Blue Lake Post Acute
991 E New York Ave, Deland, FL 32724
Blue Lake Post Acute is a nursing home in Deland, Florida. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (386) 734-9083
- Last standard health inspection
- April 10, 2026 (7 months ago)
- Certified beds
- 60
- Residents per day, on average
- 49
- Ownership type
- For profit - Corporation
- Legal business name
- Blue Lake Post Acute LLC
- Chain
- Elevation Healthcare
- Takes part in
- Medicare and Medicaid
More health citations than the Florida average (28 vs 20).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of May 27, 2026
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.7 to 3.3 hours per resident per day.
11 citations
Health inspection on April 10, 2026
CMS lists this as a standard inspection.
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on June 4, 2026.
Citation F0732. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on June 4, 2026.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 4, 2026.
CMS has cited this home for F0880 2 times since 2024.
Citation F0638. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Assure that each resident’s assessment is updated at least once every 3 months.
CMS lists it as corrected on June 4, 2026.
CMS has cited this home for F0638 2 times since 2024.
Citation F0756. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on June 4, 2026.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on June 4, 2026.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on June 4, 2026.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 4, 2026.
Citation F0676. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS lists it as corrected on June 11, 2026.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on June 4, 2026.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 4, 2026.
12 citations
Fire safety inspection on April 10, 2026
CMS lists this as a standard inspection.
Citation E0004. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS has cited this home for E0004 2 times since 2024.
Citation E0025. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create arrangements with other facilities to receive patients.
CMS lists it as corrected on June 1, 2026.
Citation E0036. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish emergency prep training and testing.
CMS lists it as corrected on June 1, 2026.
Citation E0037. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on June 1, 2026.
Citation E0042. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet the requirements of an integrated health system.
CMS lists it as corrected on June 1, 2026.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on June 1, 2026.
Citation K0331. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Construct fire resistant interior walls.
CMS lists it as corrected on June 1, 2026.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 1, 2026.
CMS has cited this home for K0345 2 times since 2024.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 1, 2026.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on June 1, 2026.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on June 1, 2026.
CMS has cited this home for K0761 2 times since 2024.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on June 1, 2026.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Fine
CMS changed the fine from April 8, 2025 from $55,195 to $56,320.
1 citation
Health inspection on December 11, 2025
CMS lists this as a complaint inspection.
Citation F0687. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide appropriate foot care.
CMS lists it as corrected on January 29, 2026.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of September 24, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of June 25, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.1 to 3.5 hours per resident per day.
6 citations
Health inspection on April 8, 2025
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
59 of 694 Florida homes (9%) got a citation at the immediate jeopardy level in 2025.
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on April 28, 2025.
Citation F0610. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on April 28, 2025.
Citation F0835. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on April 28, 2025.
Citation F0867. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on April 28, 2025.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on April 28, 2025.
Citation F0624. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Prepare residents for a safe transfer or discharge from the nursing home.
CMS lists it as corrected on April 28, 2025.
Fine
April 8, 2025 (1 year ago)
CMS fine of $56,320 on April 8, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of September 26, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Fine
CMS changed the fine from January 22, 2024 from $14,678 to $14,813.
CMS update of August 29, 2024
Fine
CMS changed the fine from January 8, 2024 from $4,893 to $4,938.
CMS update of July 31, 2024
Ownership
CMS lists this home under a new chain.
Fine
CMS changed the fine from December 11, 2023 from $13,636 to $13,762.
9 citations
Health inspection on July 18, 2024
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 18, 2024.
Citation F0865. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on August 18, 2024.
Citation F0636. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on August 18, 2024.
Citation F0638. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Assure that each resident’s assessment is updated at least once every 3 months.
CMS lists it as corrected on August 18, 2024.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on August 18, 2024.
Citation F0625. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 18, 2024.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on August 18, 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 18, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 18, 2024.
5 citations
Fire safety inspection on July 18, 2024
CMS lists this as a standard inspection.
Citation E0004. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on August 18, 2024.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on August 18, 2024.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on August 18, 2024.
Citation K0911. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the installation and maintenance of electrical systems.
CMS lists it as corrected on August 18, 2024.
Citation K0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the use of electrical equipment.
CMS lists it as corrected on August 18, 2024.
CMS update of June 26, 2024
Fine
CMS changed the fine from November 6, 2023 from $4,545 to $4,587.
Fine
CMS changed the fine from November 13, 2023 from $4,545 to $4,587.
Fine
CMS changed the fine from November 20, 2023 from $4,545 to $4,587.
CMS update of May 29, 2024
Fine
CMS changed the fine from October 10, 2023 from $4,545 to $4,587.
Fine
CMS changed the fine from October 30, 2023 from $4,545 to $4,587.
CMS update of April 25, 2024
Fine
CMS changed the fine from August 14, 2023 from $2,447 to $2,470.
Fine
CMS changed the fine from August 21, 2023 from $2,797 to $2,823.
Fine
CMS changed the fine from September 11, 2023 from $11,538 to $11,645.
Fine
CMS changed the fine from October 2, 2023 from $4,545 to $4,587.
CMS update of March 28, 2024
Fine
CMS changed the fine from July 17, 2023 from $4,194 to $4,233.
Fine
CMS changed the fine from August 7, 2023 from $2,098 to $2,117.
Fine
CMS changed the fine from August 28, 2023 from $3,147 to $3,176.
Fine
CMS changed the fine from October 17, 2023 from $4,545 to $4,587.
Fine
CMS changed the fine from October 23, 2023 from $4,545 to $4,587.
Fine
January 22, 2024 (2 years ago)
CMS fine of $14,814 on January 22, 2024.
Fine
January 8, 2024 (2 years ago)
CMS fine of $4,938 on January 8, 2024.
Fine
December 11, 2023 (2 years ago)
CMS fine of $13,762 on December 11, 2023.
Fine
November 20, 2023 (2 years ago)
CMS fine of $4,587 on November 20, 2023.
Fine
November 13, 2023 (2 years ago)
CMS fine of $4,587 on November 13, 2023.
Fine
November 6, 2023 (3 years ago)
CMS fine of $4,587 on November 6, 2023.
Fine
October 30, 2023 (3 years ago)
CMS fine of $4,587 on October 30, 2023.
Fine
October 23, 2023 (3 years ago)
CMS fine of $4,587 on October 23, 2023.
Fine
October 17, 2023 (3 years ago)
CMS fine of $4,587 on October 17, 2023.
1 citation
Health inspection on August 18, 2022
CMS lists this as a standard inspection.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 16, 2022.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- BLUE LAKE POST CUTE HOLDCO LLCDirect ownership interest · not applicable · since 09/22/2022
- ELEVATION HEALTHCARE LLCIndirect ownership interest · not applicable · since 09/22/2022
- KMOM LLCIndirect ownership interest · not applicable · since 09/22/2022
- FUNK, KENNETHIndirect ownership interest · not applicable · since 09/22/2022
- ELEVATION HEALTHCARE LLCOperational/managerial control · not applicable · since 09/22/2022
- CAMPBELL, ALEXISOperational/managerial control · not applicable · since 08/11/2025
- DANIELS, BRITTANIOperational/managerial control · not applicable · since 09/08/2025
- EASON, SHEREEOperational/managerial control · not applicable · since 05/12/2025
- EDDIN, HUSAMOperational/managerial control · not applicable · since 01/01/2023
- FUNK, DANIELOperational/managerial control · not applicable · since 09/22/2022
- FUNK, KENNETHOperational/managerial control · not applicable · since 09/22/2022
- HAYWARD, JAMESOperational/managerial control · not applicable · since 02/16/2026
- KARPOWICZ, MICHELLEOperational/managerial control · not applicable · since 07/16/2025
- KEMP, ALANAOperational/managerial control · not applicable · since 05/12/2025
- LINDSEY, JACOBOperational/managerial control · not applicable · since 07/01/2025
- LIPKOWITZ, HOWARDOperational/managerial control · not applicable · since 03/31/2025
- MARTINEZ SALAS, JORGEOperational/managerial control · not applicable · since 02/24/2026
- NEUBIA, JEREMIAHOperational/managerial control · not applicable · since 02/12/2025
- ROMERO, PATRICIAOperational/managerial control · not applicable · since 03/01/2025
- SMITH, STERLINGOperational/managerial control · not applicable · since 07/19/2024
Questions
When was Blue Lake Post Acute last inspected?
CMS lists April 10, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Blue Lake Post Acute have?
CMS lists 28 health citations since August 18, 2022. CMS also calls these deficiencies.
Has Blue Lake Post Acute been fined?
CMS lists 10 fines in the past three years, $117,356 in total.
What is the CMS star rating of Blue Lake Post Acute?
Its CMS overall star rating is 1 of 5.
Is Blue Lake Post Acute a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.