Nursing home in Holly Hill, Florida
Terrace at Bishop's Glen, The
Medicare and Medicaid
900 LPGA BLVD, Holly Hill, FL 32117
(386) 226-9000
CMS star ratings
CMS gives this nursing home an overall star rating of 3 out of 5. Each rating is compared with the mean of rated nursing homes in Florida (691 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home3
- Florida average3.3 (691 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home4
- Florida average2.9 (691 rated)
- U.S. average2.8 (14,565 rated)
Staffing
[24]
- This nursing home1
- Florida average3.3 (686 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home4
- Florida average4.2 (686 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Jun 11, 2025. CMS counts 2 health deficiencies in rating cycle 1.
- This nursing home2
- Florida average7.1 (694 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 9 health deficiencies on 4 inspection dates since Sep 30, 2023. By level of harm: 1 actual harm, 8 potential for harm.
- 0 Immediate jeopardy to resident health or safety
- 1 Actual harm
- 8 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jun 11, 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jul 17, 2025 |
| Jun 11, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jul 17, 2025 |
| Nov 5, 2024 | F0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies | G Actual harm, isolated | Complaint | Deficient, Provider has date of correction Dec 5, 2024 |
| Oct 17, 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Nov 15, 2024 |
| Mar 21, 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Apr 18, 2024 |
| Mar 21, 2024 | F0645 | PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 18, 2024 |
| Mar 21, 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 18, 2024 |
| Mar 21, 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 18, 2024 |
| Mar 21, 2024 | F0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 18, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.71 hours
- Florida average3.82 hours (680 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.37 hours
- Florida average0.73 hours (680 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home65.5%
- Florida average41.4% (646 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 1 penalty for this nursing home: 1 fine totaling $8,512, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 60 |
|---|---|
| Average residents per day | 52.8 |
| Ownership | For profit - Limited Liability company |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Both |
| Automatic sprinklers in all required areas | Yes |
| Chain | Serenity Estates (5 facilities) |
| Legal business name | BG SNF OPCO LLC |
| First approved for Medicare and Medicaid | Feb 25, 1986 |
| County | Volusia |
| CMS certification number | 105526 |
Also in Holly Hill
CMS footnotes on this page
- [24]
- This facility reported a high number of days without a registered nurse onsite.