900 Lpga Blvd, Holly Hill, FL 32117 · Volusia County · (386) 226-9000
60 certified beds, about 53 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105526 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 11, 2025, inspectors cited 2 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 12 health citations since April 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,512 in the last three years; the largest was $8,512, and the latest is dated October 17, 2024.
Nurses and nurse aides worked 3.71 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.
65.5% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Serenity Estates, an affiliated group of 5 nursing homes.
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.
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 12 health citations on file.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that one (Resident #20) of seven residents receiving respiratory care was provided such care, consistent with professional standards of practice and the comprehensive person-centered care plan, by failing to ensure there was a physician's order for oxygen therapy and care of oxygen supplies.
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 remove grease from fryers and failure to clean grease build-up and food debris inside and around both fish fryers. 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.
Inspectors wroteBased on interviews, medical record review, facility documents review, and facility policy review, the facility failed to ensure residents were free from significant medication errors for one (Resident #1) of three residents reviewed for medication administration. This action resulted in Resident #1 requiring a transfer to a higher level of care and hospital admission.
Inspectors wroteBased on record review and interview, the facility failed to ensure as-needed (PRN) orders for psychotropic medications prescribed were limited to 14 days, except when extended by the physician beyond 14 days with documented rationale in the resident's medical record for 1 (Resident #1) of 1 resident reviewed for PRN psychotropic medication use, out of 5 sampled residents. Failure to obtain a 14-day stop order on PRN psychoactive medications presents a risk of overuse, and of improper monitoring by the prescribing practitioner for the appropriateness of that medication.
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 1) Seal and date mark open food products in the walk-in freezer, walk-in refrigerator, and open bundles of bread on the bread rack, and 2) Properly clean and sanitize the kitchen mixer, convection oven, fryer, oven tray lines and can opener pixel. 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.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure that a Preadmission Screening and Resident Review (PASRR) was accurately completed for one (Resident #32) who was diagnosed with a mental disorder, from 21 residents in the total sample. Failure to accurately complete a Level I PASRR results in the facility's inability to determine whether a resident requires specialized services.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure that one (Resident #9) of three residents with pressure ulcers, from a total of 21 residents in the sample, received treatment and services consistent with professional standards of practice, to promote wound healing, by failing to follow the wound care physician's recommendations. Failure to follow physicians' recommendations could result in delayed healing.
Inspectors wroteBased on observations, a staff interview, and record review, the facility failed to ensure that one (Resident #39) of four residents who required oxygen administration, from a total sample of 21 residents, received such care, consistent with professional standards of practice (Oxygen was administered without a physician's order.)
Inspectors wroteBased on observations, record reviews, and staff interviews, the facility failed to ensure a medication error rate of less than 5%, based on 37 opportunities for error with three errors identified, resulting in an error rate of 8.11%. Two (Residents #31 and #23) of six residents observed during medication administration were involved. Failure to administer medications as ordered could result to side effects leading to serious harm to residents.
Inspectors wroteBased on observation, interview, record review, and facility assessment tool review, the facility failed to ensure a registered nurse (RN) worked at least 8 consecutive hours a day, seven days a week on four separate occasions. Registered nurses provide assessments, care to clinically complex patients and supervision to licensed practical nurses.
Inspectors wroteBased on record reviews, observations and interviews, the facility failed to provide services to maintain personal hygiene (grooming) for one (Resident #12) of 16 sampled residents. The resident's fingernails were not cleaned or trimmed.
Inspectors wroteBased on observations, interviews, record review, and facility policy and procedure review, 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 one (Resident #5) of two residents sampled for a review of range of motion services from a total of 16 sampled residents.
28 fire safety citations on file: 24 on June 11, 2025, 4 on March 21, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| October 17, 2024 | Fine | $8,512 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.71 | 3.82 | 3.86 |
| Registered nurses | 0.37 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.20 | 3.49 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 65.5% | 41.4% | 45.8% |
| Registered nurse turnover | 75.0% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.61 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.20 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.06 in April to June 2025 to 3.71 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 | 3.71 | 0.37 | 3.93 | 3.20 | 6.8% | 4 of 90 | 53 |
| Oct to Dec 2025 | 4.10 | 0.66 | 4.30 | 3.57 | 10.4% | 0 of 92 | 48 |
| Jul to Sep 2025 | 4.03 | 0.71 | 4.22 | 3.56 | 7.9% | 0 of 92 | 46 |
| Apr to Jun 2025 | 4.06 | 0.80 | 4.30 | 3.44 | 3.6% | 0 of 91 | 49 |
| 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
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.
| 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.
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 | 8.4 | 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 | 0.6 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.1 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.9 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.3 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.5 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.8 | 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 | 0.6 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Terrace at Bishop's Glen, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
52.5% this home
No different from 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. 102 eligible stays.
11.8% 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. 115 eligible stays.
8.9% 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. 67 eligible stays.
36.1% 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. 36 residents counted.
0.0% 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. 50 residents counted.
4.9% 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. 50 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 19 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.
Legal business name: BG SNF OPCO LLC. CMS links this home to Serenity Estates, a group of 5 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Weinfeld, Avrum | Direct ownership interest | Individual | 01/01/2023 | |
| Weiss, Daniel | Direct ownership interest | Individual | 01/01/2023 | |
| Island City Equity Partners LLC | Indirect ownership interest | Organization | 01/01/2023 | |
| Maj Consultants LLC | Indirect ownership interest | Organization | 01/01/2023 | |
| Wheat Chaff LP | Indirect ownership interest | Organization | 01/01/2023 | |
| Nuckolls, Mary | Indirect ownership interest | Individual | 01/01/2023 | |
| Tapia, Jill | Indirect ownership interest | Individual | 01/01/2023 | |
| Weinfeld, Avrum | Managing control - governing body | Individual | 01/01/2023 | |
| Adams, Michael | Operational/managerial control | Individual | 01/01/2023 | |
| Munim, Mohammed | Operational/managerial control | Individual | 01/01/2023 | |
| Weinfeld, Avrum | Operational/managerial control | Individual | 01/01/2023 | |
| Adams, Michael | Adp of the SNF | Individual | 01/01/2023 | |
| Munim, Mohammed | Adp of the SNF | Individual | 01/01/2023 | |
| Weinfeld, Avrum | Adp of the SNF | Individual | 01/01/2023 | |
| Weiss, Daniel | Adp of the SNF | Individual | 01/01/2023 |
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.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its Florida inspection record.
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.