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Nursing HomeMedicaid Top Rated

Blue Palms Health and Rehabilitation Center of Del

Strong Medicare quality ratings; families often praise effective physical and occupational therapy. Still worth an in-person visit.

450 North Mcdonald Avenue, Deland, FL 3272460 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 42 Google reviews

5
4
3
2
1
Blue Palms Health and Rehabilitation Center of Del Nursing Home in Deland, FL — Street View
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What this means for your family

While the facility offers strong rehabilitation services and engaging activities, the recent reports of neglect and communication failures are deeply concerning. We strongly recommend that families conduct unannounced visits during weekends or evenings to verify the level of care and staffing responsiveness before committing.

Google Reviews

Google Reviews

42 reviews on Google
Blue Palms Health and Rehabilitation Center of DeLand presents a highly polarized experience for families. While some residents and families praise the facility for its cleanliness, friendly staff, and effective rehabilitation therapy, others report severe neglect, including issues with hygiene, medication management, and a lack of communication during critical times. The transition from the previous ownership (Good Samaritan) appears to have caused significant instability and frustration among long-term residents and their families.

Quality Themes

Tap a score for details
Food7.0Staff5.0Clean6.0Activities8.0Meds2.0MemoryN/AComms3.0Value4.0

Strengths

  • Effective physical and occupational therapy
  • Clean and well-maintained facility environment
  • Friendly and compassionate frontline staff
  • Engaging community activities and events

Concerns

  • Inadequate resident hygiene and basic care (mentioned by 3 reviewers)
  • Poor communication and lack of transparency from management (mentioned by 4 reviewers)
  • Understaffing and overworked employees (mentioned by 3 reviewers)
  • Facility maintenance issues (e.g., lack of AC) (mentioned by 2 reviewers)
  • Negative impact of ownership transition/management changes (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2343.72023(14)3.32024(12)3.72025(14)2.82026(5)

Distribution · 45 analyzed

5
24
4
4
3
1
2
3
1
13

How They Respond to Reviews

73%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given the recent management transitions, what steps are you taking to ensure consistent communication and transparency with family members regarding their loved one's care?
  • 2I noticed the staffing rating is lower than other areas; how does the facility ensure that residents receive consistent attention for daily hygiene and basic care needs during peak hours?
  • 3Since therapy services are a known strength here, how do you coordinate those sessions with the daily nursing care to ensure the resident isn't overwhelmed?
  • 4I see that you are active in responding to feedback online; what is your process for addressing family concerns or complaints once they are brought to your attention?
  • 5With the facility having experienced some maintenance challenges in the past, what is your current protocol for ensuring that essential systems like climate control are reliably maintained?
  • 6What does a typical social calendar look like for residents, and how do you encourage participation for those who might be hesitant to join group activities?

Personalized based on this facility's data


Key Review Excerpts

Their OT and PT staff were able to make such significant progress with her that she was able to successfully transition to their Assisted Living Facility.

Long-term resident's family · 2025★★★★★

The staff heavily over-medicated him throughout his stay. He was kept sedated and confused almost constantly.

Long-term resident's family · 2026☆☆☆☆

This place did not even change her diaper, clean her, even more they did not even feed her!!!!

Rehab patient's family · 2025☆☆☆☆
Source: 42 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
97%
Registered nurses for medical care
Total Nursing
3.61hrs
88%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
73%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
15.4%
FL
8.7%
Volusia
12.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
19.5%
FL
15.0%
Volusia
17.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
12.1%
FL
4.1%
Volusia
4.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.4%
Better than Avg
Here
11.4%
US
19.4%
FL
11.5%
Volusia
14.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility17.3%
Worse than Avg
Here
17.3%
US
15.3%
FL
10.6%
Volusia
10.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
93.4%
FL
98.1%
Volusia
97.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.1%
Mixed vs Avgs
Here
94.1%
US
79.7%
FL
94.7%
Volusia
89.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.8%
Better than Avg
Here
94.8%
US
81.8%
FL
94.8%
Volusia
91.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
FL
1.5%
Volusia
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
2penalties
Near state avg (7.3)
$7,456 in fines

This facility has 24 deficiencies across three surveys, with the most recent April 2025 inspection identifying significant issues in fire safety systems, emergency preparedness, and care planning. Recurring problems include building safety compliance, emergency lighting, and fire door maintenance appearing across multiple inspections. While all deficiencies show correction dates, the pattern of repeated building safety violations suggests ongoing maintenance challenges families should investigate during visits.

Apr 2, 2025Routine
15
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0024Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0025Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0032Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0042Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Meet the requirements of an integrated health system.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Jun 22, 2023Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Sep 23, 2021Routine
3
0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Federal Penalties

Fine

Jun 22, 2023

$3,728

Fine

Jun 22, 2023

$3,728

Ownership & Operations

Who Operates This Facility

Owner / Operator

Blue Palms Health and Rehabilitation Center of Del

Organization Type

for profit

Ownership & Management

Owners

Deland FL Holdco, LLC

Owner · Organization

100%

Biggest Rock Snf Irrevocable Trust

Owner (parent company) · Organization

Bp Deland and Daytona Opco Lp

Owner (parent company) · Organization

100%

Camden Wv LLC

Owner (parent company) · Organization

Healthcare Investment Holdings LLC

Owner (parent company) · Organization

The Adam Sasouness Family Trust

Owner (parent company) · Organization

The Dana Sasouness Family Trust

Owner (parent company) · Organization

Js Family Trust

Owner (parent company) · Organization

Key personnel

Alvarez, NormaManaging Control - Governing BodyFried, BinyominManaging Control - Governing BodyFried, BinyominOfficer / DirectorPinnacle Healthcare Solutions INCManagerAlvarez, NormaManager
Source: Medicare provider data

Contact

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References & Resources

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