Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
BLUE PALMS HEALTH AND REHABILITATION CENTER OF DEL
DELAND, FL · 60 certified beds · Last Life Safety survey April 2, 2025
CMS Certification Number 105937 · first certified January 1997
Ownership
Independently operated (no chain recorded by CMS) · For profit - Limited Liability company
- Ownership changed June 1, 2023 (change of ownership)to BLUE PALMS HEALTH AND REHABILITATION CENTER OF DELAND from THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Position within FL
15 citations — more than 88% 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 11 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: July 2026 to February 2027. This facility’s last Life Safety survey was April 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
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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
4 of the 15 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 15 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
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 | 15 |
| Median facility in FL | 7 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| September 23, 2021 | 0 |
| June 22, 2023 | 4 |
| April 2, 2025 | 11 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 2 | 2025-04-02 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 2 | 2025-04-02 |
| E-0025 | Create arrangements with other facilities to receive patients. | 1 | 2025-04-02 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2025-04-02 |
| E-0032 | Provide primary/alternate means for communication. | 1 | 2025-04-02 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2025-04-02 |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | 1 | 2023-06-22 |
| E-0024 | Establish policies and procedures for volunteers. | 1 | 2025-04-02 |
What the citations cover
- Emergency Preparedness Deficiencies 4
- Smoke Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 3
- Egress Deficiencies 2
- Other 3
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 4 |
| Smoke Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Egress Deficiencies | 2 |
| Miscellaneous Deficiencies | 2 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 2, 2025 — 11 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (May 7, 2025) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (May 7, 2025) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (May 7, 2025) |
| E-0042 | Meet the requirements of an integrated health system. | Deficient, Provider has date of correction (May 7, 2025) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (May 7, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (May 7, 2025) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (May 7, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (May 7, 2025) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (May 7, 2025) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (May 7, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (May 7, 2025) |
June 22, 2023 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (July 17, 2023) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (July 17, 2023) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (September 22, 2023) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (July 17, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.