01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-03-27 | 1 | 2025-03-27 | 4 |
| Cycle 2 | 2023-05-11 | 2 | 2023-05-11 | 0 |
| Cycle 3 | 2021-09-02 | 3 | 2021-09-02 | 0 |
CMS CCN 1057352026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Orange City Nursing And Rehab Center
2810 Enterprise Rd · Debary, FL 32713 · Volusia County
Certified beds120CMS provider file
Recent citation rows10current CMS citation release
Penalty rows2current 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
10 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-03-27 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-04-272025-03-27 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-04-272025-03-27 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-04-272025-03-27 · 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 · 2025-04-272025-03-27 · 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 · 2025-04-272024-03-19 · HEALTHF0578Severity J · isolated immediate jeopardy
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2024-04-08 · complaint2024-03-19 · HEALTHF0678Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Deficient, Provider has date of correction · 2024-04-08 · complaint2023-05-11 · HEALTHF0802Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Correction field: Deficient, Provider has date of correction · 2023-05-312023-05-11 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-05-312021-09-02 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2021-09-2703 / 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 |
|---|---|---|---|
| 2024-03-19 | Fine | $8,400 | 0 |
| 2024-03-19 | Fine | $8,401 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CRONQUIST, ROYCEIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/31/2015
- MANGINE, JOHNIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/25/2012
- BERKADIA COMMERCIAL MORTGAGE LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 07/15/2014
- FL ORANGE CITY HOLDINGS LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 05/19/2009
- HEALTH SERVICES PROPERTIES LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 05/19/2009
- CHERY, DAWNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2025
- KAAR, SUSANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2003
- SOUTHERN HEALTHCARE MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2003
- BELL, CHARLESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/15/2016
- CRONQUIST, ROYCEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/11/2017
- EDDIN, HUSAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2023
- MANGINE, JOHNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/25/2012
- MELTON, DONALDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/19/2009
- NOTERMANN, WILLIAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- SHIFFLET, KRISTENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/25/2022
- NOTERMANN, BRENDAIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 10/10/2025
- FL ORANGE CITY HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/19/2009
- FORVIS MAZARS LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
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 hours3.57per resident day
RN hours0.88per resident day
Weekend nurse hours3.23per resident day
Staff turnover39.6%CMS reported field
06 / LOCAL RECORDS
Open the Debary ledger →