TERRACE AT BISHOP'S GLEN, THE

CCN 105526 · BG SNF OPCO LLC · For profit - Limited Liability company · SERENITY ESTATES chain · 60 certified beds · Volusia · FL


TERRACE AT BISHOP'S GLEN, THE is a 60-bed nursing home in HOLLY HILL, Florida. CMS has certified it for Medicare and Medicaid since 1986-02-25. It averages 52.8 residents a day.

What harm was found in the violations cited at TERRACE AT BISHOP'S GLEN, THE?

CMS lists 12 health-inspection deficiencies for TERRACE AT BISHOP'S GLEN, THE since 2022-04-07, 9 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-06-11.

Survey dateTagDeficiencySeverity
2025-06-11F0695, F0812Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2024-11-05F0760Ensure that residents are free from significant medication errors.G
2024-10-17F0758Implement 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.D
2024-03-21F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-03-21F0645, F0686, F0695, F0759PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater.D
2022-04-07F0727Have 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
2022-04-07F0677, F0688Provide care and assistance to perform activities of daily living for any resident who is unable. / 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.D

Why was TERRACE AT BISHOP'S GLEN, THE fined?

DateTypeAmount
2024-10-17Fine$8,512

How is TERRACE AT BISHOP'S GLEN, THE staffed relative to the FL average?

MeasureThis facilityFL average
Total nurse staffing hours per resident per day3.714973.82350
Total nursing staff turnover (%)65.541.4
Average number of residents per day52.8108.9

Who owns TERRACE AT BISHOP'S GLEN, THE, and what chain is it in?

TERRACE AT BISHOP'S GLEN, THE is registered with CMS as For profit - Limited Liability company, operates under the legal business name BG SNF OPCO LLC and belongs to the SERENITY ESTATES chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTWEINFELD, AVRUM, WEISS, DANIELsince 01/01/2023
INDIRECT OWNERSHIP INTERESTISLAND CITY EQUITY PARTNERS LLC, MAJ CONSULTANTS LLC, WHEAT CHAFF LP, NUCKOLLS, MARY, TAPIA, JILLsince 01/01/2023
MANAGING CONTROL - GOVERNING BODYWEINFELD, AVRUMsince 01/01/2023
OPERATIONAL/MANAGERIAL CONTROLADAMS, MICHAEL, MUNIM, MOHAMMED, WEINFELD, AVRUMsince 01/01/2023
ADP OF THE SNFADAMS, MICHAEL, MUNIM, MOHAMMED, WEINFELD, AVRUM, WEISS, DANIELsince 01/01/2023

Were you or a family member harmed at TERRACE AT BISHOP'S GLEN, THE?