Flagler Health and Rehabilitation Center — nursing home in Bunnell, FL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 94.0 CMS, MDS-derived
CMS Certification Number: 105547
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): May 1, 1986
Ownership type: For profit - Limited Liability company
Operator (legal business name): Flagler Pines Operations LLC
CMS chain: Aston Health 38 facilities
Phone: (386) 437-4168
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Dec 4, 2025

Citations

21

15 health · 6 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E1	F7
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 105547
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: May 1, 1986
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Florida.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Dec 4, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Dec 4, 2025	Health	Health Standard	9	Potential harm	—	Open →
Dec 21, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Dec 21, 2023	Health	Health Standard	4	Potential harm	—	Open →
Feb 3, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Feb 3, 2022	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E1	F7
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Dec 4, 2025	E-0042	Meet the requirements of an integrated health system. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jan 2, 2026
Dec 4, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 2, 2026
Dec 4, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 2, 2026
Dec 4, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 2, 2026
Dec 4, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 2, 2026
Dec 4, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 2, 2026
Dec 4, 2025	F-0727	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 · Staffing & supervision	F · Potential harm Widespread	Corrected Jan 2, 2026
Dec 4, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jan 2, 2026
Dec 4, 2025	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 2, 2026
Dec 4, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jan 2, 2026
Dec 4, 2025	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jan 2, 2026
Dec 4, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 2, 2026
Dec 21, 2023	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Dec 22, 2023
Dec 21, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 31, 2024
Dec 21, 2023	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 31, 2024
Dec 21, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 22, 2023
Dec 21, 2023	F-0693	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 22, 2023
Dec 21, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jan 15, 2024
Dec 21, 2023	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 22, 2023
Feb 3, 2022	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 25, 2022
Feb 3, 2022	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 25, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.3

Health inspectionsstate 2.9

Staffingstate 3.3

Quality measuresstate 4.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.46

State avg 3.86US avg 3.90

Registered nurse (RN)0.56

State avg 0.73US avg 0.69

Licensed practical nurse0.82

State avg 0.80US avg 0.86

Nurse aide2.08

State avg 2.33US avg 2.35

Weekend total nurse3.10

State avg 3.51US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.55 (case-mix index 1.36).

Staff turnover

Total nursing staff turnover75.6%

State avg 41.5%US avg 45.3%

Registered nurse turnover90.5%

State avg 46.1%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 4, 2025
Cycle 1 health score: 64
Total weighted score: 58

Operating entity

Flagler Pines Operations LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Aston Health

38 facilities in 1 states. CMS chain ID 800.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.7

Ownership disclosures

Disclosures

14

Organizations

3

Individuals

11

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Flagler Pines Operations Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 13, 2020
Blue Spring Healthcare Partners LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Aug 13, 2020
Leopold Friedman	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2026
Samuel Gutman	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 13, 2020

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Flagler Pines Operations Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 13, 2020
Blue Spring Healthcare Partners LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Aug 13, 2020
Leopold Friedman	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2026
Samuel Gutman	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 13, 2020
Delana Canidate	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 9, 2025
Tammy Jardine	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 3, 2020
Axel Martinez Irizarry	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2025
Donna Wildes	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Eileen Wothers	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 29, 2025
Donna Wildes	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 28, 2025
Aston Healthcare LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Delana Canidate	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 8, 2025
Axel Martinez Irizarry	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 8, 2025
Donna Wildes	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2025

Same chain in Florida

All 37 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Seaside Health and Rehabilitation Center 324 Wilder Blvd, Daytona Beach, FL 32114 CCN 105052	192	May 14, 2026	14	—
Riverwood Center 2802 Parental Home Road, Jacksonville, FL 32216 CCN 105135	240	Jan 9, 2025	401 harm	$35k
Parkside Health and Rehabilitation Center 451 S Amelia Ave, Deland, FL 32720 CCN 105145	122	Jul 23, 2026	13	—
Oak Haven Rehab and Nursing Center 919 Old Winter Haven Rd, Auburndale, FL 33823 CCN 105302	120	Apr 12, 2026	35	$12k
Fairway Oaks Center 13806 N 46th St, Tampa, FL 33613 CCN 105305	120	Feb 21, 2026	35	—
Bayview Center 301 S Bay St, Eustis, FL 32726 CCN 105324	120	May 14, 2026	22	—
Sandgate Gardens Rehab and Nursing Center 703 S 29th St, Fort Pierce, FL 34947 CCN 105382	107	Aug 6, 2026	5010 open	—
Tierra Pines Center 7380 Ulmerton Rd, Largo, FL 33771 CCN 105398	120	Aug 20, 2026	36	$4,147

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 300 Dr Carter Boulevard, Bunnell, FL 32110
ZIP: 32110
County: Flagler County FIPS 12035
State: Florida
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Aviata at Grand Oaks 3001 Palm Coast Parkway SE, Palm Coast, FL 32137 CCN 105952	11.7 km	120		Jul 16, 2026	373 IJ	$16k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	105547	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	105547	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 105547

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction