Your report for Blue Lake Post Acute
Overall Score
CMS Five-Star Quality RatingMuch below averageCMS Five-Star overall rating
- Much below average
- Below average
- Average
- Above average
- Much above average
Where it ranks
- FloridaLowest tier among peers689 rated homes · average 3.2★
- Volusia CountyLowest tier among peers29 rated homes · average 3.8★
- United StatesLowest tier among peers14,574 rated homes · average 3.0★
How the rating is built
- Health inspectionsStarting point1★−1.8 vs FL avg
- StaffingCan add or remove a star2★−1.2 vs FL avg
- Quality measuresCan add or remove a star4★−0.1 vs FL avg
CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.
- Abuse citation flagCMS shows an abuse icon: inspectors cited the facility for abuse that led to harm within the past year, or for abuse that could have led to harm in each of the last two years.
Ratings & measures
Tap a row to see what it meansHealth inspection ratingCMS stars from the last three on-site inspection cycles1★Lowest tier among peersFL avg2.8★U.S. avg2.8★
What is health inspection rating?
Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.
Why it matters
It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.
Staffing ratingCMS stars from payroll-reported hours and turnover2★Above only 7% of peersFL avg3.2★U.S. avg2.9★
What is staffing rating?
Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.
Why it matters
More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.
Quality measures ratingCMS stars from clinical outcomes and resident assessments4★Above only 23% of peersFL avg4.1★U.S. avg3.6★
What is quality measures rating?
Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.
Why it matters
It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.
Total nurse hoursPer resident per day, all nursing staff3.69hrsAbove 51% of peersFL avg3.86Benchmark4.10
What is total nurse hours?
All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.
Why it matters
Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.
RN hoursPer resident per day, registered nurses only0.58hrsAbove only 41% of peersFL avg0.73Benchmark0.75
What is rn hours?
Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.
Why it matters
RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.
Nursing staff turnoverShare of nursing staff who left within a year · lower is better62%Above only 8% of peersFL avg42%RN turnover79%
What is nursing staff turnover?
The share of nursing staff who left within the past year, from the same payroll data.
Why it matters
High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.
Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$152,994Above only 7% of peersFL avg$31,830Fines · denials18 · 0
What is fines in the last three years?
Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.
Why it matters
Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.
Inspection history
Last three inspection cycles28citations
6inspection dates
0actual harm (G–I)
4immediate jeopardy (J–L)
Dec 11, 2025most recent
Citations by monthFeb 2022 – Dec 2025
- No actual harm (D–F)
- Actual harm (G–I)
- Immediate jeopardy (J–L)
- $Fine or payment denial
Click to filter the findings below
Showing
Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.
Dec 11, 2025Cycle 1worst E · no actual harm
- F687Provide appropriate foot care.Quality of Life and CareE · patternCorrected Jan 29, 2026
Apr 8, 2025Cycle 1worst J · immediate jeopardy$56,320
- F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationJ · isolatedCorrected Apr 28, 2025
- F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Apr 28, 2025
- F610Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and ExploitationJ · isolatedCorrected Apr 28, 2025
- F624Prepare residents for a safe transfer or discharge from the nursing home.Resident RightsD · isolatedCorrected Apr 28, 2025
- F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.AdministrationJ · isolatedCorrected Apr 28, 2025
- F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.AdministrationJ · isolatedCorrected Apr 28, 2025
Jul 18, 2024Cycle 1worst F · no actual harm
- F865Have a plan that describes the process for conducting QAPI and QAA activities.AdministrationF · widespreadCorrected Aug 18, 2024
- F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Aug 18, 2024
- Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave.Resident RightsD · isolatedCorrected Aug 18, 2024
- Assure that each residentâs assessment is updated at least once every 3 months.Resident Assessment and Care PlanningE · patternCorrected Aug 18, 2024
- F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident RightsD · isolatedCorrected Aug 18, 2024
- F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Resident Assessment and Care PlanningE · patternCorrected Aug 18, 2024
- F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care PlanningD · isolatedCorrected Aug 18, 2024
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareD · isolatedCorrected Aug 18, 2024
- F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Aug 18, 2024
Apr 13, 2023Cycle 3worst D · no actual harm
- F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected May 5, 2023
Aug 18, 2022Cycle 2worst D · no actual harm
- F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy ServiceD · isolatedCorrected Sep 16, 2022
Feb 24, 2022Cycle 3worst F · no actual harm
- F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident RightsE · patternCorrected Mar 25, 2022
- F637Assess the resident when there is a significant change in conditionResident Assessment and Care PlanningD · isolatedCorrected Mar 25, 2022
- F642Ensure a qualified health professional conducts resident assessments.Resident Assessment and Care PlanningE · patternCorrected Mar 25, 2022
- F645PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care PlanningD · isolatedCorrected Mar 25, 2022
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareD · isolatedCorrected Mar 25, 2022
- F692Provide enough food/fluids to maintain a resident's health.Quality of Life and CareE · patternCorrected Mar 25, 2022
- F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Mar 25, 2022
- F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care PlanningD · isolatedCorrected Mar 25, 2022
- F919Make sure that a working call system is available in each resident's bathroom and bathing area.EnvironmentalD · isolatedCorrected Mar 25, 2022
- F558Reasonably accommodate the needs and preferences of each resident.Resident RightsE · patternCorrected Mar 25, 2022
Staffing
From quarterly payroll reportsHours per resident per day
- All nursing staffRNs, LPNs and aides combined3.69hrs
- Registered nursesRN hours only0.58hrs
- Licensed practical nursesLPN hours1.00hrs
- Nurse aidesCNA hours2.10hrs
- Weekend nursingAll staff on Saturdays and Sundays3.24hrs
- Florida average
- Research benchmark (4.10 total, 0.75 RN)
Turnover & capacity
- Nursing staff turnoverShare who left within a year · lower is better62%Above only 8% of peersFL avg 42%
- RN turnoverRegistered nurses only79%Not ranked by CMS
- Administrators who leftIn the past year—
- Occupancy60 certified beds · ~51 residents a day85%Above only 25% of peersFL avg 88%
Fines & penalties
Roughly the past three yearsEnforcement summary
- $152,994In fines
- 18Fines
- 0Payment denials
- $31,830FL avg in fines
Above only 7% of peersFewer fines than 7% of rated homes in Florida
Actions on record
- Apr 8, 2025Civil money penalty$56,320
- Jan 22, 2024Civil money penalty$14,814
- Jan 8, 2024Civil money penalty$4,938
- Dec 11, 2023Civil money penalty$13,762
- Nov 20, 2023Civil money penalty$4,587
- Nov 13, 2023Civil money penalty$4,587
- Nov 6, 2023Civil money penalty$4,587
- Oct 30, 2023Civil money penalty$4,587
- Oct 23, 2023Civil money penalty$4,587
- Oct 17, 2023Civil money penalty$4,587
- Oct 10, 2023Civil money penalty$4,587
- Oct 2, 2023Civil money penalty$4,587
- Sep 11, 2023Civil money penalty$11,645
- Aug 28, 2023Civil money penalty$3,176
- Aug 21, 2023Civil money penalty$2,823
- Aug 14, 2023Civil money penalty$2,470
- Aug 7, 2023Civil money penalty$2,117
- Jul 17, 2023Civil money penalty$4,233
Ownership
As filed with CMSStructure
- Ownership type
- For profit - Limited Liability company
- Chain
- Elevation Healthcare5 facilities in the chain1.4★ chain average
- Certification
- Medicare and Medicaid
- Location type
- Urban
- Ownership change
- None in the last 12 months
People and entities on file
Direct owners (5%+)
- Blue Lake Post Cute Holdco LLC
Indirect owners (5%+)
- Elevation Healthcare LLC
- Kmom LLC
- Kenneth Funk
Operational or managerial control
- Elevation Healthcare LLC
- Alexis Campbell
- Brittani Daniels
- Sheree Eason
- Husam Eddin
- Daniel Funk
- Kenneth Funk
- Matthew Funk
- +9 more
Corporate officers
- Daniel Funk
- Kenneth Funk
- Jacob Lindsey
- Sterling Smith
Person Organization
Sources & notes
Public data, updated quarterlyData sources
- CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
- CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
- CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.
Notes
- CMS Certification Number 105262 · 991 E NEW YORK AVE, DELAND, FL, 32724.
- Percentiles compare this facility with every rated nursing home in Florida and Volusia County. Turnover and fines are inverted so a high percentile is always good.
- This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.
