B

TERRACE AT BISHOP'S GLEN, THE

900 LPGA BLVD, HOLLY HILL, FL 32117
Score: 71 / 100

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

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 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

12
Total Deficiencies
Jun 10, 2025
Most Recent Inspection
🟠 12 Moderate
View recent deficiencies (5 shown)
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Jun 10, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity D
    Procure 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 G
    Ensure that residents are free from significant medication errors.
    Nov 4, 2024 · Pharmacy Service Deficiencies
  • Tag 0758 Severity D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Oct 16, 2024 · Pharmacy Service Deficiencies
  • Tag 0812 Severity F
    Procure 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

Ownership
For profit - Limited Liability company
Certified Beds
60
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 10, 2025
Deficiencies (Cycle 1)
2