Florida › Volusia County › Holly Hill
Terrace At Bishop'S Glen, The
900 Lpga Blvd, Holly Hill, FL 32117
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 60 beds, Terrace At Bishop'S Glen, The serves Holly Hill in Volusia County, Florida and has taken Medicare and Medicaid residents since 1986.
CMS gives it 3 of 5 stars overall, equal to the Florida median; the health inspection rating is 4, staffing 1 and quality measures 4.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (2, 7, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 20.0 per 100 beds, more than the state median of 15.8.
CMS lists 1 penalty in the period covered: fines totalling $9K.
Reported nurse staffing is 3.7 hours per resident per day (0.4 RN), close to the Florida median of 3.6; nursing staff turnover is 65.5%.
Compared with county, state and nation
| Measure | This facility | Volusia Co. median | Florida median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 9 | 18 | 28.7 |
| Citations per 100 beds | 20.0 | 7.5 | 15.8 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 65.5% | 48.8% | 41.8% | 45.8% |
| Fines listed | $8,512 | $0 | $0 | — |
County and state figures are medians across facilities (29 in the county, 694 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Florida average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Jun 2025, 21 Mar 2024.
Severity mix: G ×1 D ×9 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Jul 2025 |
| 11 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 17 Jul 2025 |
| 5 Nov 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 5 Dec 2024 |
| 17 Oct 2024 | F0758 | Implement 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. | D | Complaint investigation | 15 Nov 2024 |
| 21 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 18 Apr 2024 |
| 7 Apr 2022 | F0727 | 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. | F | Standard survey | 29 May 2022 |
| 7 Apr 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 29 May 2022 |
| 7 Apr 2022 | F0688 | Provide 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. | D | Standard survey | 29 May 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Oct 2024 | Fine | $8,512 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Florida average. Turnover: nursing staff 65.5%, RNs 75.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Florida median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.4% | 7.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 2.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.0% | 7.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.9% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.3% | 7.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Bg Snf Opco Llc. Chain: Serenity Estates (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Island City Equity Partners LLC | Indirect ownership interest | NOT APPLICABLE | 01/01/2023 |
| Maj Consultants LLC | Indirect ownership interest | NOT APPLICABLE | 01/01/2023 |
| Wheat Chaff LP | Indirect ownership interest | NOT APPLICABLE | 01/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Volusia County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alliance Health and Rehabilitation Center | Deland | 130 | 5 | 4 | 4 | 7 | 5.4 | — | 27 Feb 2025 |
| Beachside Center For Rehabilitation and Nursing | New Smyrna Beach | 239 | 5 | 4 | 3 | 7 | 2.9 | — | 4 Feb 2026 |
| Blue Palms Health and Rehabilitation Center of Del | Deland | 60 | 5 | 4 | 3 | 9 | 15.0 | — | 2 Apr 2025 |
| Carlton Shores Healthcare and Rehabilitation Cente | Daytona Beach | 118 | 5 | 5 | 2 | 5 | 4.2 | — | 4 Apr 2024 |
| Daytona Beach Health and Rehabilitation Center | Daytona Beach | 180 | 5 | 5 | 4 | 7 | 3.9 | — | 17 Jun 2025 |
| Gardens Healthcare & Rehabilitation Center | Daytona Beach | 108 | 5 | 4 | 2 | 8 | 7.4 | $9K | 10 Dec 2025 |
| Majestic Oaks | Orange City | 150 | 5 | 5 | 5 | 1 | 0.7 | — | 12 Dec 2024 |
| Solaris Healthcare Daytona | Daytona Beach | 73 | 5 | 5 | 4 | 3 | 4.1 | — | 2 Jul 2025 |
All 29 facilities in Volusia County
Questions and answers
How many deficiencies has Terrace At Bishop'S Glen, The been cited for?
12 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Florida median is 18 per facility.
Has Terrace At Bishop'S Glen, The been fined?
Yes. CMS lists fines totalling $9K in the period covered.
How does staffing at Terrace At Bishop'S Glen, The compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Florida median of 3.6 and a national average of 3.9.
Who operates Terrace At Bishop'S Glen, The?
It is part of the Serenity Estates chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Island City Equity Partners LLC, Maj Consultants LLC and Wheat Chaff LP. Individual owners and managers are not listed on this site.
When was Terrace At Bishop'S Glen, The last inspected?
The most recent survey or investigation in the CMS record is dated 11 Jun 2025; the most recent standard health survey was 11 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.