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 Bridgeview Center during CMS and state inspections, most recent first.
Two residents with cognitive and physical impairments were not properly assessed or supervised during smoking activities, resulting in one individual smoking while on oxygen and another smoking unsupervised despite requiring supervision. Facility staff did not consistently secure smoking materials or monitor residents as required by policy, leading to unsafe conditions.
A facility failed to complete a Preadmission Screening and Resident Review (PASRR) for a resident admitted with multiple mental health diagnoses. The only available PASRR was outdated, and interviews with the DON and MDS Coordinator revealed the absence of a facility policy for PASRR screenings. The DON acknowledged the oversight.
The facility failed to maintain effective infection control, particularly in managing COVID-19 isolation protocols. Staff did not adhere to PPE guidelines, with an LPN interacting with a COVID-19 positive resident without proper protection. Residents on droplet precautions were not adequately isolated, and a COVID-19 positive resident was allowed to join others without a mask. Interviews revealed gaps in staff training and implementation of infection control measures.
Failure to Prevent Smoking-Related Accident Hazards and Inadequate Supervision
Penalty
Summary
The facility failed to maintain an environment free from accident hazards and did not provide adequate supervision to prevent accidents for residents who smoke. One resident with COPD, dementia, and moderate cognitive impairment was observed smoking in the lobby while on oxygen via nasal cannula, with the portable oxygen tank attached to the wheelchair. The receptionist turned off the oxygen and removed the cannula before moving the resident to the designated smoking area, but the oxygen tank remained with the resident. The Director of Nursing (DON) acknowledged that the resident was not supposed to have the oxygen tank in the smoking area and that the resident had previously been educated on this risk. A review of the resident's records revealed that the smoking assessment incorrectly indicated the resident was not a smoker, and the care plan did not address smoking, despite the resident's known smoking behavior and cognitive impairment. Another resident with vascular dementia, cognitive impairment, and physical limitations was also not properly supervised during smoking. This resident's care plan identified a risk for complications related to tobacco use and noted a refusal to use a smoking apron. The resident's smoking assessment indicated that supervision was required due to cognitive and dexterity limitations. However, the resident reported smoking unsupervised and was found to have cigarettes in his possession. Staff interviews confirmed that residents were not routinely supervised during smoking until the day of the survey, and there was no effective system in place to track or secure smoking paraphernalia as required by facility policy. The facility's smoking policy required assessment of residents' ability to smoke safely, supervision for those deemed unsafe, and secure storage of smoking materials. Despite these policies, the facility did not ensure that residents who required supervision were adequately monitored, nor did it prevent residents from possessing smoking materials outside of supervised times. These failures resulted in residents with cognitive and physical impairments being exposed to significant accident hazards related to smoking, particularly in the context of oxygen use and lack of supervision.
Failure to Complete PASRR for Resident
Penalty
Summary
The facility failed to ensure the completion of a Preadmission Screening and Resident Review (PASRR) for one resident selected for review. The resident was admitted to the facility with multiple diagnoses, including dementia, major depressive disorder, schizoaffective disorder, and other mood disorders. Upon review, it was found that the only PASRR available was dated 2016, and no recent PASRR was completed for the resident's admission in January 2023. Interviews with the Director of Nursing (DON) and the Minimum Data Set (MDS) Coordinator revealed that the facility did not have a policy for PASRR screenings, and the DON acknowledged the oversight, stating, "This one is on me. We did not do the screening."
Inadequate Infection Control and Isolation Practices
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, particularly in managing COVID-19 isolation protocols. Observations revealed that staff did not adhere to proper personal protective equipment (PPE) guidelines. For instance, an LPN was seen interacting with a COVID-19 positive resident without wearing the required N95 mask, face shield, gloves, or gown. Additionally, a PCA entered a room with a resident on droplet precautions without donning appropriate PPE and failed to perform hand hygiene after exiting the room. These actions indicate a lack of compliance with the facility's infection control policies. Further observations showed that residents on droplet precautions were not adequately isolated. A resident was found sitting on another resident's bed, who was also on droplet precautions, without any intervention from staff. Another resident, who tested positive for COVID-19, was allowed to leave his room without a mask and join other residents in the activities room. This lack of enforcement of isolation measures suggests a breakdown in communication and understanding of infection control protocols among staff. Interviews with staff, including the Assistant Director of Nursing/Infection Control Preventionist, revealed gaps in training and implementation of infection control measures. Some staff members were unaware of the specific precautions required for residents on isolation, and there was no clear system to ensure that staff adhered to the necessary protocols. The facility's policies outlined the need for proper PPE and isolation measures, but these were not consistently followed, leading to potential risks of infection spread within the facility.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 151 citations issued within 25 miles in the last 12 months — including the 5 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Ormond Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Coquina Center | 1.6 mi | ★★★★★ | 6 | 0 |
| Terrace At Bishop's Glen, The | 2.5 mi | ★★★★★ | 0 | 0 |
| Ormond Rehabilitation And Nursing Center | 2.6 mi | ★★★★★ | 29 | 0 |
| Daytona Beach Health And Rehabilitation Center | 3.6 mi | ★★★★★ | 5 | 0 |
| Coastal Health And Rehabilitation Center | 4.2 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.