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Nursing HomeMedicaid

Terrace at Bishop's Glen, the

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

900 Lpga Blvd, Hopkins Fitch Grant · Holly Hill, FL 3211760 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 4 Google reviews

Terrace at Bishop's Glen, the Nursing Home in Holly Hill, FL — Street View
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What this means for your family

The facility excels in administrative support and initial admissions, which can make the transition much smoother for new residents. However, because the current reviews lack detail on clinical outcomes or food quality, families should conduct an in-person visit to observe daily nursing care.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility36.2%
Worse than Avg
Here
36.2%
US
12.1%
FL
4.1%
Volusia
3.5%

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 Facility30.3%
Worse than Avg
Here
30.3%
US
19.4%
FL
11.5%
Volusia
13.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
15.5%
FL
8.7%
Volusia
12.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.8%
Better than Avg
Here
9.8%
US
19.5%
FL
15.0%
Volusia
17.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
15.3%
FL
10.6%
Volusia
11.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
FL
98.1%
Volusia
97.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
79.8%
FL
94.7%
Volusia
89.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
FL
94.8%
Volusia
91.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
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

2deficiencies
1penalties
Well below state avg (7.3)
2 complaint-triggered
$8,512 in fines

This facility has concerning patterns with medication management issues, including families filing complaints about medication errors that triggered federal inspections. The most recurring problems involve medication management, fire safety systems, and emergency preparedness, with some issues persisting across multiple surveys. While the facility has corrected deficiencies when cited, the repeated medication problems and complaint-triggered inspections suggest ongoing quality concerns that warrant careful consideration during your visit.

Jun 11, 2025Routine
26
0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0009Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0025Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0030Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0034Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide a means of sharing information on occupancy/needs.

0035Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0036Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0042Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Meet the requirements of an integrated health system.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

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

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Nov 5, 2024Complaint
1
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Oct 17, 2024Complaint
1
0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Mar 21, 2024Routine
9
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.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

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

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Apr 7, 2022Routine
3
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

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.

Federal Penalties

Fine

Oct 17, 2024

$8,512

Ownership & Operations

Who Operates This Facility

Owner / Operator

Terrace at Bishop's Glen, the

Organization Type

for profit

Chain Affiliation

Chain Name

Serenity Estates

Chain Size

5 facilities nationwide

Ownership & Management

Owners

Weinfeld, Avrum

Owner

Weiss, Daniel

Owner

Island City Equity Partners LLC

Owner (parent company) · Organization

Maj Consultants LLC

Owner (parent company) · Organization

Wheat Chaff Lp

Owner (parent company) · Organization

Nuckolls, Mary

Owner (parent company)

Tapia, Jill

Owner (parent company)

Key personnel

Weinfeld, AvrumManaging Control - Governing BodyAdams, MichaelManagerMunim, MohammedManagerWeinfeld, AvrumManagerAdams, MichaelAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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