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ATHENS POST ACUTE LLC Inspection Report, Violations & Safety Grade (DELAND, Florida)

545 WEST EUCLID AVENUE, DELAND, Florida 32720

Phone: 3867349085

CMS Overall:4/5

Overview & Bed Count

Certified Beds
60
Avg Residents/Day
51.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Volusia
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing3/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityFlorida AvgDifference
RN Hours per Resident per Day0.660.73-0.07
Total Nurse Hours per Resident per Day3.723.86-0.14
CMS Staffing Rating3/53.3/5-
Nursing Staff Turnover66.7%41.5%-

Health Citation History

16 health citations on record

DateCategoryDescriptionSeverity
2023-11-30Nursing and Physician Services DeficienciesHave 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.F – Moderate Harm Potential
2023-11-30Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-11-30Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.E – Moderate Harm Potential
2023-11-30Resident Rights DeficienciesEnsure residents have reasonable access to and privacy in their use of communication methods.D – Moderate Harm Potential
2023-11-30Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-11-30Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2023-11-30Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2022-01-27Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2022-01-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2022-01-27Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.F – Moderate Harm Potential
2022-01-27Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.E – Moderate Harm Potential
2022-01-27Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2022-01-27Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2022-01-27Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2022-01-27Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2022-01-27Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

16 fire safety citations on record

DateCategoryDescriptionSeverity
2025-11-20Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2025-11-20Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2025-11-20Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.D – Moderate Harm Potential
2025-11-20Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.D – Moderate Harm Potential
2025-11-20Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.D – Moderate Harm Potential
2025-11-20Emergency Preparedness DeficienciesList the names and contact information of those in the facility.D – Moderate Harm Potential
2025-11-20Emergency Preparedness DeficienciesEstablish emergency prep training and testing.D – Moderate Harm Potential
2025-11-20Emergency Preparedness DeficienciesConduct testing and exercise requirements.D – Moderate Harm Potential
2025-11-20Construction DeficienciesMeet other general requirements.D – Moderate Harm Potential
2025-11-20Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2025-11-20Miscellaneous DeficienciesProvide a written emergency evacuation plan.D – Moderate Harm Potential
2025-11-20Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2025-11-20Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2025-11-20Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2023-11-30Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2023-11-30Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.D – Moderate Harm Potential

Total Penalties & Fines

$23,988
Total Fine Amount (CMS)
3
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2024-01-22Fine$14,814-
2023-10-23Fine$4,587-
2023-10-17Fine$4,587-

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