Daytona Beach Health and Rehabilitation Center
1055 3rd Street, Daytona Beach, FL 32117 · Volusia County · 180 certified beds · avg 145 residents/day · certified since Oct 1, 1977
Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · 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 |
|---|---|---|
| Jun 17, 2025 | 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). · from a complaint |
| Feb 1, 2024 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Feb 1, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Feb 1, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 1, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 27, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 27, 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 | 2 | 0 | D |
| 2024 | 4 | 0 | E |
| 2025 | 1 | 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) | 4.89 | 4.03 | 3.95 | top 9% in Florida; top 15% in the U.S. |
| Registered Nurse hours | 0.49 | 0.76 | 0.69 | bottom 22% in Florida; bottom 37% in the U.S. |
| Weekend total nurse staffing | 4.49 | 3.68 | 3.50 | top 9% in Florida; top 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.53 | 0.48 | bottom 8% in Florida; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 34.0 | 41.4 | 45.8 | top 31% in Florida; top 22% in the U.S. |
| RN turnover (%) | 61.1 | 46.0 | 42.9 | bottom 23% in Florida; bottom 20% 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 3.95, RN 0.40, weekend 3.62. 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: 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 |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Direct Ownership Interest | 68% | 02/19/1999 |
| James N Estes Jr Family Dynasty Tr No 2 | Organization | 5% or Greater Direct Ownership Interest | 10% | 09/30/2019 |
| James Norman Estes Jr Tr | Organization | 5% or Greater Direct Ownership Interest | 6% | 06/30/2013 |
| Jennifer E Agee Family Dynasty Tr No 2 | Organization | 5% or Greater Direct Ownership Interest | 10% | 09/30/2019 |
| Jennifer Lee Estes Tr 031093 | Organization | 5% or Greater Direct Ownership Interest | 6% | 06/30/2013 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 02/19/1999 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Mathes, Loretta | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/19/2023 |
| Mathes, Loretta | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/19/2023 |
| McVea, Cheri | Individual | Corporate Director | NOT APPLICABLE | 09/27/2021 |
| McVea, Cheri | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/27/2021 |
| Rasco, Lynn | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Rasco, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Regions Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/05/2010 |
| Regions Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/27/2013 |
| Schneider, Julie | Individual | Corporate Director | NOT APPLICABLE | 04/21/2023 |
| Schneider, Julie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/21/2023 |
| Toney, Darin | Individual | Corporate Director | NOT APPLICABLE | 04/15/2024 |
| Toney, Darin | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/15/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 | Flags |
|---|---|---|---|---|---|
| Coastal Health and Rehabilitation Center | 0.9 mi | Daytona Beach, FL | ★★★★☆ | 4/5 | |
| Terrace at Bishop's Glen, the | 1.1 mi | Holly Hill, FL | ★★★☆☆ | 4/5 | |
| Solaris Healthcare Daytona | 1.4 mi | Daytona Beach, FL | ★★★★★ | 5/5 | |
| Gardens Healthcare & Rehabilitation Center | 1.7 mi | Daytona Beach, FL | ★★★★★ | 4/5 | |
| Emory L Bennett Memorial Veterans Nursing Home | 2.0 mi | Daytona Beach, FL | ★★★★☆ | 3/5 | |
| Blue Palms Health and Rehabilitation Center of Day | 2.3 mi | Daytona Beach, FL | ★★★★☆ | 4/5 | |
| Indigo Manor | 2.6 mi | Daytona Beach, FL | ★★☆☆☆ | 1/5 | |
| Beach Street Health and Rehabilitation Center | 3.2 mi | Daytona Beach, FL | ★★★★☆ | 3/5 | |
| Carlton Shores Healthcare and Rehabilitation Cente | 3.3 mi | Daytona Beach, FL | ★★★★★ | 5/5 | |
| Seaside Health and Rehabilitation Center | 3.4 mi | Daytona Beach, FL | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105311.