With a score of 71/100 and a B grade, Terrace At Bishop'S Glen, The is a well-regarded option in Holly Hill, Florida. The facility performs above average in most CMS categories, placing it in the 62th percentile statewide.
Staffing at Terrace At Bishop'S Glen, The is near the national average, with 4.03 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 12 deficiencies at Terrace At Bishop'S Glen, The. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.03 | 3.8 | Average |
| Registered Nurses (RN) | 0.71 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 1.07 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.26 | 2.4 | Average |
| Weekend Total Nursing | 3.56 | 3.8 | Average |
| Weekend RN Hours | 0.69 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Jun 10, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jun 10, 2025 · Nutrition and Dietary Deficiencies
- Tag 0760 Severity GEnsure that residents are free from significant medication errors.Nov 4, 2024 · Pharmacy Service Deficiencies
- Tag 0758 Severity DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psyOct 16, 2024 · Pharmacy Service Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Mar 20, 2024 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.3% | 4.5% | Worse |
| Falls with major injury | 1.9% | 3.0% | Better |
| On antipsychotic medication | 7.2% | 14.5% | Better |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 12.4% | 14.0% | Better |
| Excessive weight loss | 9.4% | 7.5% | Worse |
| New/worsened incontinence | 33.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,512
How This Grade Was Calculated
This facility's grade of B is based on a score of 71 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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