Blue Lake Post Acute

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 4, 2026

• Post nurse staffing information every day.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 4, 2026

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 4, 2026

• Assure that each resident’s assessment is updated at least once every 3 months.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 4, 2026

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 4, 2026

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 4, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 4, 2026

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 4, 2026

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 4, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 4, 2026

• Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 11, 2026

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedPast Non-Compliance

• Create arrangements with other facilities to receive patients.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Establish emergency prep training and testing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Establish staff and initial training requirements.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Meet the requirements of an integrated health system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Provide properly protected cooking facilities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Construct fire resistant interior walls.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Provide appropriate foot care.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 29, 2026

• Respond appropriately to all alleged violations.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 28, 2025

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 28, 2025

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 28, 2025

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 28, 2025

• Prepare residents for a safe transfer or discharge from the nursing home.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 28, 2025

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 28, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 18, 2024

• Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 18, 2024

• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 18, 2024

• Assure that each resident’s assessment is updated at least once every 3 months.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 18, 2024

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 18, 2024

• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 18, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 18, 2024

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 18, 2024

• Meet requirements for the installation and maintenance of electrical systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 18, 2024

• Meet requirements for the use of electrical equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 18, 2024

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 18, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 18, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 18, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 18, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 16, 2022

Blue Lake Post Acute offers Skilled Nursing / Long Term Care.

Blue Lake Post Acute is located at 991 E New York Ave in Deland, Florida.

Blue Lake Post Acute is a skilled nursing and rehabilitation center in DeLand that recently completed a full interior renovation. Reviews are mixed: several families praise the therapy and nursing teams, food quality, and welcoming atmosphere, while one detailed account describes serious safety and care lapses, including unanswered call bells and a medical emergency.

Blue Lake Post Acute had 6 government inspection visits in the last three years, with 45 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Blue Lake Post Acute and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.