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

Blue Lake Post Acute

DELAND, FL · 60 certified beds · Last Life Safety survey April 10, 2026

CMS Certification Number 105262 · first certified November 1972

Ownership

Operated by ELEVATION HEALTHCARE · For profit - Corporation

  • Ownership changed September 8, 2022 (change of ownership)from UNIVERSITY CENTER EAST OPERATING LLC
17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within FL

17 citations — more than 93% 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 12 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 10 months from now. This facility’s last Life Safety survey was April 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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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

6 of the 17 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)

4 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 17 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 facility17FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-0852024-07122026-04
Citations at each Life Safety survey
Survey dateCitations
August 18, 20220
July 18, 20245
April 10, 202612

Most-cited tags

Most-cited tags at this facility
K-07612E-00042K-03452K-09181E-00371K-03241K-03531E-00251
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22026-04-10
E-0004Develop and maintain an Emergency Preparedness Program (EP).22026-04-10
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22026-04-10
K-0918Have generator or other power source capable of supplying service within 10 seconds.12026-04-10
E-0037Establish staff and initial training requirements.12026-04-10
K-0324Provide properly protected cooking facilities.12026-04-10
K-0353Inspect, test, and maintain automatic sprinkler systems.12026-04-10
E-0025Create arrangements with other facilities to receive patients.12026-04-10

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 6
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 2
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies6
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies2

Every citation on file

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

April 10, 2026 — 12 citations

Citations issued on April 10, 2026
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Past Non-Compliance
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (June 1, 2026)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (June 1, 2026)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (June 1, 2026)
E-0042Meet the requirements of an integrated health system.Deficient, Provider has date of correction (June 1, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 1, 2026)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (June 1, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 1, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 1, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 1, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 1, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 1, 2026)

July 18, 2024 — 5 citations

Citations issued on July 18, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (August 18, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 18, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 18, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (August 18, 2024)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (August 18, 2024)

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