SNF

Cascades Health and Rehabilitation Center

CCN: 105335 · DELRAY BEACH, FL 33445 · Palm Beach County

⚠ Abuse citation flag ℹ CCRC

Overview

Address
2105 SW 11TH COURT, DELRAY BEACH, FL 33445
Phone
5614541136
Certified beds
100
Avg daily residents
91 (91% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1978-10-06
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.79 3.85 3.80 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.13 0.67 1.13 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.36 0.86 0.36 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.30 2.32 2.30 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.49 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.12 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.34
hrs / resident / day
RN (weekend)
0.89
hrs / resident / day
Total nurse (adjusted, weekend)
3.35
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
18.1%
annual
RN turnover
20.8%
annual
Administrators departed
3
last 12 months

Resident acuity

Nursing Case-Mix Index
1.37
higher acuity than avg
Case-Mix Index Ratio
0.99
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-06-06 7 6 1 52 1 52
Cycle 2/3 (prior) 2023-03-17 14 9 5 210 1 210
Total weighted health score
91.5
lower is better
Infection-control citations
2
last cycle

Deficiencies (26)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
23 D/E/F Actual harm — potential for minor
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-12-14 2026-01-14
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-12-06 2024-12-13
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-12-06 2024-12-07
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-12-06 2024-12-07
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2024-06-06 2024-07-03
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-06-06 2024-07-03
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-06-06 2024-07-03
0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. D 2024-06-06 2024-07-03
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-06-06 2024-07-03
0880 Provide and implement an infection prevention and control program. E 2024-06-06 2024-07-03
0660 Plan the resident's discharge to meet the resident's goals and needs. D 2023-06-21 2023-07-21
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-06-21 2023-07-21
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-03-17 2023-04-05
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2023-03-17 2023-04-05
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-03-17 2023-04-05
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2023-03-17 2023-04-05
0699 Provide care or services that was trauma informed and/or culturally competent. D 2023-03-17 2023-04-05
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2023-03-17 2023-04-05
0880 Provide and implement an infection prevention and control program. D 2023-03-17 2023-04-05
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2023-03-17 2023-04-05
0924 Put firmly secured handrails on each side of hallways. F 2023-03-17 2023-04-05
0558 Reasonably accommodate the needs and preferences of each resident. B 2021-11-18 2021-12-18
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2021-11-18 2021-12-18
0679 Provide activities to meet all resident's needs. D 2021-11-18 2021-12-18
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2021-11-18 2021-12-18
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2021-11-18 2021-12-18

Penalties (1)

Fines issued
1
last 3 years
Total fines
$29,780
Date Type Fine amount
2024-12-06 Fine $29,780

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 32.4% Medicaid 1.2% Other 66.4%

Operating performance

Operating Margin
-52.6%
Total Margin
-78.5%
Occupancy Rate
90.5%
Cost per Resident Day
$82

Revenue & costs

Net Patient Revenue
$27.3M
Total Costs
$2.7M
Net Income
-$18.3M

Balance sheet

Total Assets
$63.2M
Total Liabilities
$81.5M
Fund Balance
-$18.3M
Current Ratio
0.16

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: LIFESPACE COMMUNITIES

Chain ID
315
Facilities in chain
16
Legal business name
LIFESPACE COMMUNITIES INC
Chain-average star ratings (for peer context)
Overall
4.0
Health
3.3
Staffing
4.1
QM
4.2

Owner / manager organizations (2)

Organization Role Association
LIFESPACE COMMUNITIES INC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/09/2009
LIFESPACE COMMUNITIES INC OPERATIONAL/MANAGERIAL CONTROL since 07/08/2009

Owner / manager individuals (18)

Name Role Association
BLACKFORD, GARY CORPORATE DIRECTOR since 12/01/2021
DARKEY-HRINYA, JOYCE CORPORATE DIRECTOR since 10/01/2017
DUTRA, ANA CORPORATE DIRECTOR since 07/18/2016
FIELDS, VENITA CORPORATE DIRECTOR since 04/01/2018
JENSEN, CLAUS CORPORATE DIRECTOR since 04/26/2023
MCDONOUGH, AMY CORPORATE DIRECTOR since 04/26/2023
SALAMINO, JENIFER CORPORATE DIRECTOR since 04/26/2023
SOKEYE, JONATHAN CORPORATE DIRECTOR since 12/01/2021
SPANGLER, PATRICK CORPORATE DIRECTOR since 07/18/2016
STRETCH, CLYDE CORPORATE DIRECTOR since 04/26/2023
WILLIAMS, DAVID CORPORATE DIRECTOR since 12/01/2021
YANOFSKY, NEAL CORPORATE DIRECTOR since 07/18/2016
GORMAN, JOSEPH CORPORATE OFFICER since 07/26/2022
HARSHFIELD, NICHOLAS CORPORATE OFFICER since 07/01/2020
JANTZEN, JESSE CORPORATE OFFICER since 04/01/2020
KRESSE, NIKKI CORPORATE OFFICER since 04/19/2021
POPE, ERIN CORPORATE OFFICER since 07/25/2022
KOBRICK, JAMES W-2 MANAGING EMPLOYEE since 09/18/2023

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $82 metrics.cost_per_resident_day
Cost Report Current Ratio 0.16 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 1.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 32.4% metrics.medicare_day_share
Cost Report Net Income ($) $-18,345,355 metrics.net_income
Cost Report Net Patient Revenue ($) $27,340,897 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 90.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -52.6% metrics.operating_margin
Cost Report Total Assets ($) $63,248,261 metrics.total_assets
Cost Report Total Costs ($) $2,703,839 metrics.total_costs
Cost Report Total Fund Balances ($) $-18,253,730 metrics.fund_balance
Cost Report Total Liabilities ($) $81,501,991 metrics.total_liabilities
Cost Report Total Margin (%) -78.5% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.36332 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.29978 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.13463 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.79773 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.34625 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 91.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.85514 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.32407 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.67404 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.85325 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.39623 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 4.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.1 Chain Average Staffing Rating
Provider Information Chain ID 315 Chain ID
Provider Information Chain Name LIFESPACE COMMUNITIES Chain Name
Provider Information City/Town DELRAY BEACH City/Town
Provider Information CMS Certification Number (CCN) 105335 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Palm Beach County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1978-10-06 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 26.4439 Latitude
Provider Information Legal Business Name LIFESPACE COMMUNITIES INC Legal Business Name
Provider Information Location 2105 SW 11TH COURT,DELRAY BEACH,FL,33445 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -80.095 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 3 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 100 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 2 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 16 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.36503 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.99084 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 2105 SW 11TH COURT Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Cascades Health and Rehabilitation Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 490 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 52 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-06-06 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 52 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 9 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-03-17 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 210 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 5 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 210 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 14 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.89265 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 20.8 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.49497 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.36260 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.29520 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.12349 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.13237 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.79017 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 5614541136 Telephone Number
Provider Information Total Amount of Fines in Dollars 29780.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.33959 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 18.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 91.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 33445 ZIP Code