Below 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 West Volusia Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to maintain proper food handling and sanitation practices, risking foodborne illness. Unlabeled and expired food items were found in the kitchen, and various areas were observed to be unsanitary, with buildup and debris. The CDM acknowledged these issues, noting that housekeeping was responsible for deep-cleaning, which was infrequent.
The facility failed to implement a comprehensive water management program to prevent Legionella growth, lacking control measures, monitoring points, and testing protocols. Interviews revealed no water testing or training for the maintenance staff, and the facility's policy did not provide guidelines for Legionella testing.
A resident with a diabetic ulcer was not wearing a prescribed multi podus boot, despite facility records indicating daily use. Observations and interviews revealed the absence of the boot, and staff acknowledged the resident's refusal to wear it. The inaccurate documentation of care provided led to a deficiency.
Two residents in a LTC facility experienced abuse due to staff actions. A resident with severe cognitive impairment was physically abused by a CNA during a shower after becoming combative. Another resident, who is cognitively intact, was verbally abused by an agency CNA using derogatory language. The facility lacked proper training and documentation, contributing to these incidents.
Improper Food Handling and Unsanitary Kitchen Conditions
Penalty
Summary
The facility failed to adhere to proper sanitation and food handling practices, which could potentially lead to foodborne illness among residents. During a kitchen inspection, it was observed that opened refrigerated foods, such as shredded iceberg lettuce, a cut onion, and fresh herbs, were not labeled or dated. Additionally, several loaves of bread and hot dog buns lacked labels indicating when they were received and thawed. Canned pineapple tidbits were found to be expired upon receipt, yet they were still stocked for use. The Certified Dietary Manager (CDM) acknowledged these oversights, confirming that the items should have been labeled and dated, and admitted that the expired products were not recognized as such. The kitchen environment was found to be unsanitary, with various areas exhibiting significant buildup and debris. The table under the food steamer was soiled with flour-like debris and food crumbs, and the legs of the steamer had lime or rust buildup. The floor tiles near the walk-in refrigerator and the drains under the steamer and two-compartment sink were coated with a black, grimy substance. Sewer flies were observed around the drain, and the juice machine rack was rusted and soiled. The CDM confirmed these findings and noted that housekeeping was responsible for deep-cleaning the kitchen, which had only been done twice in the past year.
Deficient Water Management Program for Legionella Prevention
Penalty
Summary
The facility failed to develop and implement a comprehensive water management program aimed at reducing the risk of Legionella and other opportunistic pathogens in the water system. A review of the facility's water management program revealed that it lacked essential components such as control measures for preventing Legionella growth, points in the system where critical limits could be monitored, and protocols for testing water's disinfectant levels and pH. The program included drawings of water flow, temperature checks, and flushing dates but did not address control measures or monitoring points. The facility's policy on infection control did not provide guidelines for identifying or testing for Legionella. Interviews with the Regional Maintenance Director and the Director of Maintenance revealed a lack of training and testing related to the water management program. The Regional Maintenance Director stated that no water or Legionella testing was conducted, as it was not required by the CDC, and provided a diagram that did not identify potential Legionella growth areas. The Director of Maintenance confirmed the absence of water testing since his hiring and the lack of a testing kit for disinfectant levels. The facility's policy indicated that the Maintenance Director was responsible for the water management program, yet there were no guidelines for Legionella testing.
Inaccurate Documentation of Wound Care
Penalty
Summary
The facility failed to maintain accurate resident records reflective of the care provided for a resident with a left foot diabetic ulcer. The resident, who had intact cognition and was dependent on staff for certain activities, was supposed to wear a multi podus boot to aid in healing and prevent further ulcers. However, during the survey, it was observed that the resident was not wearing the boot, despite records indicating it was worn daily. Interviews with the resident and staff confirmed the absence of the boot, and a search of the resident's room revealed no boot was present. The wound care doctor and nurse acknowledged the resident's refusal to wear the boot, yet staff continued to document its use. The resident had a history of facility-acquired pressure ulcers, and during the survey, a new unbandaged wound was observed on her left heel. The wound care doctor noted the resident's resistance to offloading interventions and mentioned her decline in executive function, although she still made her own decisions. Despite this, the facility's documentation inaccurately reflected the care being provided, leading to the deficiency.
Failure to Protect Residents from Abuse
Penalty
Summary
The facility failed to protect the rights of residents to be free from abuse, as evidenced by incidents involving two residents. Resident #2, who has severe cognitive impairment and multiple medical conditions, was physically abused by a CNA during a shower. The resident became combative and hit the CNA, who then reacted by hitting the resident on the side of the face. This incident was witnessed by another staff member, and it was reported that the CNA did not heed advice to stop the shower when the resident became combative. Resident #4, who is cognitively intact, was verbally abused by an agency CNA during a shower. The CNA made derogatory remarks and used a racial slur, which left the resident feeling bad and defeated. The resident reported the incident to the Social Services Assistant, who helped him file a report. The facility's administrator confirmed the verbal abuse incident and noted that the agency CNA would not be returning to the facility. The facility's policy on abuse and neglect outlines the need for training and reporting, but there were gaps in the implementation of these policies. The administrator admitted that training records for dementia and behavior management were not found, and there was no evidence of in-service training following the incidents. The facility's failure to adequately train staff and agency workers contributed to the abuse incidents, highlighting deficiencies in protecting residents from harm.
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 207 citations issued within 25 miles in the last 12 months — including the 11 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 Deltona
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Majestic Oaks | 3.9 mi | ★★★★★ | 0 | 0 |
| Orange City Nursing And Rehab Center | 4.2 mi | ★★★★★ | 0 | 0 |
| Debary Health And Rehabilitation Center | 5.7 mi | ★★★★★ | 10 | 0 |
| Villa Healthcare & Rehabilitation Center | 7.7 mi | ★★★★★ | 9 | 0 |
| Healthcare And Rehab Of Sanford | 8.1 mi | ★★★★★ | 5 | 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.