CARLTON SHORES HEALTHCARE AND REHABILITATION CENTE
1350 S NOVA RD
DAYTONA BEACH, FL, 32114
3862585544
CCN: 105580
4
Overall4
Health1
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
NUTRITION AND HEALTH CARE INC
1128b8
Excluded 1996-02-15
REHABILITATION CENTER AT HOLLY
1128b5
Excluded 2018-11-20
Ownership
| Name | Role | % |
|---|---|---|
| CARLTON SHORES SNF HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| COPPER FL TRUST II | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| FL MASTER OPCO HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SILVER FL TRUST II | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| GOLD FL TRUST II | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SHELBY, JACK | CORPORATE OFFICER | NOT APPLICABLE |
| BRUSH, JACOB | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (7)
2024-04-04 · Health
F
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
2022-04-28 · Health
D
F849 · Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
F761 · Pharmacy Service Deficiencies
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.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2020-10-15 · Health
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.94
RN Hrs/Resident/Day0.54
0.27
LPN Hrs/Resident/Day0.81
1.38
CNA Hrs/Resident/Day2.33
2.28
PT Hrs/Resident/Day0.12
0.19
Data as of 2026-03-01