Coquina Center
170 N Center Street, Ormond Beach, FL 32174 · Volusia County · (386) 672-7113
120 certified beds, about 115 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1987
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105589 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 26, 2026, inspectors cited 5 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 8 health citations since May 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 3.42 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.26 of those hours.
CMS links it to Aston Health, an affiliated group of 38 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.
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.
February 26, 2026Standard inspection, Complaint inspection · 5 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure that three (Residents #1, #8 and #20) of three residents reviewed for dignity were able to exercise their right to dignity. Staff referred to Residents #1 and #8 as feeders, and were observed standing over Residents #1, #8 and #20 while assisting them with their meals.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interviews and record review, the facility failed to send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman for one (Resident #128) of two residents reviewed for transfer/discharge.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interviews, the facility failed to review the accuracy and completion of the Preadmission Screening and Resident Review (PASRR) forms for two (Residents #70 and #44) of two residents reviewed for PASRR completion. Failure to ensure the accuracy/completion of the residents' PASRRs placed the residents at risk for not receiving needed services.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interviews and record review, the facility failed to check gastric residual volume (GRV) for one (Resident #52) of three residents reviewed for enteral nutrition. Failure to check for gastric residual volume can result in accidental inhalation of food/liquid into the airway and lungs instead of the esophagus, which can lead to choking, lung infections and/or breathing difficulty.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections, by repeatedly failing to ensure that one (Resident #1) of one resident who was reviewed for urinary catheter care, had a urinary catheter bag that was kept off the floor. Failure to ensure a urinary catheter bag remains off the floor can result in a catheter-associated urinary tract infection.
May 9, 2024Standard inspection · 0 citations
May 19, 2022Standard inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, interviews, and record reviews, the facilty failed to provide treatment and care in accordance with professional standards of practice for one (Resident #48) of 39 residents sampled. Resident #48 received no flushes to her Peripherally Inserted Central Catheter (PICC) line.
- 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, and record reviews, the facility failed to 1) 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, and 2) Ensure residents received appropriate services, equipment, and assistance to maintain or improve mobility with maximum practicable independence for one (Resident #107) of 39 residents sampled.
- 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.
Inspectors wroteBased on record reviews and interviews, the facility failed to 1) Maintain a hospice plan of care and documentation of care in the resident record, 2) Designate a member of the facility's interdisciplinary team to coordinate care, and 3) Coordinate Hospice care for one (Resident #111) of five residents reviewed for hospice services/coordination of care, from a total sample of 39 residents.
Fire safety inspections
1 fire safety citation on file: 1 on February 26, 2026.
Every fire safety citation1 citation
- D Install corridor and hallway doors that block smoke.
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) | 3.42 | 3.82 | 3.86 |
| Registered nurses | 0.26 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.11 | 3.49 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 1.09 | ||
| Nursing staff turnover (share who left in a year) | not reported | 41.4% | 45.8% |
| Registered nurse turnover | not reported | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.59 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 3.54 on weekdays and 3.11 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.53 in April to June 2025 to 3.42 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 | 3.42 | 0.26 | 3.54 | 3.11 | 6.5% | 0 of 90 | 115 |
| Oct to Dec 2025 | 3.24 | 0.23 | 3.30 | 3.08 | 5.8% | 0 of 92 | 114 |
| Jul to Sep 2025 | 3.19 | 0.30 | 3.26 | 3.00 | 11.0% | 0 of 92 | 111 |
| Apr to Jun 2025 | 3.53 | 0.67 | 3.69 | 3.14 | 13.4% | 0 of 91 | 111 |
| 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 | 8.7 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.7 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.2 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.7 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.2 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.1 | 1.8 |
Owners and operators
Legal business name: COQUINA CENTER LLC. CMS links this home to Aston Health, a group of 38 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Coquina Center Holdco LLC | Direct ownership interest | Organization | 12/15/2023 | |
| Lce Partners LLC | Indirect ownership interest | Organization | 01/01/2021 | |
| Kruse, Trisha | Managing control - governing body | Individual | 01/02/2024 | |
| Lorjuste, Thamara | Managing control - governing body | Individual | 04/23/2025 | |
| Thacker, Tricia | Corporate officer | Individual | 04/04/2022 | |
| Kruse, Trisha | Operational/managerial control | Individual | 01/02/2024 | |
| Lorjuste, Thamara | Operational/managerial control | Individual | 04/23/2025 | |
| Nichols, Gina | Operational/managerial control | Individual | 06/03/2024 | |
| Aston Healthcare LLC | Adp of the SNF | Organization | 07/09/2025 | |
| Heise, David | Adp of the SNF | Individual | 06/28/2025 | |
| Kruse, Trisha | Adp of the SNF | Individual | 06/28/2025 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 26, 2026: "Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 26, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on February 26, 2026: "PASARR screening for Mental disorders or Intellectual Disabilities"
- 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 February 26, 2026: "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 3.11 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Bridgeview Center Ormond Beach, 1.6 mi · 4 of 5 stars · 8 citations
- Ormond Rehabilitation and Nursing Center Ormond Beach, 1.6 mi · 3 of 5 stars · 23 citations
- Avante at Ormond Beach, Inc Ormond Beach, 2.8 mi · 4 of 5 stars · 16 citations
- Terrace at Bishop's Glen, the Holly Hill, 3.5 mi · 3 of 5 stars · 12 citations
- Daytona Beach Health and Rehabilitation Center Daytona Beach, 4.6 mi · 5 of 5 stars · 7 citations
- Coastal Health and Rehabilitation Center Daytona Beach, 5 mi · 4 of 5 stars · 15 citations
- Emory L Bennett Memorial Veterans Nursing Home Daytona Beach, 5.1 mi · 4 of 5 stars · 15 citations
- Solaris Healthcare Daytona Daytona Beach, 5.6 mi · 5 of 5 stars · 3 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 Coquina Center's Medicare star rating?
- CMS rates Coquina Center 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Coquina Center get at its last inspection?
- 5 health deficiencies at the standard inspection on February 26, 2026. The Florida average is 7.1.
- Has Coquina Center been fined?
- CMS lists no fines in the last three years.
- Does Coquina 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 Coquina Center?
- CMS lists 11 owners and managers, and links the home to Aston Health. Legal business name: COQUINA CENTER 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.