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Orange City Nursing and Rehab Center

2810 Enterprise Rd, Debary, FL 32713 · Volusia County · (386) 668-8818

120 certified beds, about 110 residents a day · For profit - Corporation · Medicare and Medicaid since 1991

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105735 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 27, 2025, inspectors cited 1 health deficiency (the Florida average is 7.1, the national average 9.2).

Of 6 health citations since September 2021, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $16,801 in the last three years; the largest was $8,401, and the latest is dated March 19, 2024.

Nurses and nurse aides worked 3.57 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.88 of those hours.

39.6% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Sovereign Healthcare Holdings, an affiliated group of 43 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 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
0E
2F
Potential for minimal harm
0A
0B
0C
March 27, 2025Standard inspection · 1 citation
  1. 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) April 27, 2025
    Inspectors wroteBased on record review, interviews, and facility policy and procedure review, the facility failed to develop and implement a care plan for anticoagulant use for one (Resident #68) of five residents reviewed for medication use, from a total survey sample of 34 residents.
March 19, 2024Complaint inspection · 2 citations
  1. J
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on a review of resident records, the facility's policy and procedure for Advance Directives, facility reports, and interviews with staff, the facility failed to act in accordance with the resident's Advance Directives in accordance with her Do Not Resuscitate (DNR) status (the desire have cardiopulmonary resuscitation (CPR) withheld in the event that her heart or breathing stopped) after finding her unresponsive with no respirations. This affected one (Resident #1) of nine residents reviewed for Advance Directives. The facility's failure to review and honor Resident #1's DNR status deprived her of a natural death and likely caused unnecessary pain and bodily damage. Resident #1 expired in the hospital after prolonged life-sustaining efforts had been made and her family discontinued her from life support. Immediate Jeopardy (IJ) at a scope of J (isolated) was identified at 1:59 p.m. [...]
  2. J
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on a review of resident records, the facility's policy and procedure for CPR; Cardiopulmonary Resuscitation, facility reports, and interviews with staff, the facility failed to act in accordance with the resident's Advance Directives and her Do Not Resuscitate (DNR) status (the desire have CPR withheld in the event her heart or breathing stopped) by providing CPR upon finding her unresponsive with no respirations. This affected one (Resident #1) of nine residents reviewed for Advance Directives. The facility's failure to review and honor Resident #1's DNR deprived her of a natural death and likely caused unnecessary pain and bodily damage. Resident #1 expired in the hospital after prolonged life-sustaining efforts had been made and after family discontinued her from life support. Immediate Jeopardy (IJ) at a scope of J (isolated) was identified at 1:59 p.m. on [DATE]. [...]
May 11, 2023Standard inspection · 2 citations
  1. F
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 31, 2023
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed provide sufficient kitchen staff with the appropriate competencies and skills sets to carry out the functions of food and nutrition service. Failure to ensure that dietary staff were trained and knowledgeable about the proper procedures for food safety and sanitation had the potential to negatively impact all residents who received meals from the kitchen.
  2. 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 31, 2023
    Inspectors wroteBased on kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to store food in accordance with professional standards for food service safety, by failing to follow proper food handling practices to prevent the outbreak of foodborne illness with the potential to affect all residents who consumed foods from the facility's kitchen. Unsafe food handling practices represent a potential source of pathogen exposure.
September 2, 2021Standard inspection · 1 citation
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2021
    Inspectors wroteBased on observation, medical record review and interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessments for six (Resident #17, #28, #33, #38, #65 and #191) of six residents sampled for nutritional status, from a total of 26 residents in the sample. Inaccurate assessments leave residents at risk for not receiving necessary care and services to ensure their highest practicable functional level and mental or psychosocial well-being.

Fire safety inspections

4 fire safety citations on file: 4 on March 27, 2025.

Every fire safety citation4 citations
  1. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 27, 2025 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 27, 2025 · Corrected (the home has a date of correction)
  3. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 27, 2025 · 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 · March 27, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 19, 2024Fine $8,400
March 19, 2024Fine $8,401

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.573.823.86
Registered nurses0.880.730.69
All nursing staff on weekends3.233.493.42
Nurse aides2.11
Licensed practical nurses0.58
Nursing staff turnover (share who left in a year)39.6%41.4%45.8%
Registered nurse turnover31.8%46.0%42.9%
Administrators who left0

CMS expects 3.52 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 3.71 on weekdays and 3.23 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.57 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.570.883.713.23 0.0%0 of 90110
Oct to Dec 20253.510.843.633.19 0.0%0 of 92111
Jul to Sep 20253.560.833.693.23 0.0%0 of 92108
Apr to Jun 20253.610.763.753.26 0.0%0 of 91107
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Orange City Nursing and Rehab Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
4.28.713.9
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
0.30.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.72.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.89.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.64.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.28.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.626.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.09.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.62.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Orange City Nursing and Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (58.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

58.3% this home

Better than the national rate

US median of homes 51.5% · Florida: 169 better, 109 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 267 eligible stays.

Potentially preventable readmissions

10.8% this home

No different from the national rate

US median of homes 10.7% · Florida: 2 better, 35 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 311 eligible stays.

Infections that led to a hospital stay

8.2% this home

No different from the national rate

US median of homes 7.1% · Florida: 6 better, 21 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 193 eligible stays.

Self-care and mobility at discharge

64.8% this home

Median of homes: Florida55.1% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 91 residents counted.

Falls with major injury

0.9% this home

Median of homes: Florida0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 226 residents counted.

New or worsened pressure ulcers

1.7% this home

Median of homes: Florida1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 226 residents counted.

Medication list given at discharge

96.2% this home

Median of homes: Florida97.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 26 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: SOVEREIGN HEALTHCARE OF ORANGE CITY LLC. CMS links this home to Sovereign Healthcare Holdings, a group of 43 nursing homes averaging 3.7 stars overall.

NameRoleTypeShareSince
Cronquist, RoyceIndirect ownership interestIndividual12/31/2015
Mangine, JohnIndirect ownership interestIndividual06/25/2012
Berkadia Commercial Mortgage LLC5% or greater security interestOrganization07/15/2014
Fl Orange City Holdings LLC5% or greater security interestOrganization05/19/2009
Health Services Properties LLC5% or greater security interestOrganization05/19/2009
Chery, DawnManaging control - governing bodyIndividual01/01/2025
Kaar, SusanManaging control - governing bodyIndividual10/01/2003
Southern Healthcare Management LLCOperational/managerial controlOrganization10/01/2003
Bell, CharlesOperational/managerial controlIndividual09/15/2016
Cronquist, RoyceOperational/managerial controlIndividual10/11/2017
Eddin, HusamOperational/managerial controlIndividual04/01/2023
Mangine, JohnOperational/managerial controlIndividual06/25/2012
Melton, DonaldOperational/managerial controlIndividual05/19/2009
Notermann, WilliamOperational/managerial controlIndividual01/01/2025
Shifflet, KristenOperational/managerial controlIndividual02/25/2022
Notermann, BrendaIndividual is an owner, partner or trustee of any ADP of the SNFIndividual10/10/2025
Fl Orange City Holdings LLCAdp of the SNFOrganization05/19/2009
Forvis Mazars LLPAdp of the SNFOrganization01/01/2025
Health Services Properties LLCAdp of the SNFOrganization05/19/2009
Sovereign Healthcare Disbursements LLCAdp of the SNFOrganization05/19/2009
Bell, CharlesAdp of the SNFIndividual09/15/2016
Chery, DawnAdp of the SNFIndividual01/01/2025
Cronquist, RoyceAdp of the SNFIndividual10/11/2017
Eddin, HusamAdp of the SNFIndividual04/01/2023
Kaar, SusanAdp of the SNFIndividual10/01/2003
Kelly, MichelleAdp of the SNFIndividual02/01/2018
Mangine, JohnAdp of the SNFIndividual06/25/2012
Melton, DonaldAdp of the SNFIndividual05/19/2009
Notermann, WilliamAdp of the SNFIndividual01/01/2025
Shifflet, KristenAdp of the SNFIndividual02/25/2022

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. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 27, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 11, 2023: "Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service."
  3. 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 March 19, 2024: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
  4. 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 March 19, 2024: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.23 hours per resident per day, below the Florida average of 3.49.

Other nursing homes nearby

Assisted living in Debary

Licensed assisted living homes in the same town or within 5 miles, each with its Florida inspection record.

Assisted living in Florida

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 Orange City Nursing and Rehab Center's Medicare star rating?
CMS rates Orange City Nursing and Rehab Center 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Orange City Nursing and Rehab Center get at its last inspection?
1 health deficiency at the standard inspection on March 27, 2025. The Florida average is 7.1.
Has Orange City Nursing and Rehab Center been fined?
Yes. CMS lists 2 fines totaling $16,801 in the last three years.
Does Orange City Nursing and Rehab 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 Orange City Nursing and Rehab Center?
CMS lists 30 owners and managers, and links the home to Sovereign Healthcare Holdings. Legal business name: SOVEREIGN HEALTHCARE OF ORANGE CITY LLC.

Sources

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