Public Record
Blue Lake Post Acute
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 60
- Avg. residents per day
- 51
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 33
- Inspections on file
- 7
- Last inspection
- 2025-12-11
*CMS
*CMS
*CMS
Citations
33 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0687Generalpotential for harm
Provide appropriate foot care.
- 0610Seriousimmediate jeopardy
Respond appropriately to all alleged violations.
- 0624Generalpotential for harm
Prepare residents for a safe transfer or discharge from the nursing home.
- 0835Seriousimmediate jeopardy
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- 0867Seriousimmediate jeopardy
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0600Seriousimmediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0911Generalpotential for harm
Meet requirements for the installation and maintenance of electrical systems.
- 0919Generalpotential for harm
Meet requirements for the use of electrical equipment.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0865Generalpotential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0004Generalpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0761Generalpotential for harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 0644Generalpotential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0623Generalpotential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0625Generalpotential for harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- 0636Generalpotential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 0638Generalpotential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0758Generalpotential for harm
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.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0584Generalpotential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- 0637Generalpotential for harm
Assess the resident when there is a significant change in condition
- 0642Generalpotential for harm
Ensure a qualified health professional conducts resident assessments.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection1 deficiency
F 0687 Provide appropriate foot care. Level of Harm - Minimal harm or potential for actual harm Based on observation, interviews, and record review, the facility failed to ensure that eight (Residents #1, #2, #3, #4, #5, #6, #7, and #8) of eight residents reviewed for foot care were provided with…
Read full statement of deficiencies - Inspection6 deficiencies
F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**…
Read full statement of deficiencies - Inspection14 deficiencies
F 0623 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO…
Read full statement of deficiencies - View inspection reportInspection14 deficiencies
- View inspection reportInspection1 deficiency
- Inspection1 deficiency
F 0758 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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…
Read full statement of deficiencies - Inspection10 deficiencies
F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on observations, staff and resident interviews, and facility policy and procedure review, the facility failed to ensure the nurse call light system was kept…
Read full statement of deficiencies
FAQ
Questions and answers
- What is Blue Lake Post Acute?
- Blue Lake Post Acute is a Medicare- and Medicaid-certified nursing home in Deland, FL, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 105262.
- What is the CMS rating for Blue Lake Post Acute?
- Blue Lake Post Acute has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Blue Lake Post Acute have?
- Blue Lake Post Acute is certified for 60 beds. It serves an average of 51 residents per day.
- How many citations does Blue Lake Post Acute have?
- Blue Lake Post Acute has 33 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Blue Lake Post Acute last inspected?
- Blue Lake Post Acute was last inspected on December 11, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/105262-blue-lake-post-acute