nursing home in Holly Hill, FL
Terrace at Bishop's Glen, the
900 Lpga Blvd, Holly Hill, FL 32117 · (386) 226-9000
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Terrace at Bishop's Glen, the at a glance
Terrace at Bishop's Glen, the is a 60-bed for-profit nursing home in Holly Hill, Florida (Volusia County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Florida average of 3.3.
Residents receive about 3.7 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (June 11, 2025) found 2 health citations. The Florida average is 7.1.
Federal regulators fined it 1 time in the past three years, totaling $8,512.
Nursing staff turnover is 65.5% per year (state average 41.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Serenity Estates
- Medicare-certified since
- February 25, 1986
- Resident/family council
- Both
- County
- Volusia County
- CMS Certification Number
- 105526
Ratings
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.2 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.71 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.73 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.22 hrs | 2.31 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.20 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 65.5% | 41.4% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 75% | 46% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 20 | 63 | 80.6 | Better |
Penalties
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,512 | $24,361 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 122 | 107 | |
| Average residents per day | 53 | 109 | 86 | |
| Occupancy | 88% | 88.9% | 80.9% |
Long-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.9% | 2.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.9% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 2.3% | 8.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 0.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.4% | 8.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 9% | 9.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 25.7% | 4.6% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 4.8% | 14.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 32.1% | 10.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 99.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 98.2% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.8% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 98.6% | 94.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 95.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 28 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 11, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Meet the requirements of an integrated health system. Emergency Preparedness Deficiencies · Tag E0042 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected July 17, 2025 |
| June 11, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 17, 2025 |
| November 5, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected December 5, 2024 |
| October 17, 2024 Complaint | 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 · Tag F0758 | D Potential harm, isolated | Corrected November 15, 2024 |
| March 21, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected April 16, 2024 |
| March 21, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 16, 2024 |
| March 21, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected April 16, 2024 |
| March 21, 2024 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | D Potential harm, isolated | Corrected April 16, 2024 |
| March 21, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 18, 2024 |
| March 21, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 18, 2024 |
| March 21, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected April 18, 2024 |
| March 21, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 18, 2024 |
| March 21, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected April 18, 2024 |
| April 7, 2022 Standard | 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 · Tag F0727 | F Potential harm, widespread | Corrected May 29, 2022 |
| April 7, 2022 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 29, 2022 |
| April 7, 2022 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected May 29, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,512 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 17, 2024 | Fine | $8,512 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ADAMS, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| MUNIM, MOHAMMED Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| WEINFELD, AVRUM Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| WEISS, DANIEL Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| WEINFELD, AVRUM Individual | direct ownership interest | NOT APPLICABLE | 01/01/2023 |
| WEISS, DANIEL Individual | direct ownership interest | NOT APPLICABLE | 01/01/2023 |
| ISLAND CITY EQUITY PARTNERS LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2023 |
| MAJ CONSULTANTS LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2023 |
| NUCKOLLS, MARY Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2023 |
| TAPIA, JILL Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2023 |
| WHEAT CHAFF LP Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2023 |
| WEINFELD, AVRUM Individual | managing control - governing body | NOT APPLICABLE | 01/01/2023 |
| ADAMS, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 01/01/2023 |
| MUNIM, MOHAMMED Individual | operational/managerial control | NOT APPLICABLE | 01/01/2023 |
| WEINFELD, AVRUM Individual | operational/managerial control | NOT APPLICABLE | 01/01/2023 |
Other nursing homes near Terrace at Bishop's Glen, the
Daytona Beach Health and Rehabilitation Center
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★★★★★5Much above averageCoastal Health and Rehabilitation Center
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★★★★★4Above averageSolaris Healthcare Daytona
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★★★★★5Much above averageBridgeview Center
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★★★★★4Above averageEmory L Bennett Memorial Veterans Nursing Home
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★★★★★4Above averageGardens Healthcare & Rehabilitation Center
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Frequently asked questions
What is Terrace at Bishop's Glen, the's rating?
Terrace at Bishop's Glen, the has 3 out of 5 stars on the CMS overall star rating. The average for Florida nursing homes is 3.3 stars.
How many inspection citations did Terrace at Bishop's Glen, the receive?
Its most recent standard health inspection found 2 citations, compared with a Florida average of 7.1. Every citation is listed on this page with its severity.
Does Terrace at Bishop's Glen, the accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Terrace at Bishop's Glen, the?
It is for profit - limited liability company and part of Serenity Estates. The ownership section on this page lists the owners and managers reported to CMS.
Where is Terrace at Bishop's Glen, the and how do I contact it?
Terrace at Bishop's Glen, the is at 900 Lpga Blvd, Holly Hill, FL 32117. Phone: (386) 226-9000.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.