West Volusia Healthcare and Rehabilitation Center
1851 Elkcam Blvd, Deltona, FL 32725
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Follow this homeWest Volusia Healthcare and Rehabilitation Center is a nursing home in Deltona, 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.
At a glance
- CMS overall star rating3 of 5
- Last standard health inspectionJanuary 30, 2025 (1 year ago)
- Health citations since July 22, 202119 (Florida average 20)
- Fines in the past three years8, $45,871 in total
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
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 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
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 5 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of December 15, 2025
Ownership
CMS lists this home under a new chain.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
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 5 of 5.
Name
CMS lists a new name for this home. It was BEDROCK REHABILITATION AND NURSING CENTER AT WEST.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on January 30, 2025
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
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 February 23, 2025.
CMS has cited this home for F0812 3 times since 2021.
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 February 23, 2025.
CMS has cited this home for F0880 2 times since 2024.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on February 23, 2025.
CMS has cited this home for F0842 2 times since 2021.
Fire safety inspection on January 30, 2025
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation K0345. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on February 23, 2025.
Citation K0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on February 23, 2025.
CMS has cited this home for K0761 2 times since 2023.
Citation K0914. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on February 23, 2025.
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 February 23, 2025.
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 February 23, 2025.
CMS has cited this home for K0353 2 times since 2023.
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 February 23, 2025.
Health inspection on January 23, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0600. Severity D: potential for more than minimal harm, 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 February 23, 2025.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of September 26, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Fine
CMS changed the fine from December 11, 2023 from $13,636 to $13,762.
Fine
CMS changed the fine from January 2, 2024 from $4,545 to $4,587.
CMS update of June 26, 2024
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
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
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
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
Name
CMS lists a new name for this home. It was DELTONA HEALTH CARE.
Fine
CMS changed the fine from August 14, 2023 from $3,147 to $3,176.
Fine
CMS changed the fine from August 21, 2023 from $3,496 to $3,529.
Fine
CMS changed the fine from September 11, 2023 from $13,287 to $13,410.
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 $6,293 to $6,351.
Fine
CMS changed the fine from August 7, 2023 from $2,797 to $2,823.
Fine
CMS changed the fine from August 28, 2023 from $3,846 to $3,882.
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.
CMS update of February 29, 2024
Name
CMS lists a new legal business name for this home.
Health inspection on February 14, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
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 March 14, 2024.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Ownership
CMS no longer lists a chain for this home.
January 2, 2024
FineCMS fine of $4,587 on January 2, 2024.
December 11, 2023
FineCMS fine of $13,762 on December 11, 2023.
November 20, 2023
FineCMS fine of $4,587 on November 20, 2023.
November 13, 2023
FineCMS fine of $4,587 on November 13, 2023.
November 6, 2023
FineCMS fine of $4,587 on November 6, 2023.
October 30, 2023
FineCMS fine of $4,587 on October 30, 2023.
October 23, 2023
FineCMS fine of $4,587 on October 23, 2023.
October 17, 2023
FineCMS fine of $4,587 on October 17, 2023.
Health inspection on February 23, 2023
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
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 March 21, 2023.
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 April 6, 2023.
Citation F0725. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on March 21, 2023.
Citation F0759. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on April 7, 2023.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on March 21, 2023.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on April 7, 2023.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on April 7, 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on April 6, 2023.
CMS has cited this home for F0695 2 times since 2021.
Fire safety inspection on February 23, 2023
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation K0932. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on March 21, 2023.
Citation K0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on March 21, 2023.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on March 21, 2023.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 21, 2023.
Citation K0352. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly install and monitor supervisory attachments on automatic sprinkler systems.
CMS lists it as corrected on April 3, 2023.
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 March 21, 2023.
Citation K0362. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
CMS lists it as corrected on March 21, 2023.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on March 21, 2023.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on March 21, 2023.
Health inspection on July 22, 2021
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
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 22, 2021.
Citation F0695. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on August 22, 2021.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on August 22, 2021.
Citation F0685. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assist a resident in gaining access to vision and hearing services.
CMS lists it as corrected on August 22, 2021.
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 August 22, 2021.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on August 22, 2021.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (386) 789-3769
- Last standard health inspection
- January 30, 2025 (1 year ago)
- Certified beds
- 120
- Residents per day, on average
- 111.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Deltona Operating LLC
- Chain
- Excelsior Care Group
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Florida average (19 vs 20).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- DELTONA HOLDCO LLC5% or greater direct ownership interest · 100% · since 09/05/2023
- FDZ CONSULTING LLC5% or greater indirect ownership interest · no percentage provided · since 09/05/2023
- MILLER, YOCHEVED5% or greater indirect ownership interest · no percentage provided · since 09/05/2023
- ZAHLER, JACOBOperational/managerial control · not applicable · since 09/05/2023
Questions
When was West Volusia Healthcare and Rehabilitation Center last inspected?
CMS lists January 30, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does West Volusia Healthcare and Rehabilitation Center have?
CMS lists 19 health citations since July 22, 2021. CMS also calls these deficiencies.
Has West Volusia Healthcare and Rehabilitation Center been fined?
CMS lists 8 fines in the past three years, $45,871 in total.
What is the CMS star rating of West Volusia Healthcare and Rehabilitation Center?
Its CMS overall star rating is 3 of 5.
Is West Volusia Healthcare and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.