Nursing HomeInspections

The Terrace at Bishop's Glen

Nursing home in Holly Hill, FL

Medicare & Medicaid certified3★ overall (CMS)

Call (386) 226-9000Send a messageMap ↗

Public-record details

Address
900 Lpga Blvd, Holly Hill, FL 32117
Phone
(386) 226-9000
Listed under
For-profit
Medicare CCN
105526
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
60
Average residents per day
53
Ownership
For-profit, limited Liability company
Legal business name
Bg SNF Opco LLC
Chain
Serenity Estates (5 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 25, 1986
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 105526. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 11, 2025. CMS lists 12 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 7, 2022 to Jun 11, 2025): 2 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 11, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 11, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Nov 5, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		G
Actual harm, isolated
Oct 17, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 21, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 21, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 21, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 21, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 21, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Apr 7, 2022Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 7, 2022Provide 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		D
Potential for more than minimal harm, isolated
Apr 7, 2022Have 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

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 Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,512 in the last three years.

Oct 17, 2024Fine: $8,512

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

Staffing

Total nurse staffing per resident per day
3.71 hours
Registered nurse (RN) time per resident per day
0.37 hours
Nurse aide time per resident per day
2.22 hours
Total nurse staffing on weekends
3.20 hours
Nursing staff turnover (yearly)
66%
RN turnover (yearly)
75%
Administrators who left in the past year
1

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.