Nurse Staffing and Turnover at Volusia and Flagler Nursing Homes

By Daytona Beach Senior Advisor Care Team · September 23, 2026

TL;DR

Total nurse staffing at local nursing homes ranges from 3.27 to 4.81 hours per resident per day (median 3.57). Median nursing staff turnover is 48.2%, and 8 homes report turnover of 60% or more. 2 homes carry CMS's abuse icon.

Why staffing hours matter

Staffing is the closest thing to a direct measure of care in a nursing home. More nurse and aide time per resident means faster answers to call lights, more help with eating and walking, and more attention to early signs of illness. CMS collects these hours from each home's payroll records, which makes them harder to inflate than self-reported figures.

The figure to watch is total nurse staffing hours per resident per day, which combines registered nurses, licensed practical nurses and nurse aides. Registered nurse hours are reported separately and matter for clinical oversight.

How do local homes compare?

Nursing home	City	Total nurse hours / resident / day	RN hours	Staff turnover	CMS staffing rating
Emory L Bennett Memorial Veterans Nursing Home	Daytona Beach	4.81	1.25	53.3%	5 of 5
Majestic Oaks	Orange City	4.25	0.72	32.4%	4 of 5
Daytona Beach Health and Rehabilitation Center	Daytona Beach	4.06	0.40	30.6%	4 of 5
Beach Street Health and Rehabilitation Center	Daytona Beach	4.05	0.57	42.5%	4 of 5
Alliance Health and Rehabilitation Center	DeLand	3.93	0.60	44.9%	4 of 5
Solaris Healthcare Daytona	Daytona Beach	3.91	0.79	39.5%	4 of 5
The Terrace at Bishop's Glen	Holly Hill	3.78	0.31	100.0%	2 of 5
Athens Post Acute	DeLand	3.72	0.66	66.7%	3 of 5
Port Orange Nursing and Rehab Center	Port Orange	3.71	0.48	46.5%	2 of 5
Ormond Rehabilitation and Nursing Center	Ormond Beach	3.70	0.61	64.7%	3 of 5
Blue Palms Health and Rehabilitation Center of Deland	DeLand	3.70	0.60	55.3%	2 of 5
Ridgecrest Healthcare and Rehabilitation Center	DeLand	3.62	0.46	43.7%	3 of 5
Debary Health and Rehabilitation Center	DeBary	3.62	0.64	42.9%	4 of 5
Aviata at Grand Oaks	Palm Coast	3.58	0.35	42.0%	2 of 5
Gardens Healthcare & Rehabilitation Center	Daytona Beach	3.58	0.42	50.0%	2 of 5
Orange City Nursing and Rehab Center	DeBary	3.57	0.87	33.3%	4 of 5
West Volusia Healthcare and Rehabilitation Center	Deltona	3.56	0.61	43.3%	3 of 5
Blue Lake Post Acute	DeLand	3.55	0.47	Not reported	2 of 5
Villa Healthcare & Rehabilitation Center	DeLand	3.53	0.61	38.7%	3 of 5
Coastal Health and Rehabilitation Center	Daytona Beach	3.52	0.34	Not reported	2 of 5
Bridgeview Center	Ormond Beach	3.51	0.40	Not reported	2 of 5
Magenta Health at Daytona	Daytona Beach	3.50	0.42	63.7%	2 of 5
Beachside Center for Rehabilitation and Nursing	New Smyrna Beach	3.50	0.48	48.2%	3 of 5
Aviata at South Daytona	South Daytona	3.49	0.45	Not reported	2 of 5
Flagler Health and Rehabilitation Center	Bunnell	3.46	0.56	75.6%	2 of 5
Parkside Health and Rehabilitation Center	DeLand	3.45	0.29	54.2%	2 of 5
Carlton Shores Healthcare and Rehabilitation Center	Daytona Beach	3.42	0.28	67.9%	1 of 5
Avante at Ormond Beach, Inc	Ormond Beach	3.42	0.31	Not reported	1 of 5
Coquina Center	Ormond Beach	3.42	0.31	Not reported	1 of 5
Seaside Health and Rehabilitation Center	Daytona Beach	3.41	0.33	62.6%	3 of 5
Indigo Manor	Daytona Beach	3.27	0.61	61.3%	2 of 5

Source: CMS Care Compare Provider Information, data as of October 1, 2026.

What does high turnover mean for residents?

Turnover is the share of nursing staff who left over a year. High turnover means residents see unfamiliar faces, new staff learn routines on the job, and knowledge about each resident's habits and warning signs is lost. For people with dementia, consistency of caregivers matters even more.

Homes reporting turnover of 60% or more include Flagler Health and Rehabilitation Center (76%), Athens Post Acute (67%), Carlton Shores Healthcare and Rehabilitation Center (68%), Indigo Manor (61%), Magenta Health at Daytona (64%), Ormond Rehabilitation and Nursing Center (65%), Seaside Health and Rehabilitation Center (63%), The Terrace at Bishop's Glen (100%). Ask how they are recruiting and keeping staff, and how many agency nurses fill shifts.

What is the abuse icon?

CMS adds an abuse icon to a home's Care Compare listing when it has been cited for abuse at a certain level in recent inspections. Locally, the icon appears for Aviata at South Daytona in South Daytona, Port Orange Nursing and Rehab Center in Port Orange. The icon does not mean abuse is happening now, but it calls for careful questions about what happened and what changed.

Families can read the underlying inspection reports on Care Compare, and the Long-Term Care Ombudsman Program (1-888-831-0404) can help a resident who has concerns.

How to use these numbers on a visit

Visit around a shift change, usually 7 a.m., 3 p.m. or 11 p.m., and watch how handoffs happen. Ask how many residents each aide covers on day, evening and night shifts, how often agency staff are used, and who the director of nursing is and how long they have been there. Compare the answers with the CMS figures above.

Every home's page in our nursing home directory sets its staffing hours and turnover against the two-county median.

Frequently asked questions

What is a good nurse staffing level?

There is no single standard, but homes well above the local median give residents more care time. Compare within the area.

Where does CMS get staffing data?

From each home's payroll-based journal submissions, which are audited.

Does high turnover always mean poor care?

Not always, but it makes consistent care harder. Ask how the home is addressing it.

Talk to a local advisor about your situation →