Assisted Living
Daytona Beach, FL

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16 bedsVolusia CountyActive licenseAssistive Care ServicesLimited Mental Health
Assisted Living

Shady Oaks Rest Home, Inc

1208 Kennedy Rd, Daytona Beach, FL 32117

16 bedsVolusia CountyActive licenseAssistive Care ServicesLimited Mental HealthAHCA licensedFor-Profit1 complaint
Community snapshot

Inspection & facility statistics

Public AHCA rollup for Shady Oaks Rest Home, Inc (Assisted Living). Class I-IV charts are public below; sign in for citation narratives and the full timeline.

Licensed beds
16
Certified capacity
Deficiencies
8
Critical: Class I findings on record
Complaints
1
Linked to inspections
Recorded fines
$11,000
AHCA / CMS total on file
8total
  • Class I1
  • Class II0
  • Class III7
  • Class IV0

Class I-IV breakdown

Class I1
Class II0
Class III7
Class IV0

Shady Oaks Rest Home, Inc is a licensed assisted living facility in Daytona Beach, Florida (Volusia County). Licensed capacity is 16 beds. Specialty license(s): Assistive Care Services, Limited Mental Health. Nursing coverage: Direct 24hr. Activities include exercise classes, games/cards, theater and movies. Owner: Shady Oaks Rest Home, Inc.

Contact & Location

Verified mailing details for Shady Oaks Rest Home, Inc.

Street
1208 Kennedy Rd
City
Daytona Beach, FL 32117
County
Volusia County

License & Facility Details

Public licensing and inspection records from Florida AHCA and CMS where available.

16 licensed beds1 private roomsVolusia CountyActive licenseAssistive Care ServicesLimited Mental HealthFor-Profit
AHCA file #
11965970
AHCA license #
10293
AHCA license ID
145246
Licensed beds
16
Private rooms
1
County
Volusia County
License status
Active license
License effective
Jul 30, 2025
License expires
Jul 29, 2027
Originally licensed
May 1, 2013
Specialty licenses
Assistive Care Services, Limited Mental Health
Ownership type
For-Profit
Owner / licensee
Shady Oaks Rest Home, Inc
Administrator
Chi Young Ham
Deficiencies
8Class I: 1 · Class II: 0 · Class III: 7 · Class IV: 0Sign in for citation details & timeline
Complaints
1
Fines on record
$11,000

Services & characteristics

Activities
  • Exercise Classes
  • Games/Cards
  • Theater and Movies
Languages Spoken
  • English
  • Korean
Nurse Availability
  • Direct 24hr
Consumer Information
  • Bed Hold Policy
Payment Forms Accepted
  • Medicaid
Special Programs and Services
  • Other

Inspection & Deficiency Insights

Public Class I-IV rollup and survey recency for Shady Oaks Rest Home, Inc. Sign in for citation narratives and the full dated timeline.

Critical: Class I findings on record8 deficiencies on recordLast survey Oct 10, 2025Fines $11,0001 complaint

Shady Oaks Rest Home, Inc has Class I (imminent danger) citations in public totals. Treat this as a priority review item before touring or moving in.

8total
  • Class I1
  • Class II0
  • Class III7
  • Class IV0
Class I1
Class III7

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Amenities & Services

Games/Cards
Theater and Movies
Exercise Classes
Other
Direct 24hr

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