Nursing homeActive
Terrace At Bishop's Glen, The
900 Lpga Blvd, Holly Hill, FL 32117386226900060 certified beds · 53 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2022
Deficiencies
12
● 0● 11● 1
Penalties · 3 yrs
$8,512
1 fine
Last survey
2025-06-11
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Agency for Health Care Administration (AHCA) · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-06-11 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-11-05 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-10-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-21 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2022-04-07 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Agency for Health Care Administration (AHCA) publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-17Record 105526-20250611-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-17Record 105526-20250611-F812
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-12-05Record 105526-20241105-F760
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-15Record 105526-20241017-F758
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 105526-20240321-F645
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 105526-20240321-F686
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 105526-20240321-F695
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 105526-20240321-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 105526-20240321-F812
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-29Record 105526-20220407-F677
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-29Record 105526-20220407-F688
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-05-29Record 105526-20220407-F727
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-10-17 | Civil money penalty | $8,512 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.37
Facility
Florida
National
Florida 0.73 · National 0.69
Total nurse hours per resident day3.71
Facility
Florida
National
Florida 3.82 · National 3.86
Weekend total nurse hours3.20
Facility
Florida
National
Florida 3.49 · National 3.42
Total nursing staff turnover66%
Facility
Florida
National
Florida 41% · National 46%
Registered nurse turnover75%
Facility
Florida
National
Florida 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Florida | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.9% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.9% | 2.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 2.3% | 8.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 0.7% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 8.4% | 8.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.0% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 4.8% | 14.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Adams, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Munim, Mohammed Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Weinfeld, Avrum Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Adams, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Island City Equity Partners LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Maj Consultants LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Munim, Mohammed Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nuckolls, Mary Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Tapia, Jill Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Weinfeld, Avrum Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Weinfeld, Avrum Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Weinfeld, Avrum Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Weiss, Daniel Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Weiss, Daniel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wheat Chaff LP Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Serenity Estates — 5 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Florida.
No county cost figures on file for Volusia.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Daytona Beach Health And Rehabilitation Center Daytona Beach | 1.1 mi | 2026-01-15 | 050 |
| Coastal Health And Rehabilitation Center Daytona Beach | 1.8 mi | 2025-09-11 | 030 |
| Solaris Healthcare Daytona Daytona Beach | 2.4 mi | 2025-07-02 | 020 |
| Bridgeview Center Ormond Beach | 2.5 mi | 2025-09-05 | 040 |
| Emory L Bennett Memorial Veterans Nursing Home Daytona Beach | 2.5 mi | 2024-10-17 | 050 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |