Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
DEBARY HEALTH AND REHABILITATION CENTER
DEBARY, FL · 120 certified beds · Last Life Safety survey January 8, 2026
CMS Certification Number 105514 · first certified July 1985
Ownership
Operated by ASTON HEALTH · For profit - Limited Liability company
- Ownership changed November 3, 2020 (change of ownership)from MF DEBARY LLC
Position within FL
12 citations — more than 78% 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
The latest survey found 9 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was January 2026. 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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Emergency preparedness
5 of the 12 citations on file are 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)
1 physical-environment citation 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 12 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
How that compares
Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 12 |
| Median facility in FL | 7 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 10, 2022 | 0 |
| January 19, 2024 | 3 |
| January 8, 2026 | 9 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0042 | Meet the requirements of an integrated health system. | 1 | 2026-01-08 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2024-01-19 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2026-01-08 |
| E-0039 | Conduct testing and exercise requirements. | 1 | 2026-01-08 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2026-01-08 |
| K-0100 | Meet other general requirements. | 1 | 2026-01-08 |
| E-0015 | Address subsistence needs for staff and patients. | 1 | 2026-01-08 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 1 | 2024-01-19 |
What the citations cover
- Emergency Preparedness Deficiencies 5
- Smoke Deficiencies 2
- Miscellaneous Deficiencies 2
- Egress Deficiencies 1
- Other 2
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 5 |
| Smoke Deficiencies | 2 |
| Miscellaneous Deficiencies | 2 |
| Egress Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
| Construction Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
January 8, 2026 — 9 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (January 26, 2026) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (January 30, 2026) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (January 9, 2026) |
| E-0042 | Meet the requirements of an integrated health system. | Deficient, Provider has date of correction (January 30, 2026) |
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (January 30, 2026) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (January 23, 2026) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (January 16, 2026) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (January 30, 2026) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (January 16, 2026) |
January 19, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (February 9, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (February 9, 2024) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (February 9, 2024) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.