan addressing these medications or pain management. Additionally, behavior monitoring required by physician order was not documented in the records. A third resident experienced new symptoms of fever, vomiting, and was started on antibiotics, but the care plan was not updated to reflect these acute changes or the new medication regimen. Similarly, a fourth resident with a history of diabetes, heart failure, atrial fibrillation, and recent bruising had no care plan focus areas for anticoagulant use, diuretic use, insulin use, or advanced directives, despite active physician orders for these treatments. Interviews with nursing staff confirmed that these omissions were not in line with facility policy, which requires comprehensive, person-centered care plans to be developed and updated to address all identified needs and services.
Failure to Provide Physician-Ordered Care and Timely Consults
Penalty
Summary
The facility failed to provide treatment and care in accordance with professional standards of practice for two residents. One resident was admitted with multiple diagnoses, including aftercare following surgery and a Jackson Pratt (JP) drain in place. Upon review, there were no physician orders for JP drain care or monitoring for signs and symptoms of infection, despite the presence of the device and related surgical aftercare needs. Progress notes and documentation did not reflect any care or monitoring of the JP drain, and the responsible nurse confirmed the absence of both orders and documentation regarding the device. Another resident was admitted with several diagnoses, including dementia and a non-displaced femur fracture, and had a physician's order for a hospice consult. Despite this order, there was no documented evidence that a hospice consult was obtained or that hospice services were initiated. Progress notes, social work documentation, and the care plan did not indicate any follow-through on the hospice consult order, and no hospice certification paperwork was available. The nurse interviewed confirmed that the consult was to be arranged by the Social Services Director, but there was no record of completion or documentation of hospice involvement. The facility's policy requires timely submission and documentation of physician-ordered services, including consultations and care for indwelling devices, in accordance with professional standards. In both cases, the lack of appropriate orders, documentation, and follow-through on physician directives resulted in a failure to provide care as required by policy and professional standards.
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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 Deland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Blue Lake Post Acute | 0.5 mi | ★★★★★ | 24 | 0 |
| Parkside Health And Rehabilitation Center | 1.2 mi | ★★★★★ | 0 | 0 |
| Alliance Health And Rehabilitation Center | 1.5 mi | ★★★★★ | 0 | 0 |
| Adventhealth Deland | 1.8 mi | — | 0 | 0 |
| Athens Post Acute Llc | 1.8 mi | ★★★★★ | 14 | 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.