For-profit

Blue Lake Post Acute

991 E New York Ave, Deland, FL 32724

(386) 734-9083 · Elevation Healthcare

1CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
1 of 5Overall
1 of 5Health inspections
1 of 5Staffing
4 of 5Resident quality
OwnershipFor profit - CorporationCertified beds60
Estimated occupancy85.7%Latest inspection2026-04-10

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
worse
Health-inspection score
Facility: 153.5 points
worse
Total nurse staffing
Facility: Not reported by CMS
unavailable
RN staffing
Facility: Not reported by CMS
unavailable
Staff turnover
Facility: Not reported by CMS
unavailable
Latest health deficiencies
Facility: 12 deficiencies
worse
View data table
MetricFacilityCountyFlorida
Overall rating1 of 54 of 53 of 5
Health-inspection score153.5 points18.0 points38.5 points
Total nurse staffingNot reported by CMS3.56 hours/day3.63 hours/day
RN staffingNot reported by CMS0.50 hours/day0.62 hours/day
Staff turnoverNot reported by CMS48.8%41.8%
Latest health deficiencies12 deficiencies2 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2026-04-10
12 deficiencies
Highest severity: F

Immediate-jeopardy citations: 0

Tag 0727 · Severity F

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2026-06-04

Tag 0732 · Severity F

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2026-06-04

Tag 0880 · Severity F

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2026-06-04

Tag 0638 · Severity E

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-06-04

Tag 0756 · Severity E

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-06-04

Tag 0550 · Severity D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-06-04

Tag 0554 · Severity D

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-06-04

Tag 0584 · Severity D

Honor 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 Rights Deficiencies · Deficient, Provider has date of correction 2026-06-04

Tag 0676 · Severity D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-06-11

Tag 0759 · Severity D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-06-04

Tag 0761 · Severity D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-06-04
2024-07-18
15 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 2024-08-18

Tag 0865 · Severity F

Have a plan that describes the process for conducting QAPI and QAA activities.

Administration Deficiencies · Deficient, Provider has date of correction 2024-08-18

Tag 0636 · Severity E

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-08-18

Tag 0638 · Severity E

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-08-18

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 2024-08-18

Tag 0625 · Severity D

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-08-18

Tag 0644 · Severity D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-08-18

Tag 0689 · Severity D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-08-18

Tag 0880 · Severity D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2024-08-18
2022-08-18
1 deficiencies
Highest severity: D

Immediate-jeopardy citations: 0

Tag 0758 · Severity D

Implement 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 Service Deficiencies · Deficient, Provider has date of correction 2022-09-16

Staffing composition

Not reported by CMSNurse aide
Not reported by CMSLPN
Not reported by CMSRN
Total staffing
Not reported by CMS
County median
3.56 hours/day
Florida median
3.63 hours/day
Weekend total
Not reported by CMS
Staff turnover
Not reported by CMS
RN turnover
Not reported by CMS

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

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

Emergency-department visits

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

Falls with major injury

1.2%betterFlorida: 2.2% · County: 3.3%
2025Q2-2026Q1

Pressure ulcers

1.2%betterFlorida: 4.2% · County: 4.3%
2025Q2-2026Q1

Urinary tract infections

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

Antipsychotic medication use

30.8%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. How are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?

    Suggested because of: antipsychotic use
  2. What operational changes followed the facility's most recent penalty?

    Suggested because of: penalties
  3. 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
60
Average daily residents
51.4
Ownership
For profit - Corporation
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1972-11-14
CCN
105262

Staffing Data

Reported measureValue
Nurse aide hoursNot reported by CMS
Lpn hoursNot reported by CMS
Rn hoursNot reported by CMS
Reported total hoursNot reported by CMS
Weekend total hoursNot reported by CMS
Weekend rn hoursNot reported by CMS
Adjusted total hoursNot reported by CMS
Total turnover percentNot reported by CMS
Rn turnover percentNot reported by CMS
Administrators leftNot reported by CMS

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

Penalties & Enforcement

$144,174.00Total fines
15Number of fines
0Payment denials
DateTypeAmount
2025-04-08Fine$56,320.00
2024-01-22Fine$14,814.00
2024-01-08Fine$4,938.00
2023-12-11Fine$13,762.00
2023-11-20Fine$4,587.00
2023-11-13Fine$4,587.00
2023-11-06Fine$4,587.00
2023-10-30Fine$4,587.00
2023-10-23Fine$4,587.00
2023-10-17Fine$4,587.00
2023-10-10Fine$4,587.00
2023-10-02Fine$4,587.00
2023-09-11Fine$11,645.00
2023-08-28Fine$3,176.00
2023-08-21Fine$2,823.00

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

Citations

12Health citations
17Fire 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.

4

2025-04-08 · J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-04-08 · J

Respond appropriately to all alleged violations.

2025-04-08 · J

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2025-04-08 · J

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Ownership & Operators

NameRoleShare
BLUE LAKE POST CUTE HOLDCO LLCDIRECT OWNERSHIP INTERESTNOT APPLICABLE
ELEVATION HEALTHCARE LLCINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
KMOM LLCINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
FUNK, KENNETHINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
FUNK, DANIELMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
FUNK, KENNETHMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
LINDSEY, JACOBMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
SMITH, STERLINGMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
ELEVATION HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CAMPBELL, ALEXISOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DANIELS, BRITTANIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
EASON, SHEREEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
EDDIN, HUSAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FUNK, DANIELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FUNK, KENNETHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAYWARD, JAMESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KARPOWICZ, MICHELLEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KEMP, ALANAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LINDSEY, JACOBOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LIPKOWITZ, HOWARDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MARTINEZ SALAS, JORGEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NEUBIA, JEREMIAHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROMERO, PATRICIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SMITH, STERLINGOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ELEVATION HEALTHCARE LLCADP OF THE SNFNOT APPLICABLE
CAMPBELL, ALEXISADP OF THE SNFNOT APPLICABLE
DANIELS, BRITTANIADP OF THE SNFNOT APPLICABLE
EASON, SHEREEADP OF THE SNFNOT APPLICABLE
EDDIN, HUSAMADP OF THE SNFNOT APPLICABLE
FUNK, DANIELADP OF THE SNFNOT APPLICABLE
FUNK, KENNETHADP OF THE SNFNOT APPLICABLE
HAYWARD, JAMESADP OF THE SNFNOT APPLICABLE
KARPOWICZ, MICHELLEADP OF THE SNFNOT APPLICABLE
KEMP, ALANAADP OF THE SNFNOT APPLICABLE
LINDSEY, JACOBADP OF THE SNFNOT APPLICABLE
LIPKOWITZ, HOWARDADP OF THE SNFNOT APPLICABLE
MARTINEZ SALAS, JORGEADP OF THE SNFNOT APPLICABLE
NEUBIA, JEREMIAHADP OF THE SNFNOT APPLICABLE
ROMERO, PATRICIAADP OF THE SNFNOT APPLICABLE
SMITH, STERLINGADP OF THE SNFNOT APPLICABLE

Helpful resources

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