Terrace at Bishop'S Glen, the
900 Lpga Blvd, Holly Hill, FL 32117
Terrace at Bishop'S Glen, the, a 60-bed for profit - limited liability company nursing facility in Holly Hill, FL, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #439 of 691 rated homes in FL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3862269000
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- #439 of 691
- In-state rank among rated FL homes
- 3.71
- About average · nurse hrs/day · nat'l 3.86
- 12
- Inspection findings · 1 serious
The verdict
Terrace at Bishop'S Glen, the, a 60-bed for profit - limited liability company nursing facility in Holly Hill, FL, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #439 of 691 rated homes in FL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 3 / 5
- CMS overall · national 3.0
- #439 of 691
- In-state rank among rated FL homes
- 3.71
- Nurse hrs/resident-day · national 3.86
- 12
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 694 FL nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 105526
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 60
- Residents
- 53
- In Hospital
- No
- County
- Volusia
- Last Inspection
- Jun 11, 2025
Staffing Data
How the 3.71 total nursing hours per resident-day are staffed:
- RN Hours
- 0.37 (nat'l avg: 0.69)
- LPN Hours
- 1.12
- CNA Hours
- 2.22
- Total Nursing Hours
- 3.71 (nat'l avg: 3.86)
- PT Hours
- 0.01
- Nursing Turnover
- 65.5%
- RN Turnover
- 75.0%
What the CMS Record Reveals About Terrace at Bishop'S Glen, the
According to CMS Nursing Home Compare, Terrace at Bishop'S Glen, the ranks #439 of 691 rated nursing homes in FL on overall stars (tie-broken by health+staffing+quality, then fewer fines). Terrace at Bishop'S Glen, the operates 60 certified beds in Holly Hill, FL with approximately 53 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 4★ · staffing 1★ · quality 4★).
The inspection file contains 12 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $9K against this provider. Per resident day, this facility reports 3.71 total nursing hours (national average 3.86) and 0.37 RN hours.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Terrace at Bishop'S Glen, the falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 65.5% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (12 most recent)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 17, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 17, 2025
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Dec 5, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Category: Pharmacy Service Deficiencies
Corrected: Nov 15, 2024
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Apr 18, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 18, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 18, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 18, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: May 29, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: May 29, 2022
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Category: Nursing and Physician Services Deficiencies
Corrected: May 29, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.4% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.9% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 25.7% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 4.8% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 32.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 98.6% | No |
Penalty History 1 penalties totaling $9K
| Date | Type | Amount |
|---|---|---|
| Oct 17, 2024 | Fine | $9K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Terrace at Bishop'S Glen, the, both outside FL so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside FL (60 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside FL (3.95 here).
Nearby Nursing Homes in FL
693 other nursing homes are on record in FL; 6 are shown here.
Abbey Delray South
Delray Beach, FL
Abbey Rehabilitation and Nursing Center
Saint Petersburg, FL
Addington Place at College Harbor
Saint Petersburg, FL
Advanced Care Center
Clearwater, FL
Advinia Care at Venice
Venice, FL
Adviniacare at Naples
Naples, FL
Understanding Nursing Home Data
What the CMS records show for Terrace at Bishop'S Glen, the
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The FL registry aggregates state averages and the highest-rated homes in this cohort. View FL registry
- Peer homes near 60 beds show how CMS stars vary at a similar scale in FL. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Terrace at Bishop'S Glen, the?
Where does Terrace at Bishop'S Glen, the rank among nursing homes in FL?
What are the staffing levels at Terrace at Bishop'S Glen, the?
How many beds does Terrace at Bishop'S Glen, the have?
Does Terrace at Bishop'S Glen, the have any deficiencies on record?
Has Terrace at Bishop'S Glen, the received any fines or penalties?
Who owns Terrace at Bishop'S Glen, the?
When was Terrace at Bishop'S Glen, the last inspected?
What quality measures are tracked for Terrace at Bishop'S Glen, the?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
