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C
Below Standard

ALLIANCE HEALTH AND REHABILITATION CENTER

130 W ARMSTRONG AVENUE · DELAND, FL 32720

3867346401 · For profit - Partnership

130 beds106.8 residents175 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ALLIANCE HEALTH AND REHABILITATION CENTER receives an overall staffing grade of C (Below Standard). With 4.2373 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4812 HPRD, below the recommended 0.75. It is 0.34 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 12.47% compared to weekdays. The facility has low agency staff usage (0.05% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4812 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.05%) — mostly permanent, familiar staff
Total Nurse HPRD
4.2373hrs/resident/day▲ 0.34
CMS benchmark: 3.48
RN HPRD
0.4812hrs/resident/day▼ 0.20
Recommended: 0.75
Weekend Drop-off
12.47%
4.392 weekday → 3.8443 weekend
Agency Staff
0.05%
0.4% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.3082hrs/resident/day
Direct care aides
LPN HPRD
1.4478hrs/resident/day
Licensed practical nurses
Consistency
0.3235std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Volusia County Average+0.56 HPRD
3.67
04.24 HPRD
vs. Florida State Average+0.36 HPRD
3.88
04.24 HPRD
vs. National Average+0.34 HPRD
3.90
04.24 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ALLIANCE HEALTH AND REHABILITATION CENTER ★
DELAND · This facility
—
C
4.23730.4812★★★★☆
PARKSIDE HEALTH AND REHABILITATION CENTER
DELAND
0.4 mi
D
3.14290.357★★★★☆
ATHENS POST ACUTE LLC
DELAND
0.6 mi
B
3.84750.7192★★★☆☆
Blue Lake Post Acute
DELAND
1.4 mi
B
3.69730.584★☆☆☆☆
MAJESTIC OAKS
ORANGE CITY
5.6 mi
A
4.59440.8037★★★★★
WEST VOLUSIA HEALTHCARE AND REHABILITATION CENTER
DELTONA
8.6 mi
C
3.42160.5426★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
7
Total Deficiencies
$0
Fines Assessed
Feb 27, 2025Health
2 deficiencies cited
▼
Mar 9, 2023Health
4 deficiencies cited
▼
Jul 29, 2021Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.