1851 Elkcam Blvd, Deltona, FL 32725
(386) 789-3769 · Excelsior Care Group
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 93.7% | Latest inspection | 2025-01-30 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 50.0 points | 18.0 points | 38.5 points |
| Total nurse staffing | 3.14 hours/day | 3.56 hours/day | 3.63 hours/day |
| RN staffing | 0.53 hours/day | 0.50 hours/day | 0.62 hours/day |
| Staff turnover | 48.8% | 48.8% | 41.8% |
| Latest health deficiencies | 3 deficiencies | 2 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
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 2025-02-23Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-02-23Safeguard 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 2025-02-23Immediate-jeopardy citations: 0
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-03-21Procure 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 2023-04-06Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-03-21Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-04-07Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-03-21Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-04-07Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-07Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-06Immediate-jeopardy citations: 0
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 2021-08-22Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-08-22Provide 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 2021-08-22Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-08-22Implement 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 2021-08-22Safeguard 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 2021-08-22Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
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 turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic use| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.10289 |
| Lpn hours | 0.50343 |
| Rn hours | 0.53324 |
| Reported total hours | 3.13956 |
| Weekend total hours | 3.1131 |
| Weekend rn hours | 0.46054 |
| Adjusted total hours | 3.57972 |
| Total turnover percent | 48.8 |
| Rn turnover percent | 62.5 |
| Administrators left | Not reported by CMS |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2024-01-02 | Fine | $4,587.00 |
| 2023-12-11 | Fine | $13,762.00 |
| 2023-11-20 | Fine | $4,587.00 |
| 2023-11-13 | Fine | $4,587.00 |
| 2023-11-06 | Fine | $4,587.00 |
| 2023-10-30 | Fine | $4,587.00 |
| 2023-10-23 | Fine | $4,587.00 |
| 2023-10-17 | Fine | $4,587.00 |
| 2023-10-10 | Fine | $4,587.00 |
| 2023-10-02 | Fine | $4,587.00 |
| 2023-09-11 | Fine | $13,409.00 |
| 2023-08-28 | Fine | $3,882.00 |
| 2023-08-21 | Fine | $3,529.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
| Name | Role | Share |
|---|---|---|
| DELTONA HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| FDZ CONSULTING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MILLER, YOCHEVED | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| ZAHLER, JACOB | CORPORATE OFFICER | NOT APPLICABLE |
| ZAHLER, JACOB | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology