Coquina Center

Name: Coquina Center
Address: 170 N CENTER STREET, Ormond Beach, FL, 32174, US
Telephone: 3866727113

170 N Center Street, Ormond Beach, FL 32174 · Volusia County · 120 certified beds · avg 115 residents/day · certified since Nov 24, 1987

Part of chain: ASTON HEALTH (38 facilities, chain avg rating 2.7★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.65

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

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 (8)

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 26, 2026	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Feb 26, 2026	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Feb 26, 2026	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Feb 26, 2026	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. · from a complaint
May 19, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 19, 2022	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 19, 2022	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2022	3	0	D
2026	5	0	E

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)	3.65	4.03	3.95	bottom 28% in Florida; bottom 44% in the U.S.
Registered Nurse hours	0.28	0.76	0.69	bottom 1% in Florida; bottom 8% in the U.S.
Weekend total nurse staffing	3.33	3.68	3.50	bottom 25% in Florida; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.13	0.53	0.48	bottom 1% in Florida; bottom 3% in the U.S.
Total nursing staff turnover (%)	0.0	41.4	45.8	—
RN turnover (%)	0.0	46.0	42.9	—

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 3.42, RN 0.26, weekend 3.11. Staffing rating: 1/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Coquina Center Holdco LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	12/15/2023
Lce Partners LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2021
Aston Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/09/2025
Heise, David	Individual	ADP of the SNF	NOT APPLICABLE	06/28/2025
Kruse, Trisha	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/02/2024
Kruse, Trisha	Individual	Operational/Managerial Control	NOT APPLICABLE	01/02/2024
Kruse, Trisha	Individual	ADP of the SNF	NOT APPLICABLE	06/28/2025
Lorjuste, Thamara	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/23/2025
Lorjuste, Thamara	Individual	Operational/Managerial Control	NOT APPLICABLE	04/23/2025
Nichols, Gina	Individual	Operational/Managerial Control	NOT APPLICABLE	06/03/2024
Thacker, Tricia	Individual	Corporate Officer	NOT APPLICABLE	04/04/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"How do you coordinate hospice care, and can residents stay here while receiving it?"
"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
Bridgeview Center	1.6 mi	Ormond Beach, FL	★★★★☆	4/5
Ormond Rehabilitation and Nursing Center	1.6 mi	Ormond Beach, FL	★★★☆☆	3/5
Avante at Ormond Beach, INC	2.8 mi	Ormond Beach, FL	★★★★☆	3/5
Terrace at Bishop's Glen, the	3.5 mi	Holly Hill, FL	★★★☆☆	4/5
Daytona Beach Health and Rehabilitation Center	4.6 mi	Daytona Beach, FL	★★★★★	5/5
Coastal Health and Rehabilitation Center	5.0 mi	Daytona Beach, FL	★★★★☆	4/5
Emory L Bennett Memorial Veterans Nursing Home	5.1 mi	Daytona Beach, FL	★★★★☆	3/5
Solaris Healthcare Daytona	5.6 mi	Daytona Beach, FL	★★★★★	5/5
Gardens Healthcare & Rehabilitation Center	5.9 mi	Daytona Beach, FL	★★★★★	4/5
Indigo Manor	6.0 mi	Daytona Beach, FL	★★☆☆☆	1/5
Blue Palms Health and Rehabilitation Center of Day	6.5 mi	Daytona Beach, FL	★★★★☆	4/5
Beach Street Health and Rehabilitation Center	7.5 mi	Daytona Beach, FL	★★★★☆	3/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 105589.

The Care File

Visit checklist — Coquina Center

170 N Center Street, Ormond Beach, FL 32174 · 3866727113

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "How do you coordinate hospice care, and can residents stay here while receiving it?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 105589 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)