For-profit

Alliance Health and Rehabilitation Center

130 W Armstrong Avenue, Deland, FL 32720

(386) 734-6401

5CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
5 of 5Overall
4 of 5Health inspections
4 of 5Staffing
5 of 5Resident quality
OwnershipFor profit - PartnershipCertified beds130
Estimated occupancy80.7%Latest inspection2025-02-27

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 5 of 5
better
Health-inspection score
Facility: 13.0 points
better
Total nurse staffing
Facility: 4.10 hours/day
better
RN staffing
Facility: 0.62 hours/day
similar
Staff turnover
Facility: 45.5%
worse
Latest health deficiencies
Facility: 2 deficiencies
better
View data table
MetricFacilityCountyFlorida
Overall rating5 of 54 of 53 of 5
Health-inspection score13.0 points18.0 points38.5 points
Total nurse staffing4.10 hours/day3.56 hours/day3.63 hours/day
RN staffing0.62 hours/day0.50 hours/day0.62 hours/day
Staff turnover45.5%48.8%41.8%
Latest health deficiencies2 deficiencies2 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2025-02-27
2 deficiencies
Highest severity: D

Immediate-jeopardy citations: 0

Tag 0623 · Severity D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-27

Tag 0656 · Severity D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-03-27
2023-03-09
4 deficiencies
Highest severity: F

Immediate-jeopardy citations: 0

Tag 0812 · Severity F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-04-09

Tag 0558 · Severity D

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-04-09

Tag 0583 · Severity D

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-04-09

Tag 0880 · Severity D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2023-04-09
2021-07-29
1 deficiencies
Highest severity: F

Immediate-jeopardy citations: 0

Tag 0812 · Severity F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-08-29

Staffing composition

2.18 hours/dayNurse aide
1.30 hours/dayLPN
0.62 hours/dayRN
Total staffing
4.10 hours/day
County median
3.56 hours/day
Florida median
3.63 hours/day
Weekend total
3.60 hours/day
Staff turnover
45.5%
RN turnover
47.1%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

1.3 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.9 per 1,000 days
20250101-20251231

Emergency-department visits

1.0 per 1,000 dayssimilarFlorida: 1.0 per 1,000 days · County: 0.8 per 1,000 days
20250101-20251231

Falls with major injury

2.4%worseFlorida: 2.2% · County: 3.3%
2025Q2-2026Q1

Pressure ulcers

3.2%betterFlorida: 4.2% · County: 4.3%
2025Q2-2026Q1

Urinary tract infections

1.1%unavailableFlorida: 0.0% · County: 0.3%
2025Q2-2026Q1

Antipsychotic medication use

8.9%worseFlorida: 7.0% · County: 8.6%
2025Q2-2026Q1

These group measures do not predict an individual resident’s experience.

Questions to ask

Use these prompts during a tour or phone call
  1. What is driving staff turnover, and what is being done to retain nurses and aides?

    Suggested because of: staff turnover
  2. What fall-prevention program is used, and how are families notified after a fall?

    Suggested because of: falls major injury
  3. How are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?

    Suggested because of: antipsychotic use
  4. How will the care plan be developed, reviewed, and shared with our family?

    Suggested because of: general care planning

Facility Details

County
Volusia County
Certified beds
130
Average daily residents
104.9
Ownership
For profit - Partnership
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1978-08-01
CCN
105349

Staffing Data

Reported measureValue
Nurse aide hours2.18083
Lpn hours1.30285
Rn hours0.61946
Reported total hours4.10314
Weekend total hours3.60155
Weekend rn hours0.52106
Adjusted total hours4.43762
Total turnover percent45.5
Rn turnover percent47.1
Administrators left0

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$0.00Total fines
0Number of fines
0Payment denials

No matching penalties in the supplied CMS records.

Totals reflect the supplied CMS records, not a lifetime total.

Citations

2Health citations
7Fire safety citations

Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.

Serious Deficiencies

FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.

0

Ownership & Operators

NameRoleShare
DELAND SENIOR INVESTMENTS I, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST50%
DELAND SENIOR INVESTMENTS II, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST50%
CLEVELAND, JEFFREY5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
FRASER, GEOFFREY5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
CLEVELAND, JEFFREYMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
FRASER, GEOFFREYMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
CLEVELAND, JEFFREYCORPORATE OFFICERNOT APPLICABLE
FRASER, GEOFFREYCORPORATE OFFICERNOT APPLICABLE
DELAND SENIOR INVESTMENTS I, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DELAND SENIOR INVESTMENTS II, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
EDWARDS, SAMUELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HURTA, CHADOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HUSTON, TAYLOROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DELAND SENIOR INVESTMENTS I, LLCADP OF THE SNFNOT APPLICABLE
DELAND SENIOR INVESTMENTS II, LLCADP OF THE SNFNOT APPLICABLE
CLEVELAND, JEFFREYADP OF THE SNFNOT APPLICABLE
EDWARDS, SAMUELADP OF THE SNFNOT APPLICABLE
FRASER, GEOFFREYADP OF THE SNFNOT APPLICABLE
HURTA, CHADADP OF THE SNFNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology