For profit - Limited Liability company ·
60 certified beds ·
Medicare and Medicaid
4
Overall CMS Rating
★★★★☆
Terrace At Bishop'S Glen, The is a Medicare-certified nursing home in Holly Hill, Florida. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.03 hours per resident per day, above the Florida average of 3.86. Its most recent inspection on Jun 11, 2025 cited 2 deficiencies.
1 fine totaling $8,512 in CMS records.
1 total penalty
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★★★☆ 4/5
Health Inspections
★★★★☆ 4/5
Staffing
★★★☆☆ 3/5
Quality Measures
★★★★☆ 4/5
Long-Stay QM
★★★★☆ 4/5
Short-Stay QM
★★★☆☆ 3/5
How Terrace At Bishop'S Glen, The compares
This facility vs. the Florida and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
Florida avg
National avg
Total nurse staffing (hrs/resident/day)
4.03
3.86
3.89
above avg
RN staffing (hrs/resident/day)
0.71
0.73
0.68
below avg
Aide staffing (hrs/resident/day)
2.26
2.34
2.34
below avg
Nursing staff turnover
50.9%
42.3%
46.4%
above avg
Deficiencies cited, last inspection
2.0
7.3
9.5
below avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
4.03
Total Nurse Hrs/Resident/Day
0.71
RN Hrs/Resident/Day
1.07
LPN Hrs/Resident/Day
2.26
Aide Hrs/Resident/Day
3.56
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
50.9%
Registered Nurses
80.0%
Administrator Changes1 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Jun 11, 2025
Most Recent Inspection Date
2
Total Deficiencies Found
8
Health Inspection Score
1
Number of Fines
What inspectors found at Terrace At Bishop'S Glen, The
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Jun 11, 2025
Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies · Jun 11, 2025
Actual harm
Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies · Nov 5, 2024
Potential for harm
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.Pharmacy Service Deficiencies · Oct 17, 2024
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Mar 21, 2024
Potential for harm
Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Mar 21, 2024
Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies · Mar 21, 2024
Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies · Mar 21, 2024
Potential for harm
PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care Planning Deficiencies · Mar 21, 2024
Potential for harm
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 · Apr 7, 2022
Potential for harm
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.Quality of Life and Care Deficiencies · Apr 7, 2022
Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies · Apr 7, 2022
About This Facility
Address
900 Lpga Blvd Holly Hill, FL 32117
CMS Certification #
105526
Ownership
For profit - Limited Liability company
Certified Beds
60
Avg Residents/Day
46.2
Provider Type
Medicare and Medicaid
First Certified
1986-02-25
Setting
Urban
Location & Nearby
Explore the area around Terrace At Bishop'S Glen, The using Google Maps.
CMS gives Terrace At Bishop'S Glen, The an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Terrace At Bishop'S Glen, The reports 4.03 total nurse hours per resident per day, compared with the Florida average of 3.86.
Its most recent CMS inspection cited 2 deficiencies.
Terrace At Bishop'S Glen, The is certified for 60 beds.
Admissions at Terrace At Bishop'S Glen, The
For admissions, availability and rehab questions, call (386) 226-9000. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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