Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BEACH STREET HEALTH AND REHABILITATION CENTER

DAYTONA BEACH, FL · 99 certified beds · Last Life Safety survey September 25, 2024

CMS Certification Number 105002 · first certified January 1967

Ownership

Operated by SIMCHA HYMAN & NAFTALI ZANZIPER · For profit - Corporation

  • Ownership changed May 7, 2020 (change of ownership)from SANDALWOOD OPERATING LLC
16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within FL

16 citations — more than 91% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (January 2026 to August 2026). Most FL facilities have been surveyed by November 2026. This facility’s last Life Safety survey was September 2024. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 16 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.

This facility16FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
62021-0422022-1282024-09
Citations at each Life Safety survey
Survey dateCitations
April 16, 20216
December 1, 20222
September 25, 20248

Most-cited tags

Most-cited tags at this facility
K-09142K-05212K-09182E-00231K-09201K-02231K-03531K-02221
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22024-09-25
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22024-09-25
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-09-25
E-0023Establish policies and procedures for medical documentation.12021-04-16
K-0920Ensure proper usage of power strips and extension cords.12021-04-16
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12021-04-16
K-0353Inspect, test, and maintain automatic sprinkler systems.12022-12-01
K-0222Add 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.12024-09-25

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Smoke Deficiencies 5
  • Services Deficiencies 2
  • Egress Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies6
Smoke Deficiencies5
Services Deficiencies2
Egress Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 25, 2024 — 8 citations

Citations issued on September 25, 2024
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (November 11, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 11, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 11, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 11, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 11, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (November 11, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (November 11, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 11, 2024)

December 1, 2022 — 2 citations

Citations issued on December 1, 2022
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 9, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (January 20, 2023)

April 16, 2021 — 6 citations

Citations issued on April 16, 2021
TagWhat the surveyor checksStatus
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (May 12, 2021)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (May 12, 2021)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (May 12, 2021)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 12, 2021)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 12, 2021)
K-0932Meet other general requirements.Deficient, Provider has date of correction (May 12, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.