What is Flagler Health and Rehabilitation Center's Medicare star rating?

CMS rates Flagler Health and Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Flagler Health and Rehabilitation Center get at its last inspection?

9 health deficiencies at the standard inspection on December 4, 2025. The Florida average is 7.1.

Has Flagler Health and Rehabilitation Center been fined?

CMS lists no fines in the last three years.

Does Flagler 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 Flagler Health and Rehabilitation Center?

CMS lists 14 owners and managers, and links the home to Aston Health. Legal business name: FLAGLER PINES OPERATIONS LLC.

Flagler Health and Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on December 4, 2025, inspectors cited 9 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 15 health citations since February 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 3.35 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

78.6% of nursing staff left within the year CMS measured (Florida average 41.4%).

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.

202/22

412/23

912/25

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 15 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

10D

Potential for minimal harm

December 4, 2025Standard inspection · 9 citations

F

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 2, 2026

Inspectors wroteBased on a review of facility staffing information, the facility failed to ensure that a Registered Nurse (RN), other than the Director of Nursing, provided services for at least eight consecutive hours a day, seven days a week when the resident census exceeded sixty (60) for two (11/09/25 and 11/23/25) of 29 days reviewed.
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) January 2, 2026

Inspectors wroteBased on observations and interviews with staff, the facility failed to label and date opened refrigerated food, maintain food preparation equipment in a clean and sanitary manner, and ensure canned goods intended for consumption were stored off the floor. Unsafe food storage and handling present the potential to affect all residents who consume foods prepared in the facility's kitchen.
E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 2, 2026

Inspectors wroteBased on observations, interviews, medical record review, and facility policy and procedure review, the facility failed to ensure accurate administration of time-sensitive medications, specifically insulin ordered to be administered before breakfast, for five (Residents #46, #120, #10, #119, and #108) of seven residents reviewed who had medications ordered to be administered prior to breakfast.
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) January 2, 2026

Inspectors wroteBased on observations, interviews, record review, and facility policy and procedure review, the facility failed to provide activities of daily living (ADL) care (specifically fingernail care) for two (Residents #54 and #90) of two dependent residents sampled for ADL care.
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) January 2, 2026

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the timely assessment and implementation of appropriate care orders for surgical wounds for two (Residents #64 and #108) of two residents sampled for surgical wounds.
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) January 2, 2026

Inspectors wroteBased on observations, interviews, medical record and facility policy and procedure review, the facility failed to ensure that two (Residents #4 and #95) of two residents reviewed for continuous oxygen therapy, out of three residents who received continuous oxygen therapy, received oxygen as ordered and consistent with professional standards of practice.
D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2026

Inspectors wroteBased on a review of resident records and interviews with staff, the facility failed to 1) Ensure that one resident's (#110) medications were held according to the physician's prescribed parameters, and 2) Ensure sufficient monitoring for one resident (#77) receiving psychotropic medication for mood and behavior, from a total of six residents reviewed for unnecessary medications.
D

Dispose of garbage and refuse properly.

F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2026

Inspectors wroteBased on observations and interviews with dietary staff, the facility failed to ensure the area surrounding the commercial trash dumpsters was clean and free of debris, and that all waste was contained inside the receptacle.
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) January 2, 2026

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff followed Enhanced Barrier Precaution (EBP) requirements for Personal Protective Equipment (PPE) use during high-contact resident care activities for one (Resident #30) of three residents sampled for review of Enhanced Barrier Precautions.

December 21, 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.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 15, 2024

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. The facility failed to ensure that the dietary staff practiced the proper procedures for hand hygiene, disposable glove use, food storage and proper sanitation practices in the kitchen. Hand hygiene, food handling and sanitation is important in health care settings serving nursing home residents due to the risk of serious complications from foodborne illness as a result of their compromised health status. Unsafe food handling practices represent a potential source of pathogen exposure. This had the potential to impact any resident receiving food from the facility.
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) December 22, 2023

Inspectors wroteBased on kitchen food service observations, staff interviews, and facility document review, the facility failed to ensure that all mechanical equipment in the kitchen was maintained in a safe operating condition. This failure had the potential to impact any resident receiving food from the facility's kitchen.
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) December 22, 2023

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that one (Resident #72) of three residents reviewed for activities of daily living (ADL), from a total sample of 32 residents, received adequate and appropriate nail care to maintain personal hygiene.
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.

F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023

Inspectors wroteBased on observations, interview and record review, the facility failed to ensure that one (Resident#33) of four residents receiving enteral feedings received adequate nutrition as prescribed. There were 32 residents in the total sample. Failure to provide enteral nutrition as prescribed could result in caloric deficit and eventual malnutrition.

February 3, 2022Standard inspection · 2 citations

D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2022

Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure it provided appropriate restorative services to maintain or improve the ability to carry out the activities of daily living for one (Resident #39) of one resident sampled for restorative care, out of a total sample of 36 residents. This placed resident #39 at risk for functional decline.
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2022

Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain complete and accurate medical records in accordance with professional standards for one (Resident #7) of one resident sampled for mobility, from a total sample of 36 residents.

Fire safety inspections

6 fire safety citations on file: 3 on December 4, 2025, 3 on December 21, 2023.

Every fire safety citation6 citations

D
Meet the requirements of an integrated health system.

E 42 · December 4, 2025 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · December 4, 2025 · Corrected (the home has a date of correction)
D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · December 4, 2025 · Corrected (the home has a date of correction)
F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · December 21, 2023 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · December 21, 2023 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · December 21, 2023 · 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.

Measure	This home	Florida	United States
All nursing staff (RN, LPN and aides)	3.35	3.82	3.86
Registered nurses	0.49	0.73	0.69
All nursing staff on weekends	3.10	3.49	3.42
Nurse aides	2.07
Licensed practical nurses	0.79
Nursing staff turnover (share who left in a year)	78.6%	41.4%	45.8%
Registered nurse turnover	89.5%	46.0%	42.9%
Administrators who left	2

CMS expects 3.77 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 3.45 on weekdays and 3.10 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.65 in April to June 2025 to 3.35 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	3.35	0.49	3.45	3.10	16.5%	0 of 90	99
Oct to Dec 2025	3.35	0.34	3.45	3.09	20.1%	0 of 92	94
Jul to Sep 2025	3.22	0.33	3.27	3.10	17.8%	0 of 92	98
Apr to Jun 2025	3.65	0.71	3.84	3.19	20.4%	0 of 91	97
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	10.1	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	0.7	2.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.4	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	12.2	9.5	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.7	4.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	5.4	8.6	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	18.5	26.1	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	9.7	9.1	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.8	2.1	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.8	1.1	1.8

Owners and operators

Legal business name: FLAGLER PINES OPERATIONS LLC. CMS links this home to Aston Health, a group of 38 nursing homes averaging 2.7 stars overall.

Name	Role	Type	Share	Since
Flagler Pines Operations Holdings LLC	5% or greater direct ownership interest	Organization	100%	08/13/2020
Blue Spring Healthcare Partners LLC	5% or greater indirect ownership interest	Organization	100%	08/13/2020
Friedman, Leopold	Indirect ownership interest	Individual		01/01/2026
Gutman, Samuel	Indirect ownership interest	Individual		08/13/2020
Wildes, Donna	Corporate officer	Individual		08/28/2025
Canidate, Delana	Operational/managerial control	Individual		06/09/2025
Jardine, Tammy	Operational/managerial control	Individual		11/03/2020
Martinez Irizarry, Axel	Operational/managerial control	Individual		04/01/2025
Wildes, Donna	Operational/managerial control	Individual		08/28/2025
Wothers, Eileen	Operational/managerial control	Individual		04/29/2025
Aston Healthcare LLC	Adp of the SNF	Organization		01/01/2022
Canidate, Delana	Adp of the SNF	Individual		10/08/2025
Martinez Irizarry, Axel	Adp of the SNF	Individual		10/08/2025
Wildes, Donna	Adp of the SNF	Individual		08/28/2025

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 6 problems in this area, most recently on December 4, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on December 4, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 4, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on December 4, 2025: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.10 hours per resident per day, below the Florida average of 3.49.
How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

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Avante at Ormond Beach, Inc
Ormond Beach, 14.2 mi · 4 of 5 stars · 16 citations
The Pavilion at Crescent Lake
Crescent City, 15.5 mi · 4 of 5 stars · 16 citations
Coquina Center
Ormond Beach, 16.1 mi · 3 of 5 stars · 8 citations
Ormond Rehabilitation and Nursing Center
Ormond Beach, 16.3 mi · 3 of 5 stars · 23 citations
Bridgeview Center
Ormond Beach, 17.6 mi · 4 of 5 stars · 8 citations
Terrace at Bishop's Glen, the
Holly Hill, 19.4 mi · 3 of 5 stars · 12 citations
Emory L Bennett Memorial Veterans Nursing Home
Daytona Beach, 20.1 mi · 4 of 5 stars · 15 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 Flagler Health and Rehabilitation Center's Medicare star rating?: CMS rates Flagler Health and Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Flagler Health and Rehabilitation Center get at its last inspection?: 9 health deficiencies at the standard inspection on December 4, 2025. The Florida average is 7.1.
Has Flagler Health and Rehabilitation Center been fined?: CMS lists no fines in the last three years.
Does Flagler 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 Flagler Health and Rehabilitation Center?: CMS lists 14 owners and managers, and links the home to Aston Health. Legal business name: FLAGLER PINES OPERATIONS 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.