Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
ATHENS POST ACUTE LLC
DELAND, FL · 60 certified beds · Last Life Safety survey November 20, 2025
CMS Certification Number 105261 · first certified October 1972
Ownership
Operated by ELEVATION HEALTHCARE · For profit - Limited Liability company
- Ownership changed September 8, 2022 (change of ownership)from UNIVERSITY CENTER WEST OPERATING LLC
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
The latest survey found 14 citations; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was November 2025. 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
Get an email about ATHENS POST ACUTE LLC
One email when it happens. No account; stop it any time with one click.
Emergency preparedness
8 of the 16 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)
2 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
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 | 16 |
| Median facility in FL | 7 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| January 27, 2022 | 0 |
| November 30, 2023 | 2 |
| November 20, 2025 | 14 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 2 | 2025-11-20 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2025-11-20 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2025-11-20 |
| E-0036 | Establish emergency prep training and testing. | 1 | 2025-11-20 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2025-11-20 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2025-11-20 |
| E-0039 | Conduct testing and exercise requirements. | 1 | 2025-11-20 |
| K-0100 | Meet other general requirements. | 1 | 2025-11-20 |
What the citations cover
- Emergency Preparedness Deficiencies 8
- Miscellaneous Deficiencies 3
- Smoke Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Other 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 8 |
| Miscellaneous Deficiencies | 3 |
| Smoke Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Construction Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
November 20, 2025 — 14 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (January 1, 2026) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (January 1, 2026) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (January 1, 2026) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (January 1, 2026) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (January 1, 2026) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (January 1, 2026) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (January 1, 2026) |
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (January 1, 2026) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (January 1, 2026) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (January 1, 2026) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (January 1, 2026) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (January 1, 2026) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (January 1, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 1, 2026) |
November 30, 2023 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (December 29, 2023) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (December 29, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.