01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-29 | 0 | 2026-01-29 | 4 |
| Cycle 2 | 2024-04-04 | 1 | 2024-04-04 | 0 |
| Cycle 3 | 2022-04-28 | 4 | 2022-04-28 | 0 |
CMS CCN 1055802026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Carlton Shores Healthcare And Rehabilitation Cente
1350 S Nova Rd · Daytona Beach, FL 32114 · Volusia County
Certified beds118CMS provider file
Recent citation rows9current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
9 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-29 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-29 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-29 · FIREK0914Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-29 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-03-112024-04-04 · HEALTHF0908Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2024-05-042022-04-28 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2022-05-302022-04-28 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2022-05-302022-04-28 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2022-05-302022-04-28 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction field: Deficient, Provider has date of correction · 2022-05-3003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CARLTON SHORES SNF HOLDCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/23/2022
- FL MASTER OPCO HOLDCO LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 07/27/2022
- SHELBY, JACKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/27/2022
- BRUSH, JACOBIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- BRUSH, JACOBIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/30/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.79per resident day
RN hours0.36per resident day
Weekend nurse hours3.44per resident day
Staff turnover55.4%CMS reported field
06 / LOCAL RECORDS
Open the Daytona Beach ledger →Other published facilities nearby
Beach Street Health And Rehabilitation Center99 beds · CMS overall 4/529 citation rowsBlue Palms Health And Rehabilitation Center Of Day100 beds · CMS overall 4/516 citation rowsCoastal Health And Rehabilitation Center120 beds · CMS overall 4/518 citation rowsDaytona Beach Health And Rehabilitation Center180 beds · CMS overall 5/514 citation rowsEmory L Bennett Memorial Veterans Nursing Home120 beds · CMS overall 4/516 citation rowsGardens Healthcare & Rehabilitation Center108 beds · CMS overall 5/524 citation rowsIndigo Manor173 beds · CMS overall 2/558 citation rowsSeaside Health And Rehabilitation Center192 beds · CMS overall 4/514 citation rows