I chose this smaller, home-like facility for my mom and was very grateful for the compassionate, hands-on staff - Lisa explained everything and Latoya was especially good to her. The director and CEO are involved, staff advocate with providers, facilitate regular visits, and create a loving, family-style atmosphere with clean rooms, daily activities, family meals, and a lovely screened outdoor area. I felt comfortable and supported; it truly became a home away from home.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Telephone
Wifi
Common areas
Beauty salon
Dining room
Garden
Outdoor space
Small library
Community services
Move-in coordination
Activities
Community-sponsored activities
Resident-run activities
Scheduled daily activities
Reviews
4.67·(15)
Overall rating
5
4
3
2
1
Care
5.0
Staff
4.6
Meals
4.0
Amenities
5.0
Value
4.7
Pros
Compassionate, family-like staff
Personalized attention in a small-home setting
Active advocacy with healthcare providers
Facilitated in-person and virtual family visits
Warm, supportive resident interactions
Hands-on leadership presence
Clean, comfortable, home-like environment
Large screened outdoor patio
Daily social and recreational activities
Family-style dining
Responsive and accommodating staff
Gives families peace of mind
Cons
Variability in staff professionalism and communication
Isolated allegations of disrespectful conduct by staff
Limited capacity and specialized services typical of small residences
Summary of reviews
Overall impression
The reviews indicate that The Sarah House - Tomoka presents as a small, home-like residential option with a strong emphasis on personalized, compassionate care. Families repeatedly describe a warm, family-style atmosphere and staff who provide emotional support, dignity, and regular contact between residents and relatives. Several observations point to a facility that prioritizes one-on-one attention and comfort rather than a large institutional model.
Care quality and staff
Care is characterized by hands-on, attentive staff and visible leadership involvement; reviewers mentioned a director and CEO who are active in the day-to-day environment. Many families reported that staff advocate on behalf of residents with outside healthcare providers, and that caregivers provide reassuring, empathetic interactions. The dominant pattern is of staff who are approachable, accommodating, and able to create a sense of home. At the same time, there are isolated concerns about staff conduct: a complaint about a specific individual’s demeanor was raised, suggesting some variability in interpersonal communication. Prospective families may wish to observe staff–family interactions during a tour and ask about staff training, supervision, and complaint-resolution processes.
Dining and activities
Dining is described as family-style and social, contributing to the home-like environment. Reviewers noted communal meals and an emphasis on shared, social dining. Activity programming appears consistent and social — daily activities and opportunities for engagement were frequently mentioned as part of residents’ routine, supporting quality-of-life goals rather than clinical rehabilitation programs.
Facilities and environment
The facility is described as clean, comfortable, and scaled to a smaller residence. A large screened-in outdoor area provides space for safe outdoor time, and the overall aesthetic is reported as homelike rather than institutional. The small size contributes to more individualized attention but can also imply limited on-site specialty services or capacity constraints compared with larger communities.
Management and notable patterns
Management presence is a clear strength: families cited visible leadership and a hands-on approach from administrators. That visibility appears to reinforce the facility’s culture of personalized care. The most notable negative pattern is not systemic across reviews but is an isolated allegation of disrespectful behavior by a staff member; this suggests some variability in professionalism rather than a pervasive cultural problem. Given the facility’s small scale, that kind of interpersonal issue can stand out to families.
What to ask on a visit
When evaluating The Sarah House - Tomoka in person, consider observing mealtime, spending time in common areas, and meeting both caregiving staff and leadership. Ask about staffing ratios, staff training and turnover, formal processes for addressing family concerns, and what specialized services (if any) are available off-site or through partners. Confirm visitation policies and how virtual visits are facilitated, since family contact is a noted strength.
Summary assessment
For families seeking a small, home-like environment with attentive, advocacy-oriented staff and social dining and activities, The Sarah House - Tomoka appears to offer consistent strengths. Prospective residents should weigh those strengths against the potential limitations of a smaller residence and clarify how the community manages staff conduct and specialized clinical needs.
Reviews written on Mirador
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Location
The Sarah House - Tomoka is located at 1001 Old Tomoka Rd, Ormond Beach, FL, 32174.
About The Sarah House - Tomoka
The Sarah House - Tomoka sits in the Ormond Beach area and offers different levels of senior care, including assisted living, memory care, nursing homes, independent living, in-home care, and continuing care retirement community services, which means people can find the type of support they need as their needs change, and they have a licensed capacity of 24 residents at Sarah House at Old Tomoka Road, which keeps the place cozy and easy for residents to know one another. The staff at Sarah House focus on providing both assisted living and specialized memory care, especially for people living with Alzheimer's disease or other forms of dementia, and caregivers are around 24 hours a day to help with emergencies, provide help with bathing, dressing, medication, insulin monitoring, moving from bed to wheelchair, and making sure everyone's staying safe, fed, and looked after.
Residents get furnished private or semi-private rooms with telephones, and they can spend time in comfortable indoor common areas, do arts and crafts, watch movies, join activities that help keep their minds and bodies active, or spend time in lush gardens and walk the outdoor paths, while the whole place tries to feel homelike and welcoming, focusing on personal dignity and independence with the "Sarah House Way" approach that keeps people social and feeling purposeful. The dining program serves chef-prepared meals that meet special dietary needs like for diabetes or food allergies, with all-day dining options for variety, and staff can help with feeding or making sure residents are hydrated and eating well, while outside healthcare providers-like doctors and podiatrists-visit as needed for extra medical support, and the location's close to the Florida Hosp Cancer Institute and Dr. Ailani Rajesh K, MD so emergency healthcare isn't far.
Housekeeping, linen service, and laundry are included, and residents can use beauty and barber services right there, so it's easier to look and feel good without leaving home. There are religious services, transportation to appointments or events, and recreational or resident-run activities, giving people ways to stay busy and connected, all while compassionate staff focus on individualized care, from memory care that helps reduce wandering and confusion, to day-to-day help with whatever someone might need. Sarah House is a Fair Housing & Equal Opportunity provider, with state license #12175, and its Seniorly community score is 7.3, so people can get a good idea of what to expect if they visit or tour, and in the end, it's a quiet senior living community that's just trying to help people live with dignity, comfort, and the kind of dependable support that keeps things steady in later years.
People often ask...
The Sarah House - Tomoka offers competitive pricing, with rates starting at a cost of $3,865 per month.
The Sarah House - Tomoka offers assisted living and memory care.
There are 2 photos of The Sarah House - Tomoka on Mirador.
The full address for this community is 1001 Old Tomoka Rd, Ormond Beach, FL 32174.
No, The Sarah House - Tomoka does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Florida, the Agency for Health Care Administration (AHCA) licenses assisted living facilities and publishes the results of its standard, complaint, and monitoring inspections.
Investigated a relicensure and complaint investigation and found no deficiencies at the time of the visit.
A0004LICENSURE - REQUIREMENTS
24 Jun 2025Standard
24 Jun 2025Standard
Found no deficiencies after a relicensure survey with complaint conducted on 2025-06-24.
A0008ADMISSIONS - HEALTH ASSESSMENT
22 Mar 2024Standard
22 Mar 2024Standard
Found no deficiencies.
22 Mar 2024Standard
22 Mar 2024Standard
Concluded that previously cited deficient practices were corrected during a follow-up desk review conducted on 2024-03-22.
21 Feb 2023Standard
21 Feb 2023Standard
Found deficiencies in medication handling, staff training, and training documentation that could affect resident safety.
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3A0078STAFFING STANDARDS - STAFF
Class 3A0083TRAINING - FIRST AID AND CPR
Class 3A0086TRAINING - ADRD
Class 3A0091TRAINING - DOCUMENTATION & MONITORING
A0008ADMISSIONS - HEALTH ASSESSMENT
A0082TRAINING - HIV/AIDS
13 Dec 2022Complaint
13 Dec 2022Complaint
Concluded that the previously cited deficient practice was corrected after a desk review. No additional deficiencies were identified.
12 Oct 2022Complaint
12 Oct 2022Complaint
Investigated a complaint; found a deficient practice at the time of the survey.
CZ814BACKGROUND SCREENING CLEARINGHOUSE
22 Nov 2021Standard
22 Nov 2021Standard
Concluded that previously cited deficiencies were corrected; no new deficiencies were identified.
21 Oct 2021Complaint
21 Oct 2021Complaint
Identified deficiencies that were corrected during a desk review conducted on 10/21/2021.
07 Oct 2021Standard
07 Oct 2021Standard
Investigators found deficiencies related to COVID-19 screening and health-record documentation during the inspection.
Class 3A0036INFECTION CONTROL PROCEDURES
Class 3A0162RECORDS - RESIDENT
19 Aug 2021Complaint
19 Aug 2021Complaint
Found no deficiencies. A follow-up to a prior complaint found no deficient practices.
19 Aug 2021Standard
19 Aug 2021Standard
Found no deficiencies cited during the relicensure follow-up survey. Deficient practice was not identified at the time of the survey.
15 Apr 2021Standard
15 Apr 2021Standard
Found deficiencies in continued residency requirements for residents receiving hospice services, including missing coordinating plans and documentation.
Class 3A0010ADMISSIONS - CONTINUED RESIDENCY
15 Apr 2021Complaint
15 Apr 2021Complaint
Identified deficiencies showed residents at risk for elopement did not carry personal identification on their person.
Class 3A0032RESIDENT CARE - ELOPEMENT STANDARDS
22 Feb 2021Complaint
22 Feb 2021Complaint
Determined that the deficiency was corrected during a desk-review follow-up conducted on February 22, 2021.
28 Oct 2020Standard
28 Oct 2020Standard
Found deficiencies showing inadequate nursing oversight and missing documentation for care orders and procedures.
Class 3A0025RESIDENT CARE - SUPERVISION
08 Oct 2020Complaint
08 Oct 2020Complaint
Identified deficiencies in medication records and administration documentation, including missing dose sign-offs and incomplete MOR entries for multiple residents.
A0054MEDICATION - RECORDS
08 Oct 2020Complaint
08 Oct 2020Complaint
Investigated a complaint and found deficiencies in emergency management planning and in reporting daily census and COVID-19 information.
CZ830EMERGENCY MANAGEMENT PLANNING
18 Aug 2020Complaint
18 Aug 2020Complaint
Identified deficiencies in medication management and documentation, including missed doses and missing or incomplete medication observation records for residents receiving self-administration assistance.
Class 3A0056MEDICATION - LABELING AND ORDERS
Class 3CZ830EMERGENCY MANAGEMENT PLANNING
A0054MEDICATION - RECORDS
18 Aug 2020Complaint
18 Aug 2020Complaint
Found deficiencies in emergency management planning and reporting, including failures to update client transfers and to maintain ESS data during the COVID-19 period.
Class 3A0056MEDICATION - LABELING AND ORDERS
Class 3CZ830EMERGENCY MANAGEMENT PLANNING
A0008ADMISSIONS - HEALTH ASSESSMENT
25 Feb 2020Complaint
25 Feb 2020Complaint
Found deficiencies in medication self-administration oversight and MOR documentation, with three residents not receiving prescribed doses and MORs incomplete or inaccurate.
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3A0054MEDICATION - RECORDS
16 Oct 2019Complaint
16 Oct 2019Complaint
Found no deficiencies. A complaint investigation occurred on 2019-10-16 with no deficiencies identified.
15 Oct 2019Complaint
15 Oct 2019Complaint
Found no deficiencies. Complaint investigations conducted on 10/14–15/2019 found no deficiencies.
A0004LICENSURE - REQUIREMENTS
16 Jul 2019Complaint
16 Jul 2019Complaint
Found no deficiencies during a desk review revisit conducted on July 16, 2019.
A0001DEFINITIONS
30 May 2019Complaint
30 May 2019Complaint
Identified a deficiency in resident records due to incomplete written documentation for one resident.
Class 3A0162RECORDS - RESIDENT
30 May 2019Standard
30 May 2019Standard
Identified deficiencies were corrected during the survey.
22 May 2019Monitor
22 May 2019Monitor
Found no deficiencies identified during an Emergency Environmental Control Plan monitoring survey.
01 Mar 2019Standard
01 Mar 2019Standard
Investigated a biennial survey and complaint; deficient practices were found in adverse incident reporting and in maintaining an alternative power source.
Class 4A0165RISK MGMT & QA; ADVERSE INCIDENT REPORT
Class 3A0200EMERGENCY ENVIRONMENTAL CONTROL
25 Oct 2018Complaint
25 Oct 2018Complaint
Verified all identified deficiencies were corrected at the time of the desk review.
12 Sept 2018Complaint
12 Sept 2018Complaint
Found deficiencies in supervising self-administration of medications and ensuring licensed staff availability.
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3A0078STAFFING STANDARDS - STAFF
03 Apr 2018Standard
03 Apr 2018Standard
Verified a follow-up visit on 2018-04-03 found no deficiencies.
15 Feb 2018Standard
15 Feb 2018Standard
Identified deficient practices included unlicensed staff performing duties beyond training; a staff member lacked a job description; and emergency management planning was not current.
Class 3A0078STAFFING STANDARDS - STAFF
Class 3A0081TRAINING - STAFF IN-SERVICE
Class 3A0161RECORDS - STAFF
Class 3A0181EMERGENCY PLAN APPROVAL
12 Dec 2017Complaint
12 Dec 2017Complaint
Found no deficiencies. The investigation into a complaint was conducted and no deficiencies were identified.
20 Jul 2017Complaint
20 Jul 2017Complaint
Found deficiencies that were corrected during the desk review.
20 Jul 2017Standard
20 Jul 2017Standard
Corrected a deficiency during the desk review.
24 May 2017Complaint
24 May 2017Complaint
Found deficiencies in background screenings and staffing records, including missing health statements and failures to properly screen and manage personnel records.
Class 3A0078STAFFING STANDARDS - STAFF
Class 4CZ814BACKGROUND SCREENING CLEARINGHOUSE
Class 4CZ815BACKGROUND SCREENING; PROHIBITED OFFENSES
17 May 2017Standard
17 May 2017Standard
Found deficiencies in assisting with self-administration of PRN medications and in documentation and training related to those medications.
A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
17 May 2017Complaint
17 May 2017Complaint
Investigated an unannounced complaint and found no licensure deficiencies related to the complaint.
01 Mar 2017Standard
01 Mar 2017Standard
Investigated deficiencies related to health assessments, rights postings, staff training, and resident records. The findings show noncompliance across several areas.
Class 3A0008ADMISSIONS - HEALTH ASSESSMENT
Class 3A0010ADMISSIONS - CONTINUED RESIDENCY
Class 3A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3A0083TRAINING - FIRST AID AND CPR
Class 3A0085TRAINING - NUTRITION & FOOD SERVICE
Class 3A0162RECORDS - RESIDENT
20 Oct 2016Complaint
20 Oct 2016Complaint
Found previously cited deficiencies were corrected on the day of a desk review conducted on 2016-10-20.
A0078STAFFING STANDARDS - STAFF
A0160RECORDS - FACILITY
A0165RISK MGMT & QA; ADVERSE INCIDENT REPORT
A0162RECORDS - RESIDENT
AZ816BACKGROUND SCREENING-COMPLIANCE ATTESTATION
09 Sept 2016Complaint
09 Sept 2016Complaint
Identified deficiencies in resident records, incident documentation, and staff background screening, along with incomplete log maintenance.
Class 3A0078STAFFING STANDARDS - STAFF
Class 3A0160RECORDS - FACILITY
Class 3A0165RISK MGMT & QA; ADVERSE INCIDENT REPORT
Class 4AZ816BACKGROUND SCREENING-COMPLIANCE ATTESTATION
A0089ALZHEIMER'S/OTHER DISORDERS - SPECIAL CARE
20 Apr 2016Standard
20 Apr 2016Standard
Found previously cited deficiencies corrected on the day of the revisit.
A0008ADMISSIONS - HEALTH ASSESSMENT
A0053MEDICATION - ADMINISTRATION
A0055MEDICATION - STORAGE AND DISPOSAL
A0078STAFFING STANDARDS - STAFF
A0081TRAINING - STAFF IN-SERVICE
A0082TRAINING - HIV/AIDS
A0090TRAINING - DO NOT RESUSCITATE ORDERS
A0093FOOD SERVICE - DIETARY STANDARDS
24 Feb 2016Standard
24 Feb 2016Standard
Found deficiencies in health assessments, medication storage, staff training, and dining standards.
Class 3A0008ADMISSIONS - HEALTH ASSESSMENT
Class 3A0053MEDICATION - ADMINISTRATION
Class 3A0055MEDICATION - STORAGE AND DISPOSAL
Class 3A0078STAFFING STANDARDS - STAFF
Class 3A0081TRAINING - STAFF IN-SERVICE
Class 3A0082TRAINING - HIV/AIDS
Class 3A0090TRAINING - DO NOT RESUSCITATE ORDERS
Class 3A0093FOOD SERVICE - DIETARY STANDARDS
14 Sept 2015Complaint
14 Sept 2015Complaint
Found no deficiencies during the unannounced licensure complaint survey on September 14, 2015.
31 Mar 2015Initial
31 Mar 2015Initial
Found no deficiencies during a licensure survey conducted on March 31, 2015.
10 Sept 2014Complaint
10 Sept 2014Complaint
Identified no deficiencies; the complaint investigation completed on 2014-09-10 was closed with no findings.
13 May 2014Standard
13 May 2014Standard
Found no deficiencies.
A0081TRAINING - STAFF IN-SERVICE
A0090TRAINING - DO NOT RESUSCITATE ORDERS
29 Apr 2014Standard
29 Apr 2014Standard
Identified failure to ensure required in-service trainings were provided within 30 days of hire for one staff member, with no documentation of emergency procedures, reporting and safe food handling.
Class 3A0090TRAINING - DO NOT RESUSCITATE ORDERS
A0078STAFFING STANDARDS - STAFF
A0081TRAINING - STAFF IN-SERVICE
18 Feb 2014Standard
18 Feb 2014Standard
Identified deficiencies related to staff records and training, including missing job descriptions and failure to provide required in-service training within the specified timeframe.
Class 3A0078STAFFING STANDARDS - STAFF
Class 3A0081TRAINING - STAFF IN-SERVICE
Class 3A0161RECORDS - STAFF
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Mirador Living is not affiliated with the owner or operator(s) of The Sarah House - Tomoka. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Sarah House - Tomoka directly. There is no cost for this service. We are compensated by the community you select.
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