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Fouraker Hills Rehab And Nursing Center

1650 Fouraker Rd, Jacksonville, FL 32221 · For profit - Limited Liability company · 120 certified beds · (904) 786-8668 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0607) — cited Jul 20212 immediate-jeopardy citations
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0607), cited Jul 2021
  • inspectors cited 2 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)
  • about 22% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
7963 Normandy Blvd · (904) 786-0440 · Call to confirm hours
Pharmacy
1625 Fouraker Rd · (904) 781-0738 · Call to confirm hours
Grocery
7921 Normandy Blvd · (904) 783-6901 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased12.7%8.7%15.4%better
Long-stay residents who lose too much weight8.3%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.3%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.3%4.6%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.1%2.5%3.3%better
Long-stay residents whose ability to walk worsened11.7%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication12.4%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers3.6%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control22.7%10.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table13.0%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.0%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine89.2%94.7%79.4%better
Short-stay residents rehospitalized after admission29.9%26.1%22.6%worse
Short-stay residents with an outpatient ER visit4.6%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.862.131.67worse
Long-stay outpatient ER visits per 1,000 resident days1.751.151.80typical

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

47.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 78 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

47.0%U.S. median 51.5%
Got home and stayed home
12.4%U.S. median 10.7%
Went back to hospital
50.9%U.S. median 56.6%
Met the expected recovery
0.31U.S. median 0.31
Therapy hours / resident / day
0.11hours / resident / day
Physical therapy
0.18hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 50.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 59 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF47.0%CMS range 36.8–58.351.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.4%CMS range 8.8–16.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge50.9%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge37.3%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge49.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge96.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.8%CMS range 3.8–11.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.221.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.39
RN hours/ resident / day
0.96
LPN hours/ resident / day
2.06
Aide hours/ resident / day
3.42
Total nurse hours/ resident / day
0.30
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 120 beds and averages 116.6 residents a day — about 97% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.42 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.39 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.06 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.09 hrs/resident/day on weekends vs 3.55 on weekdays — 13% thinner on weekends. RN hours go from 0.43 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

5
deficiencies at the latest standard inspection (2025-01-16)
5
at the previous standard inspection (2023-02-16)

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.

  • Immediate jeopardy · J2021-07-16 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to implement abuse policies and procedures for an independently ambulatory resident with known aggressive behaviors, and a history of abusing another resident (Resident #28). On 7/12/21, the facility's census was 89 residents. All 89 residents were at risk for serious injury, serious harm, impairment, or death as a result of the deficient practice. Immediate Jeopardy (IJ) at a scope and severity of J (isolated) began on January 13, 2021, and was identified on July 15, 2021 at 1:30 PM, which was on-going. On July 15, 2021 at 8:45 PM, the Administrator was notified of the IJ determination. The findings include: Cross Reference to F689, F726, and F867 A review of the medical record for Resident #28 revealed an admission date of 11/11/18. Medical diagnoses included major depressive disorder, dementia, and psychotic disorder. The resident received hospice services for a diagnosis of cerebral atherosclerosis. A Minimum Data Set (MDS) assessment…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · Jcited before2021-07-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Assigned to [NAME] Based on observations, interviews, and record review, the facility failed to ensure the resident environment remained free of accident hazards as is possible, and each resident received adequate supervision and assistance devices to prevent accidents for 4 of 43 residents sampled, Residents #22, #28, #67 and #192. The findings include: Record review revealed that Resident #28 was admitted into the facility on [DATE], with the last re-admission on [DATE]. The diagnoses included Unspecified Dementia without Behavioral Disturbance, Major Depressive Disorder, Other Psychotic Disorder not due to a Substance or known physiological Condition, Heart Failure, Chronic Kidney Disease, Stage 2 (Mild), and Repeated Falls Orders included Psychiatrist Evaluation and treatment; Behavior Evaluation; Hospice for palliative care; Furosemide 20 mg by mouth daily; Trazodone HCL 50 mg by mouth three times a day; Acetaminophen 325 mg 2 tablets daily twice a day; and Seroquel 50 mg by mouth three times a day. Review…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-16 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure residents' right to a safe, clean, comfortable and homelike environment, including but not limited to, receiving treatment and supports for daily living safely for five (Residents #64, #75, #14, #65, and #10) residents in five (rooms 204, 205, 208, 510, and 512) of 66 resident rooms, and in three (Halls 100, 500, and 200) of four hallways in the facility. The findings include: This is a single-story facility where the residents are housed on two units, MSU and Palms. A tour of the facility was conducted on 1/13/2025 at 10:30 a.m. During a tour of the MSU unit several of the baseboards were pulled away from the walls on the 100 and 500 hallways. Miscellaneous stains were observed on various areas of the laminated floors in the main hallways leading to resident rooms. Also, several walls in the hallways and in resident rooms were highly stained with chipped/tearing paint and/or in need of repair. Live roaches were observed in room…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-16 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests and rodents in five (rooms 204, 205, 208, 510, and 512) of 66 resident rooms. Failure to correct this concern in a timely manner could negatively impact the the entire census of 105 residents. The findings include: This is a single-story facility where the residents are housed on two units, MSU and Palms. A tour of the facility was conducted on 1/13/2025 at 10:30 a.m. During a tour of the MSU unit, Live roaches were observed in room [ROOM NUMBER]. (Photographic Evidence Obtained) The tour continued on the Palms Unit. On this unit live roaches were observed resident room numbers 204, 205, and 208. Live roaches, spider webs, and dead roaches were observed on the floor behind Resident #64's (room [ROOM NUMBER]W) bed. (Photographic Evidence Obtained) During an interview on 1/13/2025 at 11:41 a.m. with Resident #75 (room [ROOM NUMBER]D), dead roaches were…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-16 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, and a review of resident records, the facility failed to ensure the MDS (Minimum Data Set) assessment was completed accurately for one (Resident #14) of one resident reviewed for communication, from a total survey sample of 34 residents. The findings include: On 1/13/2025 at 1:22 p.m., Resident #14 was observed lying in bed with her eyes closed with a blanket held up just below her chin. A nasal cannula (a device that provides additional oxygen through the nose) was in place, and the overhead light was on. She was greeted directly in a normal tone but did not respond. Speaking up, while standing closer, a second attempt to greet her was made with no response. Moving closer to Resident #14, by her left side, she was greeted a third time. She appeared startled and asked loudly, What? Who is that? You'll have to speak up. I'm blind and I can't hear well. When asked if she had hearing aids, she reported no but she would like them. When asked if she had spoken…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-16 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff and resident interviews, medical record review, and facility policy and procedure review, the facility failed to ensure that one (Resident #14) of four residents reviewed for ADLs, from 34 residents in the total survey sample, received necessary services to maintain grooming and personal hygiene. Resident #14 did not receive routine or scheduled showers, her hair was matted, and there was an offensive odor present. The findings include: On 1/13/2025 at 1:22 p.m., Resident #14, whose room was located on the MSU unit, was observed lying in bed with her eyes closed and her blanket held up just below her chin. Her hair was matted down along her face and was greasy in appearance, and there was a strong, foul, tangy odor present. There were approximately five small, black gnats observed flying closely on the left side of her body. She was asked when she had her last bath/shower. Resident #14 reported that she had not had a shower in more than 10 days. When asked who assisted her with showers, she reported, the CNAs (certified nursing assistants). On 1/14/2025…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-16 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, and a review of resident records, the facility failed to ensure that one (Resident #14) of two residents reviewed for vision/hearing/communication, from a total survey sample of 34 residents, received proper treatment and assistive devices to maintain hearing ability. Resident #14 was very hard of hearing, which compromised her ability to communicate. The facility had a visiting audiologist; however, the resident had not been referred for an evaluation. The findings include: On 1/13/2025 at 1:22 p.m., Resident #14 was observed lying in bed with her eyes closed and a blanket held up just below her chin. A nasal cannula (a device that provides additional oxygen through the nose) was in place, and the overhead light was on. She was greeted directly in a normal tone, but did not respond. Speaking up, while standing closer, a second attempt to greet her was made with no response. Moving closer to Resident #14, by her left side, she was greeted a third time. She…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-07-16 · tag F0760 — failed to prevent significant medication errors — pattern
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, medical record review, and facility policy and procedure review, the facility failed to ensure residents were free from any significant medication errors, by failing to administer medications within the specified timeframe based on physicians' scheduling orders for four (Residents #1, #2, #3, and #6) of six sampled residents, from a total census of 111. Failure to administer medications in a timely manner can result in a resident's inability to maintain the proper level of medication in the bloodstream to be effective; reduced functional ability; lower quality of life; hospitalization, disease progression, and/or death. The findings include: On 7/15/24 at 9:30 AM, the administrator was requested to provide a copy of current Quality Assurance and Performance Improve (QAPI)/Performance Improvement Project (PIP) being conducted at the facility. On 7/15/24 at 4:30 PM, facility staff provided a copy of an Inservice Education that was given to nursing staff on 7/10/24 regarding Medication Administration policy and procedure. There was not an ongoing performance…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-01-12 · tag F0583 — failed to protect personal privacy — pattern
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, medical record review, and facility policy review, the facility failed to 1) ensure privacy and confidentiality of medical records for three (Residents #4, #5, and #6) of 10 resident records reviewed, and 2) failed to ensure personal privacy during wound care for one (Resident #2) of two residents reviewed for wound care, from a total sample of 24 residents. The findings include: 1. On 1/11/24 at 10:40 AM, the staffing board in the hallway on the MSU (Medical Surgical Unit) across from the nurse's station was observed to identify two residents (Residents #4 and #6) as having medical appointments. The day and time of the appointment was listed along with one of the doctors name. (Photographic evidence obtained) The board also displayed Discharge Resident #5 Friday with the resident's full name on the board. The information could be seen by residents and guests passing along the hallway. During a second observation on 1/12/24 at 6:30 AM, the staffing board on the MSU continued to display Discharge Resident #5 Friday with the resident's full…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-12 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, medical record review, and facility policy review, the facility failed to maintain standard precautions designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for four (Residents #2, #19, #7, and #3) of four residents reviewed for tube feeding, from a total of 24 residents in the sample. The findings include: 1. On 1/11/24 at 10:51 am, Resident #2, a resident who receives gastrostomy tube feedings, had a tube feeding syringe observed in a Styrofoam cup with no date on syringe, cup, or packaging. This cup was observed next to a urinal on the bedside table, the cup and urinal were observed to be in physical contact with each other. (Photographic evidence obtained) On 1/12/24 at 8:43 am, Resident #2 was observed to have a tube feeding syringe on his nightstand table with no date on the packaging or the syringe. The packaging had do not throw away written on it. (Photographic evidence obtained) On 1/12/24 at 8:45 am, the Director of Nursing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-12 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, medical record review, and facility policy review, the facility failed to 1) ensure each resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices regarding wound care for two (Residents #2 and #11) of three residents reviewed for wound care, from a total of 24 residents in the sample, and 2) failed to ensure quality of care, a fundamental principle that applies to all treatment and care provided to facility residents, by not performing regular control solution testing for five of five glucometers used for residents blood glucose monitoring. The findings include: 1. On 1/11/24 at 10:50 am, Resident #2 was observed lying in bed awake, with a visitor at his bedside who identified herself as the resident's sister. His left foot was wrapped in a bulky ace wrap. When asked if he had a wound on his left foot. He stated, I had my toes amputated. When asked how often he has wound…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, medical record review, and facility policy review, the facility failed to ensure the residents received adequate supervision to prevent accidents, by failing to supervise residents on the smoking patio for two (Residents #8 and #9) of fifteen residents identified as smokers, from a total of 24 residents in the sample. The findings include: On 1/12/24 at 6:05 am, two residents (Residents #8 and #9) were observed in the designated smoking area, each in a wheelchair, without staff present. Each of the two residents removed a pack of cigarettes and a lighter from their pockets and lit their respective cigarettes. Resident #8 was asked his name, he replied and also provided the name of Resident #9, stating, He can't talk. Resident #8 was asked if they usually come outside to smoke without staff. He stated, Yes. When asked if he was considered a safe smoker. He stated, Yes. When he was asked if the lady (Resident #10, who was observed outside but not smoking) also smoked with them. He stated, No, she needs staff out here, and she has to wear one of those…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · D2024-01-12 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, medical record review, and facility policy review, the facility failed to provide medications as ordered by the physician to meet the needs for one (Resident #3) of three residents reviewed for compliance with medication administration, from a total of 24 residents in the sample. The findings include: On 1/11/24 at 3:15 pm, an observation of medication administration was conducted for Resident #3 with Employee E, Registered Nurse (RN). The nurse had a medicine cup with crushed medications and added a small amount of water. When asked what medication was in the cup. She stated, Quetiapine, Multivitamin, and Namenda. She then poured approximately 20 milliliters (ml) of water into the gastrostomy tube. The nurse then poured the contents of the medication cup into the gastrostomy tube, followed by pouring approximately 30 ml of water into the gastrostomy tube. When the nurse was asked if all three medications were in the same medication cup that she had poured into the resident's gastrostomy tube. She said, Yes. When asked if she usually…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-02-16 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility's kitchen, by failing to date mark numerous open food packages in the dry storage room, the refrigerator, and the freezer. Food handling and sanitation is important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: A tour of the kitchen was conducted on 2/13/23 10:43 a.m. During the tour, no date markings were observed on an open jar of Real Mayo mayonaise, an open pan of vegetable lasagna, a green bin filled with open fresh cabbage, an open box filled with white potatoes, an open box of chicken, an open box filled with bananas, an open box filled with green peppers, an open box filled with cucumbers, or an open bag of onions on the shelf in the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-02-16 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide personal privacy during personal care for one (Resident #28) of a total sample of 37 residents. The findings include: On 02/14/23 at 12:15 PM, Resident #28 was observed lying in bed in a semi-private room. Her bed was located adjacent to the window and the window had no curtains. The privacy curtain did not cover the bed. From the resident's bed, one could see the parking lot. The resident was asked about the window curtain, and she stated there used to be curtains, but she didn't know who took them down. When asked about how staff provided privacy during care, she stated they pulled the privacy curtain separating the two beds, but the window was normally open. She stated, I hope no one is looking through. A review of the clinical record, revealed that Resident #28 was admitted to the facility on [DATE] with a primary diagnosis of chronic kidney disease - stage 3. Other diagnoses included peripheral vascular disease and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-02-16 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to 1) Provide appropriate treatment and services for residents who were dependent on staff for activities of daily living (ADLs), and 2) Ensure that a resident's activities of daily living abilities did not diminish for one (Resident #39) of three residents reviewed for activities of daily living, from a total sample of 37 residents. The findings include: On 2/13/23 at 2:36 PM, Resident #39 was observed lying in bed with right-sided weakness. His facial hair was long and his call bell was on the floor. (Photographic evidence obtained) In an interview on 2/13/23 at 2:37 PM, Resident #39 stated he would prefer to have his beard shaved. He said he had notified staff a number of times that he would like his beard shaved. He stated he never had a long beard. When asked how he summoned staff for assistance, he stated he used his call bell, and he started looking around for the call bell. On 2/15/23 at 9:42 AM, Resident #39 was observed lying in…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-02-16 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure that one (Resident #14) of six residents receiving oxygen therapy, received the correct oxygen flow rate as ordered by the physician, from a total of 37 residents in the sample. The findings include: During a tour of the facility on 2/13/2023 at 1:10 pm, Resident #14 was observed lying in bed watching television and wearing a nasal cannula. Her oxygen concentrator, located at the bedside, was set to deliver oxygen at 3.5 Liters per minute (L/min). A hospital bag attached to the oxygen concentrator was dated 1/26/2023 at 12:10 pm. (Photographic evidence obtained) A review of Resident #14's physician's order, dated 12/05/2022, revealed she was to receive oxygen at 4 L/min continuously via nasal cannula for shortness of breath (SOB). On 2/16/2023 at 12:43 pm, an observation of Resident #14's oxygen concentrator, revealed it was set at 3.5 L/min and dated 2/14/2023. (Photographic evidence obtained) A review of the clinical record…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-02-16 · tag F0790 — failed to provide dental care — isolated
    Provide routine and 24-hour emergency dental care for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to assist one resident (#68) from a total sample of 37 residents, in obtaining routine and 24-hour emergency dental care. Failure to provide dental care could result in dental caries, infection, pain and loss of teeth. The findings include: On 2/13/23 at 1:53 PM, Resident #68 was observed with missing and broken teeth. She stated she had issues with her teeth and would like them pulled out because they were affecting her ability to chew. She stated she was blind due to cataracts and staff assisted her with her meals. She had told them several times about her wishes and concerns as they assisted her with her meals. Resident #68 could not provid specific names of the staff she notified. A review of the resident's clinical record revealed that she was admitted to the facility on [DATE] with a primary diagnosis of hemiplegia/hemiparesis following cerebral infarction (stroke) affecting her left non-dominant side. Other diagnoses included type 2…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-07-16 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to review the Pre-admission Screening for individuals with a mental disorder and individuals with intellectual disability to ensure that because of the physical and mental condition of the individual, the individual required the level of services provided by a nursing facility; and if the individual required such level of services, whether the individual required specialized services; that, because of the physical and mental condition of the individual, the individual required the level of services provided by a nursing facility; and if the individual required such level of services, whether the individual required specialized services for intellectual disability for one of 43 residents sampled, Resident #28. The findings include: Record review revealed that Resident #28 was admitted into the facility on [DATE] with his last re-admission on [DATE]. The diagnoses included Unspecified Dementia without Behavioral Disturbance; Major Depressive…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-07-16 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to implement safety interventions per the comprehensive plan of care for 4 of 4 residents (Residents #67, #192, #28, and #22) reviewed for development and implementation of comprehensive care plans. The findings include: Record review revealed that Resident #28 was admitted into the facility on [DATE] with the last re-admission on [DATE]. His diagnoses included Unspecified Dementia without Behavioral Disturbance; Major Depressive Disorder; Other Psychotic Disorder not due to a Substance or known physiological Condition; Heart Failure, Chronic Kidney Disease, Stage 2 (Mild); Repeated Falls Orders included Psychiatrist Evaluation and Treatment; Behavior Evaluation; Hospice for palliative care; Furosemide 20 mg by mouth daily; Trazodone HCL 50 mg by mouth three times a day; Acetaminophen 325 mg 2 tablets daily twice a day and Seroquel 50 mg by mouth three times a day. Review of the quarterly Minimum Data Set assessment (MDS) dated [DATE]…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ASTON HEALTH — 38 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.7+0.3 vs chain
Health inspection 3 of 52.5+0.5 vs chain
Staffing 2 of 52.2-0.2 vs chain
Quality measures 4 of 54.1≈ chain avg
The other 37 homes this chain runs (chain average 2.7★, per CMS)
1 of 5Crescent Health And Rehabilitation CenterSarasota, FL 1 of 5Kensington Gardens Rehab And Nursing CenterClearwater, FL 1 of 5Nursing & Rehabilitation Center Of New Port RicheyNew Port Richey, FL 1 of 5Oak Haven Rehab And Nursing CenterAuburndale, FL 1 of 5Vero Beach Care CenterVero Beach, FL 2 of 5Baya Pointe Nursing And Rehabilitation CenterLake City, FL 2 of 5Capri Health And Rehabilitation CenterVenice, FL 2 of 5Creekside Health And Rehabilitation CenterSarasota, FL 2 of 5Fairway Oaks CenterTampa, FL 2 of 5Flagler Health And Rehabilitation CenterBunnell, FL 2 of 5Haines City Rehabilitation And Nursing CenterHaines City, FL 2 of 5Highlands Lake CenterLakeland, FL 2 of 5Indian River CenterWest Melbourne, FL 2 of 5North Port Rehabilitation And Nursing CenterNorth Port, FL 2 of 5Pensacola Nursing & Rehabilitation CenterPensacola, FL 2 of 5Riverwood CenterJacksonville, FL 2 of 5Sandgate Gardens Rehab And Nursing CenterFort Pierce, FL 2 of 5Sea Breeze Rehab And Nursing CenterVero Beach, FL 2 of 5Tierra Pines CenterLargo, FL 2 of 5Viera Del Mar Health And Rehabilitation CenterViera, FL 2 of 5Winter Garden Rehabilitation And Nursing CenterWinter Garden, FL 3 of 5Cedarbrook Health And Rehabilitation CenterFort Myers, FL 3 of 5Coquina CenterOrmond Beach, FL 3 of 5Eagleridge Health And Rehabilitation CenterFort Myers, FL 3 of 5Hillside Health And Rehabilitation CenterZephyrhills, FL 3 of 5Oakpark Health And Rehabilitation CenterPalm Harbor, FL 4 of 5Bridgeview CenterOrmond Beach, FL 4 of 5Coastal Health And Rehabilitation CenterDaytona Beach, FL 4 of 5Debary Health And Rehabilitation CenterDebary, FL 4 of 5Fernandina Beach Rehabilitation And Nursing CenterFernandina Beach, FL 4 of 5Island Lake CenterLongwood, FL 4 of 5Meadowpark Health And Rehabilitation CenterDunedin, FL 4 of 5Parkside Health And Rehabilitation CenterDeland, FL 4 of 5Ruleme CenterEustis, FL 4 of 5Seaside Health And Rehabilitation CenterDaytona Beach, FL 5 of 5Bayview CenterEustis, FL 5 of 5Osprey Point Nursing CenterBushnell, FL

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
WJ CARE HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 05/07/2018
GUTMAN, SAMUELIndividualINDIRECT OWNERSHIP INTERESTsince 05/07/2018
WILDES, DONNAIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/28/2025
BLATT, MARCIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/19/2025
BURKES, SONYAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 02/15/2024
FENAES, EMILEEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/23/2024
LACY, SUSIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 04/03/2023
ASTON HEALTHCARE LLCOrganizationADP OF THE SNFsince 01/01/2022

CMS files one row per role, so the 12 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$12.3M
Net patient revenuemost recent cost report
-8.9%
Operating marginrevenue minus expenses
$2.9M
Related-party expense22% of expenses
Who pays — share of resident-days
Medicaid 59%Medicare 10%Other / private 30%

This home reported $2.9M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$335per resident / day
operating cost
$10,174per month
≈ monthly operating cost
$307per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.

Typical monthly cost in Florida
$10,342/mo
Nursing home (semi-private)
$12,167/mo
Nursing home (private)
$5,610/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105707. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-16, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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