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

WEST VOLUSIA HEALTHCARE AND REHABILITATION CENTER

DELTONA, FL · 120 certified beds · Last Life Safety survey January 30, 2025

CMS Certification Number 105447 · first certified September 1983

Ownership

Operated by EXCELSIOR CARE GROUP · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

15
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

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

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

The latest survey found 6 citations; the earlier surveys in the window averaged 4.5. 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: May 2026 to December 2026. This facility’s last Life Safety survey was January 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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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.

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 15 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • 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.

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 facility15FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
02021-0792023-0262025-01
Citations at each Life Safety survey
Survey dateCitations
July 22, 20210
February 23, 20239
January 30, 20256

Most-cited tags

Most-cited tags at this facility
K-03532K-07612K-03521K-09231K-02221K-02111K-09321K-03451
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-01-30
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22025-01-30
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.12023-02-23
K-0923Have proper medical gas storage and administration areas.12023-02-23
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.12023-02-23
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-02-23
K-0932Meet other general requirements.12023-02-23
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-01-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Miscellaneous Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies2

Every citation on file

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

January 30, 2025 — 6 citations

Citations issued on January 30, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 23, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 23, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 23, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 23, 2025)
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 (February 23, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 23, 2025)

February 23, 2023 — 9 citations

Citations issued on February 23, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 21, 2023)
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 (March 21, 2023)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (April 3, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 21, 2023)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (March 21, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 21, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (March 21, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 21, 2023)
K-0932Meet other general requirements.Deficient, Provider has date of correction (March 21, 2023)

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