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Carlton Shores Healthcare and Rehabilitation Cente

1350 S Nova Rd, Daytona Beach, FL 32114 · Volusia County · (386) 258-5544

118 certified beds, about 94 residents a day · For profit - Corporation · Medicare and Medicaid since 1987

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105580 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 29, 2026, inspectors cited 0 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 5 health citations since April 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 3.79 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.36 of those hours.

55.4% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Gold Fl Trust II, an affiliated group of 36 nursing homes.

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
0E
1F
Potential for minimal harm
0A
0B
0C
January 29, 2026Standard inspection · 0 citations
April 4, 2024Standard inspection · 1 citation
  1. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 4, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that all essential equipment in the kitchen was maintained in safe operating condition. The facility's dish machine did not reach 120 degrees F during the rinse cycle, the walk-in freezer had a large accumulation of ice on the floor, on storage racks, and on food boxes, the kitchen ice machine was not working, and the freezer fan was not running.
April 28, 2022Standard inspection · 4 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to provide treatment and care in accordance with professional standards of practice and the resident's choices, by failing to provide one (Resident #56) of one resident admitted to the facility with the need for hemodialysis (HD) with a meal prior to dialysis and/or a meal/snack to take with him to the dialysis center onm his dialysis days.
  2. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on observation, interviews with staff, and reviews of the facility's Medication Destruction Policy and the Omnicare Med Pass Checklist, the facility failed to ensure its medication error rate was not 5% or greater (rate 6.67%) for two (Residents in rooms 110B and 304) of seven residents observed during medication administration.
  3. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on observations, interviews and document review, the facility failed to ensure the appropriate labeling/storage of medications for four (Residents #48, #55, #77 and #206) of seven residents sampled. Pre-pouring medication placed each resident at risk for a medication administration error by risk of provided the incorrect medications.
  4. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2022
    Inspectors wroteBased on record reviews, interviews, and a review of the hospice agency contract, the facility failed to maintain a hospice plan of care, hospice visits and documentation of care in the resident record for one (Resident #75) of four residents reviewed for hospice services/coordination of care, from a total sample of 43 residents.

Fire safety inspections

4 fire safety citations on file: 4 on January 29, 2026.

Every fire safety citation4 citations
  1. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 29, 2026 · Corrected (the home has a date of correction)
  2. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 29, 2026 · Corrected (the home has a date of correction)
  3. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · January 29, 2026 · Corrected (the home has a date of correction)
  4. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 29, 2026 · 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)3.793.823.86
Registered nurses0.360.730.69
All nursing staff on weekends3.443.493.42
Nurse aides2.24
Licensed practical nurses1.19
Nursing staff turnover (share who left in a year)55.4%41.4%45.8%
Registered nurse turnover66.7%46.0%42.9%
Administrators who left0

CMS expects 4.14 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 3.93 on weekdays and 3.44 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 3.79 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.790.363.933.44 8.7%0 of 9094
Oct to Dec 20253.730.333.863.39 4.5%1 of 92100
Jul to Sep 20253.940.274.093.57 11.0%0 of 9292
Apr to Jun 20254.140.494.293.77 25.5%0 of 9162
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
2.68.713.9
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
5.62.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
0.09.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.44.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.38.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.626.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.39.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.82.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.11.8

Owners and operators

Legal business name: CARLTON SHORES HEALTHCARE AND REHABILITATION CENTER, LLC. CMS links this home to Gold Fl Trust II, a group of 36 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Carlton Shores SNF Holdco LLC5% or greater direct ownership interestOrganization100%03/23/2022
Fl Master Opco Holdco LLC5% or greater indirect ownership interestOrganization100%07/27/2022
Shelby, JackCorporate officerIndividual07/27/2022
Brush, JacobOperational/managerial controlIndividual01/01/2025
Brush, JacobAdp of the SNFIndividual04/30/2025

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.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 28, 2022: "Ensure medication error rates are not 5 percent or greater."
  2. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on April 4, 2024: "Keep all essential equipment working safely."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on April 28, 2022: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on April 28, 2022: "Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.44 hours per resident per day, below the Florida average of 3.49.

Other nursing homes nearby

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Common questions

What is Carlton Shores Healthcare and Rehabilitation Cente's Medicare star rating?
CMS rates Carlton Shores Healthcare and Rehabilitation Cente 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Carlton Shores Healthcare and Rehabilitation Cente get at its last inspection?
0 health deficiencies at the standard inspection on January 29, 2026. The Florida average is 7.1.
Has Carlton Shores Healthcare and Rehabilitation Cente been fined?
CMS lists no fines in the last three years.
Does Carlton Shores Healthcare and Rehabilitation Cente 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 Carlton Shores Healthcare and Rehabilitation Cente?
CMS lists 5 owners and managers, and links the home to Gold Fl Trust II. Legal business name: CARLTON SHORES HEALTHCARE AND REHABILITATION CENTER, LLC.

Sources

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