Blue Palms Health and Rehabilitation Center of Del
450 North McDonald Avenue, Deland, FL 32724 · Volusia County · (386) 738-0212
60 certified beds, about 55 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105937 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 2, 2025, inspectors cited 4 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 9 health citations since September 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 3.72 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
56.8% 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.
309/21
206/23
404/25
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
1F
Potential for minimal harm
0A
0B
0C
April 2, 2025Standard inspection · 4 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, the facility failed to establish an infection prevention and control program (IPCP) that included a system for preventing, identifying, reporting, investigating, and controlling infections, specifically, the spread of a gastrointestinal infection (GI) affecting 15 (Residents #208, #32, #42, #36, #22, #207, #21, #24, #35, #51, #40, #1, #8, #14 and #20) of 50 residents living in the facility. Failure to control the spread of infection can result in serious harm to residents, staff, volunteers, visitors, and other individuals providing services to the facility. Facility staff also failed to implement enhanced barrier precautions (EBP) for two (Residents #1 and #304) of two residents with indwelling devices from a total survey sample of 30 residents.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to ensure that a Level II Preadmission Screening and Resident Review (PASRR) evaluation was completed after a Level 1 screening suggested the possibility of a serious mental illness for one (Resident #6) of one resident reviewed for PASRR, out of 30 residents in the total survey sample.
- 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, interviews, and record review, the facility failed to develop comprehensive care plans that included measurable objectives and timeframes to meet residents' medical, nursing, mental, and psychosocial needs for four (Residents #1, #40, #24 and #31) of 30 residents reviewed for care planning from a total survey sample of 30 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to provide treatment and care in accordance with professional standards of practice for two (Residents #304 and #305) of 30 residents in the total survey sample. Resident #304 was not provided adequate care for a Jackson Pratt (JP) drain, and the facility failed to obtain a timely hospice consult per physician's orders for Resident #305, who was admitted on [DATE], with a physician's order for Consult [provider name] Hospice dated 3/12/25 at 12:55 PM. As of 4/2/25, three weeks after the order was written and on the last day of the survey, there was no documented evidence that a hospice consult had been obtained.
June 22, 2023Standard inspection · 2 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 complete temperature logs for the dish machine and ice cream box, properly clean and sanitize the kitchen ice machine, fryer, upper and lower-level of convection oven, can opener, oven tray lines, and grill; date mark numerous open food packages in the dry storage room, on the bread rack, under the food prep table, in the refrigerator, and in 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 Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that one (Resident #11) of 13 residents receiving oxygen therapy, from a total sample of 21 residents, received the correct oxygen flow rate as ordered by the physician.
September 23, 2021Standard inspection · 3 citations
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observations, interviews, record review, and review of the facility policy and procedure, the facility failed to ensure that a resident with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for two (Resident #11 and Resident #13) of two residents sampled for review of range of motion services, from a total sample of 20 residents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and staff interviews, the facility failed to monitor resident behaviors and potential side effects related to the use of psychotropic medication for one (Resident #25) of five residents reviewed for unnecessary medications from a total of 20 residents in the sample.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, interviews, record review and facility policy and procedure review, the facility failed to properly store medication in locked compartments, allowing only authorized personnel access to them for one (Resident #10) of 20 sampled residents, by leaving a medication cup with pills in it and a bottle of artificial tears on the resident's bedside table and failing to ensure the resident took the medications.
Fire safety inspections
15 fire safety citations on file: 11 on April 2, 2025, 4 on June 22, 2023.
Every fire safety citation15 citations
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Establish policies and procedures for volunteers.
- D Create arrangements with other facilities to receive patients.
- D Provide primary/alternate means for communication.
- D Meet the requirements of an integrated health system.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Meet requirements for the installation and maintenance of electrical 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) | 3.72 | 3.82 | 3.86 |
| Registered nurses | 0.71 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.31 | 3.49 | 3.42 |
| Nurse aides | 2.14 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | 56.8% | 41.4% | 45.8% |
| Registered nurse turnover | 66.7% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.71 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 3.88 on weekdays and 3.31 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.72 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 | 3.72 | 0.71 | 3.88 | 3.31 | 2.8% | 0 of 90 | 55 |
| Oct to Dec 2025 | 3.61 | 0.72 | 3.73 | 3.29 | 2.8% | 0 of 92 | 57 |
| Jul to Sep 2025 | 3.59 | 0.66 | 3.75 | 3.17 | 2.8% | 0 of 92 | 57 |
| Apr to Jun 2025 | 3.56 | 0.61 | 3.74 | 3.12 | 3.0% | 0 of 91 | 53 |
| 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.
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
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 10.7 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.4 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.5 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.7 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.3 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.1 | 1.8 |
Owners and operators
Legal business name: DELAND FL OPCO, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Deland Fl Holdco, LLC | 5% or greater direct ownership interest | Organization | 100% | 12/20/2022 |
| Adam Sasouness Family Trust | 5% or greater indirect ownership interest | Organization | 06/01/2023 | |
| Biggest Rock SNF Irrevocable Trust | 5% or greater indirect ownership interest | Organization | 06/01/2023 | |
| Bp Deland and Daytona Opco LP | 5% or greater indirect ownership interest | Organization | 100% | 06/01/2023 |
| Camden Wv LLC | 5% or greater indirect ownership interest | Organization | 06/01/2023 | |
| Dana Sasouness Family Trust | 5% or greater indirect ownership interest | Organization | 06/01/2023 | |
| Healthcare Investment Holdings LLC | 5% or greater indirect ownership interest | Organization | 06/01/2023 | |
| Js Family Trust | Indirect ownership interest | Organization | 06/01/2023 | |
| Alvarez, Norma | Managing control - governing body | Individual | 06/17/2024 | |
| Fried, Binyomin | Managing control - governing body | Individual | 10/01/2023 | |
| Fried, Binyomin | Corporate officer | Individual | 10/01/2023 | |
| Pinnacle Healthcare Solutions Inc | Operational/managerial control | Organization | 10/01/2023 | |
| Alvarez, Norma | Operational/managerial control | Individual | 06/17/2024 | |
| Beckman, Robert | Operational/managerial control | Individual | 09/11/2024 | |
| Fried, Binyomin | Operational/managerial control | Individual | 10/01/2023 | |
| Nuriel, Gabriel | Operational/managerial control | Individual | 01/18/2025 | |
| Adam Sasouness Family Trust | Adp of the SNF | Organization | 06/01/2023 | |
| Biggest Rock SNF Irrevocable Trust | Adp of the SNF | Organization | 06/01/2023 | |
| Bp Deland and Daytona General Partner LLC | Adp of the SNF | Organization | 06/01/2023 | |
| Bredlegs Holdings LLC | Adp of the SNF | Organization | 06/01/2023 | |
| Camden Wv LLC | Adp of the SNF | Organization | 06/01/2023 | |
| Dana Sasouness Family Trust | Adp of the SNF | Organization | 06/01/2023 | |
| Healthcare Investment Holdings LLC | Adp of the SNF | Organization | 06/01/2023 | |
| Js Family Trust | Adp of the SNF | Organization | 06/26/2025 | |
| Pinnacle Healthcare Solutions Inc | Adp of the SNF | Organization | 06/26/2025 | |
| Alvarez, Norma | Adp of the SNF | Individual | 06/17/2024 | |
| Beckman, Robert | Adp of the SNF | Individual | 09/11/2024 | |
| Fried, Binyomin | Adp of the SNF | Individual | 10/01/2023 | |
| Nuriel, Gabriel | Adp of the SNF | Individual | 01/18/2025 | |
| Sturm, Joshua | Adp of the SNF | Individual | 06/01/2023 |
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.
- 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 April 2, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 2, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on September 23, 2021: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- 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 April 2, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.31 hours per resident per day, below the Florida average of 3.49.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Blue Lake Post Acute Deland, 0.5 mi · 1 of 5 stars · 28 citations
- Parkside Health and Rehabilitation Center Deland, 1.2 mi · 4 of 5 stars · 5 citations
- Alliance Health and Rehabilitation Center Deland, 1.5 mi · 5 of 5 stars · 7 citations
- Athens Post Acute LLC Deland, 1.8 mi · 4 of 5 stars · 16 citations
- Ridgecrest Healthcare and Rehabilitation Center Deland, 2.1 mi · 4 of 5 stars · 8 citations
- Villa Healthcare & Rehabilitation Center Deland, 2.4 mi · 5 of 5 stars · 13 citations
- Majestic Oaks Orange City, 6.6 mi · 5 of 5 stars · 1 citation
- West Volusia Healthcare and Rehabilitation Center Deltona, 9.1 mi · 3 of 5 stars · 19 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 Blue Palms Health and Rehabilitation Center of Del's Medicare star rating?
- CMS rates Blue Palms Health and Rehabilitation Center of Del 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Blue Palms Health and Rehabilitation Center of Del get at its last inspection?
- 4 health deficiencies at the standard inspection on April 2, 2025. The Florida average is 7.1.
- Has Blue Palms Health and Rehabilitation Center of Del been fined?
- CMS lists no fines in the last three years.
- Does Blue Palms Health and Rehabilitation Center of Del 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 Del?
- CMS lists 30 owners and managers. Legal business name: DELAND FL OPCO, 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.