Deficiency Index

Athens Post Acute LLC

Deland, Florida · CCN 105261

22 surveys since 2011. The first finding at harm level was recorded in 2016.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
84
Surveys
22
Harm or worse
1
Immediate jeopardy
1
The record, 2011–2023
’11’15’20’23
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file20/22

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
For profit - Limited Liability company
Chain
ELEVATION HEALTHCARE
County
Volusia
Medicare-certified since
1972

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 57 for-profit facilities with fewer than 66 beds in Florida.

Last survey on record

Nov 30, 2023

1,075 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.483.73
Registered-nurse hours per resident day0.53—
Annual nurse turnover58.5%45.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$33,162 across 5 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD743.8%E425.0%F531.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 84 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F5651×

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • F5761×

    Ensure residents have reasonable access to and privacy in their use of communication methods.

In the surveyor’s words

From the most serious findings on record at Athens Post Acute LLC, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF727Nov 30, 2023

    Based on staff interviews and facility job description review, it was determined that the facility failed to designate a registered nurse to serve as the director of nursing (DON) on a full time basis. The findings include: On 11/29/23 at 2:20 pm, an interview was conducted with the Director of Nursing who was asked how long she has worked for the facility. She stated, I started Monday, November 27 of this week. When asked what her title is she stated, I'm Director of Nursing. She was asked how many hours she works as the Director of Nursing. She stated, I work at least 40 hours. I'm also Director of Nursing at our other facility, (facility named). She was asked if she divides her time between the two facilities. […]

  • No harm, potential for more than minimal, widespreadF812Nov 30, 2023

    Based on observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to properly store food with the potential to affect all residents who consumed foods from the facility. Opened bundles of bread stored on the bread rack were not sealed and date marked. Food handling and sanitation is important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: A tour of the kitchen was conducted on 11/27/2023 at 10:05 a.m. During the tour, no date markings were observed on two open bundles of bread located on the bread rack in the dry storage room. Another observation was made on 11/28/2023 at 9:20 a.m. […]

  • No harm, potential for more than minimal, widespreadF801Jan 27, 2022

    Based on observation, interview and record review, the Director of Dining Services (DDS), who was not a qualified dietitian was not full-time at the facility and the facility's consultant dietitian state license was expired and national Dietetic Registration could not be verified. This has the potential to impact all facility residents. The findings include: On the first three days of the survey ([DATE] through [DATE]), the Director of Dining Services (DDS) was not present in the facility. On the first day of the survey on [DATE], there were two nursing staff observed during the initial kitchen tour at 10:37 AM who prepared breakfast. The staff indicated at that time that the DDS worked between 2 affiliated nursing homes. […]

  • No harm, potential for more than minimal, widespreadF812Jan 27, 2022

    Based on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety. The facility failed to do the following: Store single-service articles and food to protect contamination, properly reheat Time/Temperature for Control for Safety (TCS) Food Protect exposed food, clean equipment, clean utensils, clean linens, single-service and single-use items, and the kitchen area from contamination, maintain equipment and areas in a clean condition and in good repair, Date-mark refrigerated resident food and ensure it was not stored too long under refrigeration. […]

  • No harm, potential for more than minimal, widespreadF814Jan 27, 2022

    Based on observation and interview, the facility failed to ensure that garbage and refuse was disposed of properly. The condition of the outside facility garbage dumpster, which was used for the entire facility, was such that that the surfaces were no longer smooth and durable; garbage and refuse was not contained and did not prevent rodent and pest attraction and harborage. Additionally, the Dining Services staff did not ensure garbage receptacles were covered in the kitchen. The findings include: At 01/25/22 at 3:48 PM, a staff person was observed through the facility activity/dining area window throwing out a white plastic bag into the facility garbage dumpster. The door to the side of the dumpster was open and there were no lids to the dumpster. […]

Read 21 findings in full →The most serious and the most recent: 21 of 84 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 30, 2023Standard7 findings
  • Feb 2, 2023Complaint1 finding
  • Jan 27, 2022Standard9 findings
  • May 13, 2021Complaint2 findings
  • Apr 21, 2021Complaint1 finding
  • May 28, 2020Complaint2 findings
  • Feb 24, 2020Complaint3 findings
  • Feb 13, 2020Standard5 findings
Show the 14 earlier surveys
  • Jul 18, 2019Complaint3 findings
  • Oct 12, 2018Standard15 findings
  • Nov 9, 2017Standard1 finding
  • Feb 6, 2017Complaint1 finding
  • Sep 29, 2016Standard6 findings
  • May 27, 2016Complaint1 finding
  • Feb 11, 2016Complaint1 finding · 1 harm
  • Jul 30, 2015Standard4 findings
  • Aug 21, 2014Standard7 findings
  • May 7, 2014Complaint2 findings
  • Jul 18, 2013—4 findings
  • Feb 7, 2013—1 finding
  • May 24, 2012—6 findings
  • Mar 24, 2011—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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