Alliance Health and Rehabilitation Center
130 W Armstrong Avenue, Deland, FL 32720 · Volusia County · 130 certified beds · avg 105 residents/day · certified since Aug 1, 1978
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 9, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 29, 2021 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | F |
| 2023 | 4 | 0 | F |
| 2025 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.44 | 4.03 | 3.95 | top 17% in Florida; top 25% in the U.S. |
| Registered Nurse hours | 0.67 | 0.76 | 0.69 | top 50% in Florida; top 40% in the U.S. |
| Weekend total nurse staffing | 3.90 | 3.68 | 3.50 | top 22% in Florida; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.53 | 0.48 | top 39% in Florida; top 30% in the U.S. |
| Total nursing staff turnover (%) | 45.5 | 41.4 | 45.8 | bottom 40% in Florida; bottom 49% in the U.S. |
| RN turnover (%) | 47.1 | 46.0 | 42.9 | bottom 48% in Florida; bottom 40% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.10, RN 0.62, weekend 3.60. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cleveland, Jeffrey | Individual | 5% or Greater Indirect Ownership Interest | 50% | 02/13/2021 |
| Deland Senior Investments I, LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 02/13/2021 |
| Deland Senior Investments II, LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 02/17/2021 |
| Fraser, Geoffrey | Individual | 5% or Greater Indirect Ownership Interest | 50% | 03/15/2021 |
| Cleveland, Jeffrey | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/17/2021 |
| Cleveland, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 02/13/2021 |
| Cleveland, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 09/27/2024 |
| Deland Senior Investments I, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/15/2021 |
| Deland Senior Investments I, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/27/2024 |
| Deland Senior Investments II, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/15/2021 |
| Deland Senior Investments II, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/27/2024 |
| Edwards, Samuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/17/2021 |
| Edwards, Samuel | Individual | ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Fraser, Geoffrey | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/17/2021 |
| Fraser, Geoffrey | Individual | Corporate Officer | NOT APPLICABLE | 06/17/2021 |
| Fraser, Geoffrey | Individual | ADP of the SNF | NOT APPLICABLE | 09/27/2024 |
| Hurta, Chad | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2022 |
| Hurta, Chad | Individual | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Huston, Taylor | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/15/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Parkside Health and Rehabilitation Center | 0.4 mi | Deland, FL | ★★★★☆ | 4/5 | |
| Athens Post Acute LLC | 0.6 mi | Deland, FL | ★★★★☆ | 4/5 | |
| Villa Healthcare & Rehabilitation Center | 1.1 mi | Deland, FL | ★★★★★ | 4/5 | |
| Blue Lake Post Acute | 1.4 mi | Deland, FL | ★☆☆☆☆ | 1/5 | |
| Blue Palms Health and Rehabilitation Center of Del | 1.5 mi | Deland, FL | ★★★★★ | 4/5 | |
| Ridgecrest Healthcare and Rehabilitation Center | 2.3 mi | Deland, FL | ★★★★☆ | 4/5 | |
| Majestic Oaks | 5.6 mi | Orange City, FL | ★★★★★ | 5/5 | |
| Orange City Nursing and Rehab Center | 8.0 mi | Debary, FL | ★★★★☆ | 3/5 | |
| West Volusia Healthcare and Rehabilitation Center | 8.6 mi | Deltona, FL | ★★☆☆☆ | 2/5 | |
| Debary Health and Rehabilitation Center | 9.4 mi | Debary, FL | ★★★★☆ | 4/5 | |
| Healthcare and Rehab of Sanford | 15.1 mi | Sanford, FL | ★★★☆☆ | 3/5 | |
| Indigo Manor | 18.2 mi | Daytona Beach, FL | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105349.