5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Blue Palms Senior Living of Deland is a 90-bed nursing home operated by DeLand FL Holdco, LLC. The community accommodates a range of needs, providing independent living, assisted living, memory care, skilled nursing, and short-term rehabilitation. On-site features include private rooms, a wellness center, and a daily activities calendar featuring crafts, cooking classes, group fitness, and social outings. Staff members support communication in English, Spanish, and German. Situated in a walkable downtown area with a Walk Score of 87, the property records an average resident stay of 110 days and accepts private pay, Medicare, and Medicaid.
Government tracking data across 22 separate inspections from July 2012 through August 2025 records a total of 29 line-item infractions over the property’s history, running about 9% below the standard Florida average. Because 10 of those 22 state visits turned up at least one initial required correction on paperwork, the home carries a low long-term zero citations-per-inspection rate for unblemished reviews. Historical archives show past scattered marks regarding staffing files, employee training logs, and food service, which management systematically addressed.
The modern record highlights notable administrative stability, featuring back-to-back flawless state inspections on December 4, 2024, and August 7, 2025, alongside zero historical fines. Furthermore, federal files from the Centers for Medicare & Medicaid Services (CMS) award the facility a top five-star overall rating, backed by a daily staff-to-resident ratio that tracks 74% higher than the state baseline.
Prospective residents checking into regional skilled nursing options can use these multi-year public health summaries to evaluate the provider’s operational performance. Since the official tracking database verifies top-tier federal quality scores, a high daily staffing ratio, and zero fines alongside a recent run of flawless state reviews, the documentation reflects a highly reliable management framework. Arranging an in-person tour is an effective next step to examine the therapy and rehabilitation spaces, view the room layouts, and discuss care tiers directly with the administrative team.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 162nd out of 225 homes in Florida for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 43m per day | ■ Avg State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 45m per day | ▼ 5% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 8m per day | ▼ 9% State avg: 2h 20m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 17m per day | ▼ 7% State avg: 3h 32m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 23% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 36m per day | ▲ 13% State avg: 32m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Blue Palms Senior Living of Deland is legally operated by Deland Fl Alf Opco, LLC, and administered by Jeffrey Ryan Thomas.
Key information about the people who lead and staff this community.
In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Florida state average. The score below shows how many points this facility sits above or below the typical Florida assisted living residence score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.
8 points above the Florida average for assisted living residences (83/100)
Rank #281 / 876 in Florida Inspection Score — State benchmarked This home is ranked 281st out of 876 homes in Florida for Inspection Score. Shows this facility's inspection score compared to the Florida average among 876 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 91 out of 100. Letter grade A-. 8 points above the Florida average for assisted living residences (83/100)
Formal stipulations and orders filed by Florida regulators against this facility, including fines and total monetary penalties.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Florida state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 30 | 33 | This facility has 9% fewer total citations than a typical Florida assisted living residence (30 vs. FL avg 33).↓ 9% better Rank #472 / 907 Total citations — State benchmarked This home is ranked 472nd out of 907 homes in Florida for Total citations. Shows this facility's total citations compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. |
|
Citations per year
Average citations per year since 2012.
| 2.1 | 2.4 | This facility has 13% fewer citations per year than a typical Florida assisted living residence (2.1 vs. FL avg 2.4).↓ 13% better |
|
Citations per inspection
Average citations per inspection.
| 1.3 | 1.3 | This facility has citations per inspection in line with the Florida average (1.3 vs. FL avg 1.3).— At avg Rank #545 / 907 Citations per inspection — State benchmarked This home is ranked 545th out of 907 homes in Florida for Citations per inspection. Shows this facility's citations per inspection compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. |
Inspections
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 23 | 26 | This facility has had 12% fewer total inspections than the Florida average (23 vs. FL avg 26). More inspections can mean more regulatory scrutiny rather than worse care.↓ 12% fewer |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 13 | 16 | This facility has 19% fewer inspections with citations than a typical Florida assisted living residence (13 vs. FL avg 16).↓ 19% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 57% | 62% | This facility has 5 percentage points lower inspection citation rate than a typical Florida assisted living residence (57% vs. FL avg 62%).↓ 5% better Rank #450 / 907 Inspection citation rate — State benchmarked This home is ranked 450th out of 907 homes in Florida for % of inspections with citations. Shows this facility's % of inspections with citations compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Florida average 4.3
Last Health inspection on Apr 2025
Florida average 19.7
Florida average 4.48
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 9 citations resulted from standard inspections.
100% better than Florida averageFlorida average: 0.8
100% better than Florida averageFlorida average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
74% more staff per resident than Florida average
9% worse than Florida average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
All 50 CNA Staff are full-time employees. No contractors work on this role.
50
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
570 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 0 | 50 | 11,082 | 92 | 100% | 7.1 |
| Registered Nurse | 13 | 0 | 13 | 2,667 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 13 | 0 | 13 | 2,634 | 92 | 100% | 9 |
| Dietitian | 8 | 0 | 8 | 2,374 | 92 | 100% | 7.4 |
| Physical Therapy Aide | 10 | 0 | 10 | 1,765 | 80 | 87% | 6.4 |
| RN Director of Nursing | 4 | 0 | 4 | 1,285 | 68 | 74% | 8 |
| Speech Language Pathologist | 10 | 0 | 10 | 1,071 | 83 | 90% | 5.3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 721 | 77 | 84% | 6 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 576 | 70 | 76% | 8.2 |
| Qualified Social Worker | 5 | 0 | 5 | 571 | 82 | 89% | 4.2 |
| Nurse Practitioner | 3 | 0 | 3 | 523 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 440 | 61 | 66% | 7.2 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 382 | 71 | 77% | 4.8 |
| Medical Director | 0 | 1 | 1 | 30 | 15 | 16% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 6 | 7% | 2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
90% lower than Florida averageFlorida average: $72K
24% fewer fines than Florida averageFlorida average: 2.6
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Florida averageFlorida average: 0.1
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.6
43% worse than Florida averageFlorida average: 7.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.4
24% worse than Florida averageFlorida average: 12.4
Percent of long-stay residents whose need for help with daily activities has increased
18.9%
80% worse than Florida averageFlorida average: 10.5%
Percent of long-stay residents whose ability to move independently worsened
17.0%
32% worse than Florida averageFlorida average: 12.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.1%
25% better than Florida averageFlorida average: 13.5%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Florida averageFlorida average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
4.8%
11% better than Florida averageFlorida average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.6%
31% better than Florida averageFlorida average: 0.9%
Percent of long-stay residents who lose too much weight
12.1%
102% worse than Florida averageFlorida average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.6%
81% better than Florida averageFlorida average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
2.0%
76% better than Florida averageFlorida average: 8.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
In line with Florida averageFlorida average: 97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Florida averageFlorida average: 99.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.5%
In line with Florida averageFlorida average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
72% better than Florida averageFlorida average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
In line with Florida averageFlorida average: 94.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
52% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Blue Palms Senior Living of Deland from 2011–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #187 / 229Payroll — State benchmarkedThis home is ranked 187th out of 229 homes in Florida for Payroll. Shows total annual staff payroll benchmarked to the Florida average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #15 / 229Payroll % — State benchmarkedThis home is ranked 15th out of 229 homes in Florida for Payroll %. Shows payroll as a percentage of revenue versus the Florida average. Well-run Florida facilities typically land around 48–57% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (52% of admissions), and a typical Medicare stay runs around 26 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Deland's city center to Blue Palms Senior Living of Deland's address, calculated via Google Maps.
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Blue Palms Senior Living of Deland is located in DELAND, Florida.
Here are the financial assistance programs available to residents in Florida.
Blue Palms Senior Living of Deland is in the Rogers Deland neighborhood of DELAND.
The team at Blue Palms Senior Living of Deland speaks English, German, and Spanish.
Blue Palms Senior Living of Deland is legally operated by Deland Fl Alf Opco, LLC, and administered by Jeffrey Ryan Thomas.
Blue Palms Senior Living of Deland has a walk score of 87. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to FL state health department records, Blue Palms Senior Living of Deland's license number is 5455.
According to FL state health department records, Blue Palms Senior Living of Deland's license expires on May 31, 2027.
Blue Palms Senior Living of Deland's occupancy is 94.3%.
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