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Blue Palms Health and Rehabilitation Center of Day

325 S Segrave Street, Daytona Beach, FL 32114 · Volusia County · (386) 253-6791

100 certified beds, about 78 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105651 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 23, 2026, inspectors cited 2 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 8 health citations since July 2022 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 3.30 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.

72.2% 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
1E
1F
Potential for minimal harm
0A
0B
0C
April 23, 2026Standard inspection · 2 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on observations, interviews and record review, the facility failed to follow proper sanitation and food handling practices by failing to ensure the kitchen's ice machine was clean and free of black biofilm. This had the potential to negatively affect all 94 residents currently residing in the facility.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on observation, record review and interviews, the facility failed to implement a care plan for one (Resident #5) of 38 residents in the total survey sample for administration of medications as ordered by the physician. The nursing staff did not adhere to the parameters set by the resident's physician, which could lead to a dangerous cardiovascular event such as severe hypotension (low blood pressure).
August 1, 2024Standard inspection · 5 citations
  1. E
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to provide documented evidence of having informed each resident before, or at the time of admission, and periodically during the resident's stay, of services available in the facility and of charges for those services, including any charges for services not covered under Medicare/Medicaid or by the facility's per diem rate. This could have a potentially negative affect on 65 of the 82 residents currently in the facility who actively receive Medicare/Medicaid.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on observations, interviews, record review, and a review of facility policy, the facility failed to report to the State Agency, injuries of unknown origin for one (Resident #43) of 31 residents in the total survey sample.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on observations, staff and resident interviews, and medical record review, the facility failed to ensure that three residents who were unable to carry out activities of daily living (Residents #34, #43, and #66) from a total survey sample of 31 residents, received necessary care and services to maintain grooming and personal hygiene.
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on observations, interviews, record review, and a review of facility policy, the facility failed to ensure that a resident who required oxygen therapy received such therapy per the physician's orders for one (Resident #38) of one resident reviewed for oxygen therapy, from 31 residents in the total survey sample.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on observations, staff interview, medical record review, and a review of facility policies, the facility failed to maintain infection prevention and control standards for one (Resident #538) of 31 residents in the total survey sample, by leaving the resident's enteral nutrition line uncapped and open to air when it was not in use. The facility also failed to maintain infection prevention and control standards when one (Licensed Practical Nurse (LPN) A) of six nurses observed during medication administration failed to clean/disinfect a blood pressure cuff between resident uses. This practice could negatively impact any resident having their blood pressure checked by this nurse using this cuff. Written standards, policies, and procedures must include standard and transmission-based precautions to be followed to prevent the spread of infections. [...]
July 21, 2022Standard inspection · 1 citation
  1. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wroteBased on observations, medical record review, staff and resident interviews, and facility policy review, the facility failed to ensure that one (Resident #44) in a sample of 25 residents was provided respiratory care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. Resident #44 was administered oxygen at a flow rate which exceeded his physician's order.

Fire safety inspections

8 fire safety citations on file: 4 on April 23, 2026, 3 on August 1, 2024, 1 on July 21, 2022.

Every fire safety citation8 citations
  1. D
    Meet other general requirements.
    K 100 · April 23, 2026 · Corrected (the home has a date of correction)
  2. D
    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
    K 111 · April 23, 2026 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 23, 2026 · Corrected (the home has a date of correction)
  4. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · April 23, 2026 · Corrected (the home has a date of correction)
  5. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 1, 2024 · Corrected (the home has a date of correction)
  6. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 1, 2024 · Corrected (the home has a date of correction)
  7. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · August 1, 2024 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 21, 2022 · Corrected (the home has a date of correction)

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.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.303.823.86
Registered nurses0.580.730.69
All nursing staff on weekends3.063.493.42
Nurse aides1.97
Licensed practical nurses0.75
Nursing staff turnover (share who left in a year)72.2%41.4%45.8%
Registered nurse turnover68.8%46.0%42.9%
Administrators who left1

CMS expects 3.33 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 3.40 on weekdays and 3.06 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.43 in April to June 2025 to 3.30 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.300.583.403.06 2.2%0 of 9078
Oct to Dec 20253.360.563.463.12 2.2%0 of 9277
Jul to Sep 20253.470.573.573.22 3.0%0 of 9281
Apr to Jun 20253.430.543.533.16 1.9%0 of 9188
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Florida

JobMedianMiddle halfEmployed
Florida, all employers
CNAs (nursing assistants)$18.03$17.33 to $20.3496,960
LPNs and LVNs$29.70$28.14 to $31.1138,620
Registered nurses$40.48$37.82 to $48.64229,940
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.38.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.72.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.49.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.14.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.78.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.026.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.19.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.32.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.11.8

Owners and operators

Legal business name: DAYTONA FL OPERATING COMPANY LLC.

NameRoleTypeShareSince
Daytona Fl Holdings Company LLC5% or greater direct ownership interestOrganization100%12/16/2022
Adam Sasouness Family Trust5% or greater indirect ownership interestOrganization06/01/2023
Biggest Rock SNF Irrevocable Trust5% or greater indirect ownership interestOrganization06/01/2023
Bp Deland and Daytona Opco LP5% or greater indirect ownership interestOrganization06/01/2023
Camden Wv LLC5% or greater indirect ownership interestOrganization06/01/2023
Dana Sasouness Family Trust5% or greater indirect ownership interestOrganization06/01/2023
Healthcare Investment Holdings LLC5% or greater indirect ownership interestOrganization06/01/2023
Js Family TrustIndirect ownership interestOrganization06/01/2023
Alvarez, NormaManaging control - governing bodyIndividual06/17/2024
Fried, BinyominManaging control - governing bodyIndividual10/01/2023
Fried, BinyominCorporate officerIndividual10/01/2023
Pinnacle Healthcare Solutions IncOperational/managerial controlOrganization10/01/2023
Alvarez, NormaOperational/managerial controlIndividual06/17/2024
Fried, BinyominOperational/managerial controlIndividual10/01/2023
Heise, DavidOperational/managerial controlIndividual11/01/2024
Hensley, ChristineOperational/managerial controlIndividual11/25/2024
Adam Sasouness Family TrustAdp of the SNFOrganization06/01/2023
Biggest Rock SNF Irrevocable TrustAdp of the SNFOrganization06/01/2023
Bp Deland and Daytona General Partner LLCAdp of the SNFOrganization06/01/2023
Bredlegs Holdings LLCAdp of the SNFOrganization06/01/2023
Camden Wv LLCAdp of the SNFOrganization06/01/2023
Dana Sasouness Family TrustAdp of the SNFOrganization06/01/2023
Healthcare Investment Holdings LLCAdp of the SNFOrganization06/01/2023
Pinnacle Healthcare Solutions IncAdp of the SNFOrganization06/27/2025
Alvarez, NormaAdp of the SNFIndividual06/17/2024
Fried, BinyominAdp of the SNFIndividual10/01/2023
Heise, DavidAdp of the SNFIndividual11/01/2024
Hensley, ChristineAdp of the SNFIndividual10/01/2023
Sturm, JoshuaAdp of the SNFIndividual06/01/2023

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 1, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 23, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 23, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 1, 2024: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the Florida average of 3.49.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Florida contacts for a concern about a nursing home

These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.

Common questions

What is Blue Palms Health and Rehabilitation Center of Day's Medicare star rating?
CMS rates Blue Palms Health and Rehabilitation Center of Day 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Blue Palms Health and Rehabilitation Center of Day get at its last inspection?
2 health deficiencies at the standard inspection on April 23, 2026. The Florida average is 7.1.
Has Blue Palms Health and Rehabilitation Center of Day been fined?
CMS lists no fines in the last three years.
Does Blue Palms Health and Rehabilitation Center of Day 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 Blue Palms Health and Rehabilitation Center of Day?
CMS lists 29 owners and managers. Legal business name: DAYTONA FL OPERATING COMPANY LLC.

Sources

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