Terrace at Bishop's Glen, the
900 Lpga Blvd · Holly Hill, FL · 32117 · 3862269000
60 certified beds For profit - Limited Liability company Chain: Serenity Estates
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
The composite number cleared 73 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $8,512 |
Inspection citations (12 in the current record)
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Potential for harm · D June 11, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · D June 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 17, 2025 · Nutrition and Dietary
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Actual harm · G November 5, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 5, 2024 · Pharmacy Service
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Potential for harm · D October 17, 2024 · found via complaint
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.
Corrected November 15, 2024 · Pharmacy Service
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Potential for harm · D March 21, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 18, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 18, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected April 18, 2024 · Pharmacy Service
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Potential for harm · F March 21, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 18, 2024 · Nutrition and Dietary
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Potential for harm · D April 7, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 29, 2022 · Quality of Life and Care
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Potential for harm · D April 7, 2022
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.
Corrected May 29, 2022 · Quality of Life and Care
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Potential for harm · F April 7, 2022
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.
Corrected May 29, 2022 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 17, 2024 | Fine | $8,512 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105526 · certified since February 25, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.