Terrace at Bishop's Glen, the

Nursing Home · Holly Hill, FL

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number105526

Contact & location

900 Lpga Blvd
Holly Hill, FL 32117
Volusia County
Phone
(386) 226-9000
ZIP code
32117 – all care providers

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Facility details

Certified beds
60
Residents per day
52.8 (88% occupied)
Ownership
For profit - Limited Liability company
Legal name
BG SNF Opco LLC
Chain
Serenity Estates (5 facilities, avg 2.2★)
Medicare certified since
February 25, 1986
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.3
Health inspections★★★★★ 4/5
State avg 2.9
Staffing★★★★★ 1/5
State avg 3.3
Quality measures★★★★★ 4/5
State avg 4.2
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.71 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.37 (state 0.73 · U.S. 0.69)
Licensed practical nurses
1.12 (state 0.78 · U.S. 0.86)
Nurse aides
2.22 (state 2.31 · U.S. 2.32)
Weekend total
3.20 (state 3.49 · U.S. 3.42)
Nursing staff turnover
65.5 (state 41.4 · U.S. 45.8)%
RN turnover
75.0 (state 46.0 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
June 11, 2025
Health deficiencies (last cycle)
2.0 (state 7.1 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
12 health · 28 fire safety · includes actual harm
DateCitationSeverityStatus
2025-06-11 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-17
2025-06-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-17
2024-11-05 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-12-05
2024-10-17 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.
F0758 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-15
2024-03-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-04-18
2024-03-21 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-18
2024-03-21 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-18
2024-03-21 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-18
2024-03-21 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-18
2022-04-07 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.
F0727 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-05-29
2022-04-07 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-05-29
2022-04-07 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-05-29

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $8,512 in fines.

DateTypeAmount
2024-10-17Fine$8,512

Ownership & management

NameRoleSince
Adams, Michael (individual)Administrator · NOT APPLICABLE
Munim, Mohammed (individual)Administrator · NOT APPLICABLE
Weinfeld, Avrum (individual)Administrator · NOT APPLICABLE
Weiss, Daniel (individual)Administrator · NOT APPLICABLE
Weinfeld, Avrum (individual)Direct Ownership Interest · NOT APPLICABLE
Weiss, Daniel (individual)Direct Ownership Interest · NOT APPLICABLE
Island City Equity Partners LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Maj Consultants LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Nuckolls, Mary (individual)Indirect Ownership Interest · NOT APPLICABLE
Tapia, Jill (individual)Indirect Ownership Interest · NOT APPLICABLE
Wheat Chaff LP (organization)Indirect Ownership Interest · NOT APPLICABLE
Weinfeld, Avrum (individual)Managing Control - Governing Body · NOT APPLICABLE
Adams, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Munim, Mohammed (individual)Operational/managerial Control · NOT APPLICABLE
Weinfeld, Avrum (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Terrace at Bishop's Glen, the?

Terrace at Bishop's Glen, the has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Florida.

How many beds does Terrace at Bishop's Glen, the have?

It has 60 certified beds and cares for about 53 residents per day.

Has Terrace at Bishop's Glen, the been fined?

Yes. CMS lists 1 penalty totaling $8,512 in the last three years.

Who owns Terrace at Bishop's Glen, the?

It is part of Serenity Estates and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Terrace at Bishop's Glen, the?

(386) 226-9000. The facility is located at 900 Lpga Blvd, Holly Hill, FL 32117.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.