The nursing home failed to ensure residents were free from significant medication errors. Cited November 2024 — isolated incident, actual harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
TERRACE AT BISHOP'S GLEN, THE
HOLLY HILL, FL · Medicare-certified · 60 beds
Needs attention
For-profitChain member
3 of 5 overall
Terrace at Bishop's Glen in Holly Hill, FL has a 3-star overall rating. It scores well on health inspections and quality measures (4 stars each) but has a very low staffing rating (1 star), $8,512 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: June 11, 2025Penalties, last 24 months: $8,512recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 62%
Registered nurse turnover: 83%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%0%No change
Residents with a fall causing major injury
5.3%0%Improving
Residents with pressure ulcers (bedsores)
9.4%3.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
10%3.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.1%3.7%Improving
Residents whose ability to walk got worse
—8%—
Long-stay residents on antianxiety or sleep medication
21.9%3.6%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.4%0%Improving
Residents with new or worsening incontinence
42.6%9.3%Improving
Residents with depressive symptoms
53.6%20.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.6%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2022 — widespread issue, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited October 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: D
Recent history
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,512 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,512 in total fines.
- $8,512
Federal fine
Oct 17, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SERENITY ESTATES · 5 homes · 2.2 stars avg
- Occupancy
- 48.3 residents on an average day (80% of 60 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.