Nursing HomeInspections

Blue Lake Post Acute

Nursing home in Deland, FL

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
991 E New York Ave, Deland, FL 32724
Phone
(386) 734-9083
Listed under
For-profit
Medicare CCN
105262
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
60
Average residents per day
49
Ownership
For-profit, corporation
Legal business name
Blue Lake Post Acute LLC
Chain
Elevation Healthcare (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 14, 1972
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 105262. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 10, 2026. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 18, 2022 to Apr 10, 2026): 7 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 10, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 10, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 10, 2026Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 10, 2026Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 10, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Apr 10, 2026Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Apr 10, 2026Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Apr 10, 2026Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service
E
Potential for more than minimal harm, pattern
Apr 10, 2026Have 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
F
Potential for more than minimal harm, widespread
Apr 10, 2026Post nurse staffing information every day.
Nursing and Physician Services
F
Potential for more than minimal harm, widespread
Apr 10, 2026Provide and implement an infection prevention and control program.
Infection Control
F
Potential for more than minimal harm, widespread
Dec 11, 2025Provide appropriate foot care.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 28. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 10 fines totalling $117,356 in the last three years.

Apr 8, 2025Fine: $56,320
Jan 22, 2024Fine: $14,814
Jan 8, 2024Fine: $4,938
Dec 11, 2023Fine: $13,762
Nov 20, 2023Fine: $4,587
Nov 13, 2023Fine: $4,587
Nov 6, 2023Fine: $4,587
Oct 30, 2023Fine: $4,587
Oct 23, 2023Fine: $4,587
Oct 17, 2023Fine: $4,587

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.55 hours
Registered nurse (RN) time per resident per day
0.47 hours
Nurse aide time per resident per day
2.20 hours
Total nurse staffing on weekends
3.04 hours
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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