Alliance Health and Rehabilitation Center
130 W Armstrong Avenue, Deland, FL 32720 · Volusia County · (386) 734-6401
130 certified beds, about 105 residents a day · For profit - Partnership · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105349 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 27, 2025, inspectors cited 2 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 7 health citations since July 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.10 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.
45.5% of nursing staff left within the year CMS measured (Florida average 41.4%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
February 27, 2025Standard inspection · 2 citations
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and an interview with staff, the facility failed to notify the office of the State Long-Term Care Ombudsman of a discharge for one (Residents #104) of three residents whose records were reviewed for transfers/discharges, from a total survey sample of 31 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, resident and staff interviews, medical record review, and facility policy and procedure review, the facility failed to ensure the implementation of the comprehensive person-centered care plan for one (Resident #7) of four residents reviewed for falls, out of six residents identified for falls with major injuries, from a total survey sample of 31 residents. Failure to implement the necessary fall interventions on a resident's care plan places them at risk for additional falls and associated injury/pain.
March 9, 2023Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility, by failing to date mark numerous open food packages in the dry storage room, the refrigerator, and the freezer. Food handling and sanitation is important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, a review of resident records, and interviews with staff, the facility failed to ensure a resident's call light was within reach at all times in the event the resident needed assistance for one (Resident #24) of one sampled resident observed with a call light out of reach, from a total of 28 residents in the sample.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation and interview, the facility failed to ensure privacy and confidentiality of medical records for one (Resident #43) in a total of sample of 28 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to maintain an infection prevention and control program to provide a safe, sanitary and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections for one (Resident #25) of four residents on transmission-based precautions, and for two (Residents #25 and #234) residents from a total sample of 28. Failure to follow proper infection control standards increases the risk of adverse health outcomes for facility residents, staff, and other facility occupants.
July 29, 2021Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, the facility failed to maintain the ice machine in the facility kitchen to prevent the spread of foodborne illness and ensure the safety of the 70 residents that resided at the facility.
Fire safety inspections
7 fire safety citations on file: 4 on February 27, 2025, 3 on March 9, 2023.
Every fire safety citation7 citations
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.10 | 3.82 | 3.86 |
| Registered nurses | 0.62 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.60 | 3.49 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 1.30 | ||
| Nursing staff turnover (share who left in a year) | 45.5% | 41.4% | 45.8% |
| Registered nurse turnover | 47.1% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.54 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.31 on weekdays and 3.60 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.17 in April to June 2025 to 4.10 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.10 | 0.62 | 4.31 | 3.60 | 0.3% | 0 of 90 | 105 |
| Oct to Dec 2025 | 3.76 | 0.47 | 3.90 | 3.42 | 0.1% | 0 of 92 | 116 |
| Jul to Sep 2025 | 4.24 | 0.48 | 4.39 | 3.84 | 0.0% | 0 of 92 | 107 |
| Apr to Jun 2025 | 4.17 | 0.55 | 4.33 | 3.77 | 0.1% | 0 of 91 | 107 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 25.9 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.6 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.1 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.9 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.0 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.1 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.1 | 1.8 |
Owners and operators
Legal business name: DELAND SENIOR CARE, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Deland Senior Investments I, LLC | 5% or greater direct ownership interest | Organization | 50% | 02/13/2021 |
| Deland Senior Investments II, LLC | 5% or greater direct ownership interest | Organization | 50% | 02/17/2021 |
| Cleveland, Jeffrey | 5% or greater indirect ownership interest | Individual | 50% | 02/13/2021 |
| Fraser, Geoffrey | 5% or greater indirect ownership interest | Individual | 50% | 03/15/2021 |
| Cleveland, Jeffrey | Managing control - governing body | Individual | 06/17/2021 | |
| Fraser, Geoffrey | Managing control - governing body | Individual | 06/17/2021 | |
| Cleveland, Jeffrey | Corporate officer | Individual | 02/13/2021 | |
| Fraser, Geoffrey | Corporate officer | Individual | 06/17/2021 | |
| Deland Senior Investments I, LLC | Operational/managerial control | Organization | 03/15/2021 | |
| Deland Senior Investments II, LLC | Operational/managerial control | Organization | 03/15/2021 | |
| Edwards, Samuel | Operational/managerial control | Individual | 06/17/2021 | |
| Hurta, Chad | Operational/managerial control | Individual | 07/11/2022 | |
| Huston, Taylor | Operational/managerial control | Individual | 03/15/2021 | |
| Deland Senior Investments I, LLC | Adp of the SNF | Organization | 09/27/2024 | |
| Deland Senior Investments II, LLC | Adp of the SNF | Organization | 09/27/2024 | |
| Cleveland, Jeffrey | Adp of the SNF | Individual | 09/27/2024 | |
| Edwards, Samuel | Adp of the SNF | Individual | 07/29/2025 | |
| Fraser, Geoffrey | Adp of the SNF | Individual | 09/27/2024 | |
| Hurta, Chad | Adp of the SNF | Individual | 04/14/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 27, 2025: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 9, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on February 27, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 9, 2023: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Parkside Health and Rehabilitation Center Deland, 0.4 mi · 4 of 5 stars · 5 citations
- Athens Post Acute LLC Deland, 0.6 mi · 4 of 5 stars · 16 citations
- Villa Healthcare & Rehabilitation Center Deland, 1.1 mi · 5 of 5 stars · 13 citations
- Blue Lake Post Acute Deland, 1.4 mi · 1 of 5 stars · 28 citations
- Blue Palms Health and Rehabilitation Center of Del Deland, 1.5 mi · 5 of 5 stars · 9 citations
- Ridgecrest Healthcare and Rehabilitation Center Deland, 2.3 mi · 4 of 5 stars · 8 citations
- Majestic Oaks Orange City, 5.6 mi · 5 of 5 stars · 1 citation
- Orange City Nursing and Rehab Center Debary, 8 mi · 4 of 5 stars · 6 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Alliance Health and Rehabilitation Center's Medicare star rating?
- CMS rates Alliance Health and Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Alliance Health and Rehabilitation Center get at its last inspection?
- 2 health deficiencies at the standard inspection on February 27, 2025. The Florida average is 7.1.
- Has Alliance Health and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Alliance Health and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Alliance Health and Rehabilitation Center?
- CMS lists 19 owners and managers. Legal business name: DELAND SENIOR CARE, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.