The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Blue Lake Post Acute are:
F-0600 · April 8, 2025 · Grade J — Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date April 28, 2025
F-0610 · April 8, 2025 · Grade J — Immediate jeopardy
Respond appropriately to all alleged violations.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date April 28, 2025
F-0835 · April 8, 2025 · Grade J — Immediate jeopardy
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date April 28, 2025
F-0867 · April 8, 2025 · Grade J — Immediate jeopardy
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date April 28, 2025
F-0727 · April 10, 2026 · Grade F — Potential for more than minimal 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.
Status: Deficient, Provider has date of correction · correction date June 4, 2026
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Blue Lake Post Acute, 13 subject areas appear across health and fire-safety inspections.
Freedom from abuse, neglect, and exploitation
3 citations between April 8, 2025 and April 8, 2025. The most serious was graded J — immediate jeopardy, affecting one or a very small number of residents. Surveyors found a situation that caused — or was likely to cause — serious injury, harm, impairment, or death, and that needed immediate correction. 3 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0600 · April 8, 2025 · Grade J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0610 · April 8, 2025 · Grade J — Respond appropriately to all alleged violations.
F-0609 · April 8, 2025 · Grade D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration and leadership
3 citations between July 18, 2024 and April 8, 2025. The most serious was graded J (immediate jeopardy). 2 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0835 · April 8, 2025 · Grade J — Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F-0867 · April 8, 2025 · Grade J — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-0865 · July 18, 2024 · Grade F — Have a plan that describes the process for conducting QAPI and QAA activities.
Nursing and Physician Services
2 citations between April 10, 2026 and April 10, 2026. The most serious was graded F (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0727 · April 10, 2026 · Grade F — 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.
F-0732 · April 10, 2026 · Grade F — Post nurse staffing information every day.
Infection prevention and control
2 citations between July 18, 2024 and April 10, 2026. The most serious was graded F (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0880 · April 10, 2026 · Grade F — Provide and implement an infection prevention and control program.
F-0880 · July 18, 2024 · Grade D — Provide and implement an infection prevention and control program.
Food, nutrition, and hydration
1 citation between July 18, 2024 and July 18, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Nutrition failures connect directly to weight loss, dehydration, and slow wound healing. Ask for weight records, intake logs, and whether a dietitian reviewed the resident after any decline.
F-0812 · July 18, 2024 · Grade F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Assessments and care planning
4 citations between July 18, 2024 and April 10, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 4 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0638 · April 10, 2026 · Grade E — Assure that each resident’s assessment is updated at least once every 3 months.
F-0636 · July 18, 2024 · Grade E — Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F-0638 · July 18, 2024 · Grade E — Assure that each resident’s assessment is updated at least once every 3 months.
Medication and pharmacy services
4 citations between August 18, 2022 and April 10, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 4 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0756 · April 10, 2026 · Grade E — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F-0759 · April 10, 2026 · Grade D — Ensure medication error rates are not 5 percent or greater.
F-0761 · April 10, 2026 · Grade D — Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Quality of life and daily care
3 citations between July 18, 2024 and April 10, 2026. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0687 · December 11, 2025 · Grade E — Provide appropriate foot care.
F-0676 · April 10, 2026 · Grade D — Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F-0689 · July 18, 2024 · Grade D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident rights
6 citations between July 18, 2024 and April 10, 2026. The most serious was graded D (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 6 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0550 · April 10, 2026 · Grade D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0554 · April 10, 2026 · Grade D — Allow residents to self-administer drugs if determined clinically appropriate.
F-0584 · April 10, 2026 · Grade D — Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Fire, smoke, and emergency safety
6 citations between July 18, 2024 and April 10, 2026. The most serious was graded D (potential for more than minimal harm). Correction record: 5 citations show a recorded correction date; 1 was classed as past non-compliance, meaning the problem was fixed before surveyors returned.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
E-0004 · April 10, 2026 · Grade D — Develop and maintain an Emergency Preparedness Program (EP).
E-0025 · April 10, 2026 · Grade D — Create arrangements with other facilities to receive patients.
E-0036 · April 10, 2026 · Grade D — Establish emergency prep training and testing.
Fire, smoke, and emergency safety
6 citations between July 18, 2024 and April 10, 2026. The most serious was graded D (potential for more than minimal harm). Correction record: 6 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0324 · April 10, 2026 · Grade D — Provide properly protected cooking facilities.
K-0331 · April 10, 2026 · Grade D — Construct fire resistant interior walls.
K-0345 · April 10, 2026 · Grade D — Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems
3 citations between July 18, 2024 and April 10, 2026. The most serious was graded D (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0918 · April 10, 2026 · Grade D — Have generator or other power source capable of supplying service within 10 seconds.
K-0911 · July 18, 2024 · Grade D — Meet requirements for the installation and maintenance of electrical systems.
K-0919 · July 18, 2024 · Grade D — Meet requirements for the use of electrical equipment.
Miscellaneous
2 citations between July 18, 2024 and April 10, 2026. The most serious was graded D (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0761 · April 10, 2026 · Grade D — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K-0761 · July 18, 2024 · Grade D — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Blue Lake Post Acute appears in CMS data on 7 survey dates between August 18, 2022 and April 10, 2026. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
April 10, 2026
Standard health survey — 11 citations, worst grade F (potential for more than minimal harm)
April 10, 2026
Fire-safety survey — 12 citations, worst grade D (potential for more than minimal harm)
December 11, 2025
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
April 8, 2025
Complaint health survey — 6 citations, worst grade J (immediate jeopardy)
July 18, 2024
Standard health survey — 9 citations, worst grade F (potential for more than minimal harm)
July 18, 2024
Fire-safety survey — 5 citations, worst grade D (potential for more than minimal harm)
August 18, 2022
Standard health survey — 1 citation, worst grade D (potential for more than minimal harm)
Penalties imposed
April 8, 2025 — Fine of $56,320
January 22, 2024 — Fine of $14,814
January 8, 2024 — Fine of $4,938
December 11, 2023 — Fine of $13,762
November 20, 2023 — Fine of $4,587
November 13, 2023 — Fine of $4,587
November 6, 2023 — Fine of $4,587
October 30, 2023 — Fine of $4,587
October 23, 2023 — Fine of $4,587
October 17, 2023 — Fine of $4,587
October 10, 2023 — Fine of $4,587
October 2, 2023 — Fine of $4,587
How Blue Lake Post Acute compares with peer homes
Raw citation counts mean more in context. The table below compares Blue Lake Post Acute with the median reviewed facility in Volusia County (6 homes in this research set) and across Florida (156 homes), using the same CMS data. On health citations alone, Blue Lake Post Acute sits above 80% of its reviewed county peers — near the top of the county for citation volume.
Measure
Blue Lake Post Acute
Volusia Co. median
Florida median
Health citations on record
28
21
30
Citations from complaint investigations
7
3
7
Citations at actual-harm level or worse
4
2
3
Immediate-jeopardy citations
4
2
2
Total fines in CMS penalty records
$126,530
$27,846
$59,961
Penalty records (fines + payment denials)
12
5
2
What families should ask Blue Lake Post Acute
- Ask for the plan of correction and follow-up monitoring for the freedom from abuse, neglect, and exploitation citations — most recently F-0600 on April 8, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the administration and leadership citations — most recently F-0835 on April 8, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the nursing and physician services citations — most recently F-0727 on April 10, 2026 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the infection prevention and control citations — most recently F-0880 on April 10, 2026 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 12 totalling $126,530, the most recent dated April 8, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Blue Lake Post Acute first document the change?
- Were recent complaint-related citations at Blue Lake Post Acute connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Weight loss
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
105262
Legal business name
BLUE LAKE POST ACUTE LLC
Ownership type
For profit - Limited Liability company
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
November 14, 1972
Chain name
ELEVATION HEALTHCARE
Certified beds
60
Average residents per day
51.0
Overall CMS rating
1 star
Health inspection rating
1 star
Staffing rating
1 star
Reported nurse staffing hours per resident day
3.26114
Total nursing staff turnover
66.7%
Public records are a starting point, not a conclusion
This profile of Blue Lake Post Acute uses official CMS provider data as a research starting point. It does not state that Blue Lake Post Acute abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Legal help resource
Suspect nursing home abuse or neglect?
Public records are only part of the picture. If your family believes a Florida nursing home harmed your loved one, you can speak with a nursing home abuse lawyers in Florida about what happened and what options your family may have. Senior Justice Help is not a law firm and is not affiliated with any law firm; this link is provided as a resource only.
Injury and neglect guides
When a Florida care injury may involve negligence
Inspection records show what regulators found; they do not by themselves prove a legal claim. If your family is looking back at a serious injury or death in a Florida nursing home or care facility, these guides explain the deadlines, procedures, records, and questions that apply in Florida:
- Stroke misdiagnosis lawyer information in Florida
- Falls and fractures in Florida care facilities: legal information
- Pressure injuries and bedsores: Florida legal information
- Sepsis from infection in Florida care facilities: legal information
- Medication errors in Florida care facilities: legal information
- Wrongful death in a Florida care facility: legal information
Sources for Blue Lake Post Acute
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.