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 2026-01-02For-profit
Flagler Health and Rehabilitation Center
300 Dr Carter Boulevard, Bunnell, FL 32110
(386) 437-4168 · Aston Health
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 82.8% | Latest inspection | 2025-12-04 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 2 of 5
Health-inspection score
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 58.0 points
Total nurse staffing
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 3.35 hours/day
RN staffing
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 0.49 hours/day
Staff turnover
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 78.6%
Latest health deficiencies
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 9 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | Unavailable | 3 of 5 |
| Health-inspection score | 58.0 points | Unavailable | 38.5 points |
| Total nurse staffing | 3.35 hours/day | Unavailable | 3.63 hours/day |
| RN staffing | 0.49 hours/day | Unavailable | 0.62 hours/day |
| Staff turnover | 78.6% | Unavailable | 41.8% |
| Latest health deficiencies | 9 deficiencies | Unavailable | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-12-04
9 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 2026-01-02Tag 0755 · Severity E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-01-02Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-01-02Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-01-02Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-01-02Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-01-02Tag 0814 · Severity D
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2026-01-02Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-01-022023-12-21
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 2024-01-15Tag 0908 · Severity F
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2023-12-22Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-12-22Tag 0693 · Severity D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-12-222022-02-03
2 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
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 2022-03-25Tag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-03-25Staffing composition
2.07 hours/dayNurse aide
0.79 hours/dayLPN
0.49 hours/dayRN
- Total staffing
- 3.35 hours/day
- County median
- Unavailable
- Florida median
- 3.63 hours/day
- Weekend total
- 3.10 hours/day
- Staff turnover
- 78.6%
- RN turnover
- 89.5%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.8 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: Unavailable20250101-20251231
Emergency-department visits
0.8 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: Unavailable20250101-20251231
Falls with major injury
0.7%betterFlorida: 2.2% · County: Unavailable2025Q2-2026Q1
Pressure ulcers
2.7%betterFlorida: 4.2% · County: Unavailable2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: Unavailable2025Q2-2026Q1
Antipsychotic medication use
5.4%betterFlorida: 7.0% · County: Unavailable2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Flagler County
- Certified beds
- 120
- Average daily residents
- 99.3
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1986-05-01
- CCN
- 105547
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.07398 |
| Lpn hours | 0.78556 |
| Rn hours | 0.49009 |
| Reported total hours | 3.34963 |
| Weekend total hours | 3.0969 |
| Weekend rn hours | 0.35132 |
| Adjusted total hours | 3.40464 |
| Total turnover percent | 78.6 |
| Rn turnover percent | 89.5 |
| Administrators left | 2 |
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
9Health citations
6Fire 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
| Name | Role | Share |
|---|---|---|
| FLAGLER PINES OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BLUE SPRING HEALTHCARE PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| FRIEDMAN, LEOPOLD | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| GUTMAN, SAMUEL | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| WILDES, DONNA | CORPORATE OFFICER | NOT APPLICABLE |
| CANIDATE, DELANA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JARDINE, TAMMY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MARTINEZ IRIZARRY, AXEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILDES, DONNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WOTHERS, EILEEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ASTON HEALTHCARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| CANIDATE, DELANA | ADP OF THE SNF | NOT APPLICABLE |
| MARTINEZ IRIZARRY, AXEL | ADP OF THE SNF | NOT APPLICABLE |
| WILDES, DONNA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology