Flagler Health And Rehabilitation Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

53.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 262 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 41.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 92 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.48 therapist hours per resident per day in 2026Q1 — more than 79% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 26% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 99.3 residents a day — about 83% occupied, or roughly 21 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.35 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.10 hrs/resident/day on weekends vs 3.45 on weekdays — 10% thinner on weekends. RN hours go from 0.55 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 79% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · F2025-12-04 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a review of facility staffing information, the facility failed to ensure that a Registered Nurse (RN), other than the Director of Nursing, provided services for at least eight consecutive hours a day, seven days a week when the resident census exceeded sixty (60) for two (11/09/25 and 11/23/25) of 29 days reviewed.The findings include:A review of the staffing assignment sheets for November 9, 2025, failed to identify an RN on the schedule, listing only Licensed Practical Nurses (LPN) for the 12 nursing staff assigned to provide patient care on all three shifts (Day, Evening, Night). Further review of the Unit assignment sheets for this day listed only staff identified on the assignment sheet, all of whom were LPNs.A review of the staffing assignment sheets for November 23, 2025, failed to identify an RN on the schedule, listing only LPNs for the 11 nursing staff assigned to provide patient care on all three shifts (Day, Evening, Night). Further review of the Unit assignment sheets for this day listed only staff identified on the assignment sheet, all of whom were LPNs.On…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-12-04 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews with staff, the facility failed to label and date opened refrigerated food, maintain food preparation equipment in a clean and sanitary manner, and ensure canned goods intended for consumption were stored off the floor. Unsafe food storage and handling present the potential to affect all residents who consume foods prepared in the facility's kitchen. The findings include:During an initial kitchen tour with the Director of Dietary Services (DDS) on 12/01/2025 at 10:20 AM, the walk-in refrigerator was found to contain two steam table pans containing a thick brown substance resembling gravy. Each was covered with clear plastic wrap, but neither was labeled with a date that the gravy was opened and dished into the pans. A block of orange pre-sliced cheese was opened, partially used and wrapped loosely in plastic wrap so that the cheese was exposed to air. There was no label or date on the cheese. Two packages of opened and partially used cold cut meats were wrapped and unlabeled. In reach-in refrigerator #1, a plastic bowl filled with unidentifiable,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-04 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, medical record review, and facility policy and procedure review, the facility failed to ensure accurate administration of time-sensitive medications, specifically insulin ordered to be administered before breakfast, for five (Residents #46, #120, #10, #119, and #108) of seven residents reviewed who had medications ordered to be administered prior to breakfast.The findings include:On December 3, 2025 at 5:40 a.m., Registered Nurse (RN) C was advised that her medication pass would be observed. RN C stated, Oh, I finished already. If I knew you were coming, I would have waited for you. She was asked whether any residents had received insulin that morning, and she confirmed that Resident #10 had received two units of sliding-scale regular insulin at approximately 5:30 a.m. She was asked what time breakfast was served on the unit and she stated approximately 7:00 a.m. She confirmed that the insulin order was written to be administered before breakfast.On December 3, 2025 at 5:50 a.m., Licensed Practical Nurse (LPN) D and LPN V confirmed they had…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-04 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, record review, and facility policy and procedure review, the facility failed to provide activities of daily living (ADL) care (specifically fingernail care) for two (Residents #54 and #90) of two dependent residents sampled for ADL care. The findings include: 1.On 12/01/2025 at 11:30 am, Resident #54 was observed lying in bed awake. His fingernails were elongated and jagged on both hands. He was asked if he preferred his fingernails that long. He replied no and stated, I need to do something about them. They used to take care of them for me here, but they don't anymore. I think the girl that used to do them left. (Photographic evidence obtained) On 12/02/2025 at 9:30 am, Resident #54 was observed lying in bed with his eyes closed. He did not respond to his name being called. His fingernails remained elongated and jagged, as they were observed yesterday, 12/01/2025, at 11:30 am. On 12/02/2025 at 11:25 am, Resident #54 was observed in his room, lying in bed awake. His fingernails remained elongated and jagged. He stated he wished they would trim his…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure the timely assessment and implementation of appropriate care orders for surgical wounds for two (Residents #64 and #108) of two residents sampled for surgical wounds.The findings include: 1.On 12/02/25 at 11:04 AM, an interview was conducted with Resident #64, during which he stated his dressings had not been changed since he was admitted and he had staples in his chest that were supposed to come out. He stated he had knee surgery, and no one had changed his dressing there either. On 12/03/25 at 10:04 AM, a follow-up interview was conducted with Resident #64, during which he stated the dressing to his left chest had not been changed since October 23, 2025. Observation of the bandage revealed no date written to identify when it had last been changed. The resident also offered that the dressing change on his left leg had been performed on 12/2/25 for the first time. He reported that he had been told today that he had a follow-up…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, medical record and facility policy and procedure review, the facility failed to ensure that two (Residents #4 and #95) of two residents reviewed for continuous oxygen therapy, out of three residents who received continuous oxygen therapy, received oxygen as ordered and consistent with professional standards of practice. The findings include:1.An observation was made of Resident #4 was on 12/01/2025 at 1:15 PM. He was in bed eating lunch with a nasal cannula in place and his oxygen (O2) concentrator running. The concentrator was delivering oxygen at a rate of 4 liters per minute (LPM). When asked what his orders for O2 were, Resident #4 stated he was supposed to receive oxygen at 4 LPM. On 12/04/2025 at 10:30 AM, Resident #4 was observed in bed eating breakfast with the nasal cannula in place. Oxygen was flowing at a rate of 4 LPM. An interview was conducted with Licensed Practical Nurse (LPN) P on 12/04/2025 at 10:46 AM. She explained that Resident #4 received continuous O2 at a rate of 2 LPM. She reviewed the record and verified that O2 delivery…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of resident records and interviews with staff, the facility failed to 1) Ensure that one resident's (#110) medications were held according to the physician's prescribed parameters, and 2) Ensure sufficient monitoring for one resident (#77) receiving psychotropic medication for mood and behavior, from a total of six residents reviewed for unnecessary medications. The findings include: 1.A review of Resident #110's medical record revealed that he was admitted to the facility on [DATE] and then readmitted on [DATE] with diagnoses including hypotension. Further review of the record revealed a physician's order dated December 1, 2025 which read: Midodrine 10 mg (milligrams), give one tablet by mouth every eight hours as needed for a systolic blood pressure of less than 100. A review of Resident #110's December 2025 Medication Administration Record (MAR) revealed the following blood pressure readings documented in association with Midodrine 10 mg signed off as having been administered: On December 1,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0814 — failed to dispose of garbage properly — isolated
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews with dietary staff, the facility failed to ensure the area surrounding the commercial trash dumpsters was clean and free of debris, and that all waste was contained inside the receptacle. The findings include:As part of the initial tour of the kitchen with the Director of Dietary Services (DDS) on 12/01/2025 AM at 10:20 AM, the commercial dumpsters behind the building were inspected. The grassy and wooded area around and behind the dumpsters was observed with scattered debris including used and inverted blue medical gloves, paper, plastic bottles, baggies and cup lids, a foam to-go food container, a cup and other food containers. The DDS acknowledged the scattered trash but stated she was not sure who was responsible for cleaning it up. She wasn't sure who was responsible for maintaining the dumpster area. During another visit to the dumpster area with the visiting DDS from a sister facility on 12/04/2025 at 10:32 AM, the dumpster area was found in the same condition as during the 12/01/2025 observation at 10:20 AM, with trash strewn about. He…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure staff followed Enhanced Barrier Precaution (EBP) requirements for Personal Protective Equipment (PPE) use during high-contact resident care activities for one (Resident #30) of three residents sampled for review of Enhanced Barrier Precautions.The findings include:On 12/03/25 at 12:54 PM, an observation was made of the Wound Care Nurse who was providing care to Resident #30's left shoulder wound. The Wound Care Nurse was assisted by Certified Nursing Assistant (CNA) J, who assisted with turning the resident. A blue dressing was noted on the resident's left shoulder that was dated 12/01/25. At this time the Wound Care Nurse stated she had changed the dressing yesterday (12/02/25) but had gotten the date wrong on the dressing. Neither the nurse nor the CNA wore PPE as directed on the EBP notice on the outside of the resident's room. A supply bin with PPE was noted on the exterior of the room. (Photographic evidence obtained)On…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-12-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on kitchen food service observations, staff interviews, facility document review and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness. The facility failed to ensure that the dietary staff practiced the proper procedures for hand hygiene, disposable glove use, food storage and proper sanitation practices in the kitchen. Hand hygiene, food handling and sanitation is important in health care settings serving nursing home residents due to the risk of serious complications from foodborne illness as a result of their compromised health status. Unsafe food handling practices represent a potential source of pathogen exposure. This had the potential to impact any resident receiving food from the facility. The findings include: During the first tour of the facility kitchen on 12/18/2023 at 10:12 AM one of the reach-in freezers located in a back hallway of the kitchen, had large blocks of frozen ice built up on the inside of the unit covering packages of food products. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ASTON HEALTH — 38 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.3M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL