Nursing Care Index

Flagler Health And Rehabilitation Center

Bunnell, Flagler County, Florida · CCN 105547 · For-profit (LLC) · part of Aston Health (38 facilities, chain average 2.7 stars)

CMS rates Flagler Health And Rehabilitation Center 2 of 5 overall as of August 2026. 120 certified beds, 99 residents a day on average. 15 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing3.34963 hours per resident per day
Registered nurses0.49009 hours per resident per day
Weekend total3.0969 hours per resident per day
Nursing staff turnover78.6% (registered nurses 89.5%)
Administrators who left2

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-12-04 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.
Nursing and Physician Services Deficiencies · tag F0727
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-01-02
2025-12-04 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-01-02
2025-12-04 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-01-02
2025-12-04 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-02
2025-12-04 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-02
2025-12-04 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-02
2025-12-04 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-02
2025-12-04 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-02
2025-12-04 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-02
2023-12-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-01-15
2023-12-21 Keep all essential equipment working safely.
Environmental Deficiencies · tag F0908
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-12-22
2023-12-21 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-22
2023-12-21 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-22
2022-02-03 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · tag F0676
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-03-25
2022-02-03 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-03-25

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Flagler Pines Operations Holdings LLC
Organization
5% or greater direct ownership interest100%2020-08-13
Blue Spring Healthcare Partners LLC
Organization
5% or greater indirect ownership interest100%2020-08-13
Aston Healthcare LLC
Organization
adp of the snf2022-01-01
Canidate, Delana
Individual
adp of the snf2025-10-08
Martinez Irizarry, Axel
Individual
adp of the snf2025-10-08
Wildes, Donna
Individual
adp of the snf2025-08-28
Wildes, Donna
Individual
corporate officer2025-08-28
Friedman, Leopold
Individual
indirect ownership interest2026-01-01
Gutman, Samuel
Individual
indirect ownership interest2020-08-13
Canidate, Delana
Individual
operational/managerial control2025-06-09
Jardine, Tammy
Individual
operational/managerial control2020-11-03
Martinez Irizarry, Axel
Individual
operational/managerial control2025-04-01
Wildes, Donna
Individual
operational/managerial control2025-08-28
Wothers, Eileen
Individual
operational/managerial control2025-04-29

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Flagler County.