Deficiency timeline
Blue Lake Post Acute
Dated inspection findings, penalties, and correction notes for this nursing home in Deland, FL. Newest events first.
- Class IIIPotential for more than minimal harm (F)cms
F0727: Nursing and Physician Services
Nursing & physician services
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.
Corrected Jun 4, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0732: Nursing and Physician Services
Nursing & physician services
Post nurse staffing information every day.
Corrected Jun 4, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Jun 4, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0638: Resident Assessment and Care Planning
Assessment & care planning
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected Jun 4, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0756: Pharmacy Service
Pharmacy services
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Jun 4, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Jun 4, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0554: Resident Rights
Resident rights
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Jun 4, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0584: Resident Rights
Resident rights
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.
Corrected Jun 4, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0676: Quality of Life and Care
Quality of life & care
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected Jun 11, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected Jun 4, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected Jun 4, 2026
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0687: Quality of Life and Care
Quality of life & care
Provide appropriate foot care.
Corrected Jan 29, 2026
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Apr 28, 2025
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Apr 28, 2025
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0835: Administration
Administration
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected Apr 28, 2025
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0867: Administration
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected Apr 28, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 28, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0624: Resident Rights
Resident rights
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected Apr 28, 2025
- Class IIIPotential for more than minimal harm (F)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Aug 18, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0865: Administration
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected Aug 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0636: Resident Assessment and Care Planning
Assessment & care planning
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected Aug 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0638: Resident Assessment and Care Planning
Assessment & care planning
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected Aug 18, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0623: Resident Rights
Resident rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Aug 18, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0625: Resident Rights
Resident rights
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected Aug 18, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0644: Resident Assessment and Care Planning
Assessment & care planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected Aug 18, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 18, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Aug 18, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0758: Pharmacy Service
Pharmacy services
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.
Corrected Sep 16, 2022
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile