Flagler Health and Rehabilitation Center
300 Dr Carter Boulevard, Bunnell, FL 32110 · Flagler County · 120 certified beds · avg 99 residents/day · certified since May 1, 1986
Part of chain: ASTON HEALTH (38 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 (15)
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 |
|---|---|---|
| Dec 4, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Dec 4, 2025 | 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. |
| Dec 4, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 4, 2025 | 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. |
| Dec 4, 2025 | 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. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Dec 4, 2025 | 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. |
| Dec 21, 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. |
| Dec 21, 2023 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 21, 2023 | 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 3, 2022 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Feb 3, 2022 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2023 | 4 | 0 | F |
| 2025 | 9 | 0 | F |
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) | 3.40 | 4.03 | 3.95 | bottom 8% in Florida; bottom 32% in the U.S. |
| Registered Nurse hours | 0.50 | 0.76 | 0.69 | bottom 23% in Florida; bottom 38% in the U.S. |
| Weekend total nurse staffing | 3.15 | 3.68 | 3.50 | bottom 9% in Florida; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.53 | 0.48 | bottom 31% in Florida; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 78.6 | 41.4 | 45.8 | bottom 1% in Florida; bottom 2% in the U.S. |
| RN turnover (%) | 89.5 | 46.0 | 42.9 | bottom 1% in Florida; bottom 2% 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 3.35, RN 0.49, weekend 3.10. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Blue Spring Healthcare Partners LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 08/13/2020 |
| Flagler Pines Operations Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/13/2020 |
| Friedman, Leopold | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2026 |
| Gutman, Samuel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/13/2020 |
| Aston Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Canidate, Delana | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/09/2025 |
| Canidate, Delana | Individual | ADP of the SNF | NOT APPLICABLE | 10/08/2025 |
| Jardine, Tammy | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/03/2020 |
| Martinez Irizarry, Axel | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Martinez Irizarry, Axel | Individual | ADP of the SNF | NOT APPLICABLE | 10/08/2025 |
| Wildes, Donna | Individual | Corporate Officer | NOT APPLICABLE | 08/28/2025 |
| Wildes, Donna | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/28/2025 |
| Wildes, Donna | Individual | ADP of the SNF | NOT APPLICABLE | 08/28/2025 |
| Wothers, Eileen | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/29/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Can I see where garbage is stored and how often it's removed?"
- "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 |
|---|---|---|---|---|---|
| Aviata at Grand Oaks | 7.3 mi | Palm Coast, FL | ★★☆☆☆ | 1/5 | |
| Avante at Ormond Beach, INC | 14.2 mi | Ormond Beach, FL | ★★★★☆ | 3/5 | |
| The Pavilion at Crescent Lake | 15.5 mi | Crescent City, FL | ★★★★☆ | 3/5 | |
| Coquina Center | 16.1 mi | Ormond Beach, FL | ★★★☆☆ | 4/5 | |
| Ormond Rehabilitation and Nursing Center | 16.3 mi | Ormond Beach, FL | ★★★☆☆ | 3/5 | |
| Bridgeview Center | 17.6 mi | Ormond Beach, FL | ★★★★☆ | 4/5 | |
| Terrace at Bishop's Glen, the | 19.4 mi | Holly Hill, FL | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105547.