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Jacksonville Nursing And Rehab Center

4134 Dunn Avenue, Jacksonville, FL 32218 · For profit - Limited Liability company · 163 certified beds · (904) 766-2297 Medicare & Medicaid certified

Call the home — (904) 766-2297 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 8 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no harm-level citations in the current inspection record
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • its payroll-based staffing rating is low (2/5)

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.

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

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3890 Dunn Ave Ste. 1004 · (904) 714-9053 · Call to confirm hours
Pharmacy
12100 Lem Turner Rd · (904) 764-8118 · Call to confirm hours
Grocery
11219 Lem Turner Rd · (904) 765-1686 · Call to confirm hours
Park
10790 Key Haven Blvd · (904) 764-5531 · Typically dawn to dusk

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 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 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 4 to 5 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 rating5★
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 increased4.2%8.7%15.4%better
Long-stay residents who lose too much weight3.0%5.5%5.4%better
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 symptoms50.6%4.6%6.5%check this — see note marked dagger below the table
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 injury1.9%2.5%3.3%better
Long-stay residents whose ability to walk worsened3.3%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication8.7%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers0.6%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control3.1%10.5%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table9.0%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.5%1.5%1.4%typical
Short-stay residents given the seasonal flu vaccine100.0%94.7%79.4%better
Short-stay residents rehospitalized after admission17.0%26.1%22.6%better
Short-stay residents with an outpatient ER visit6.9%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days2.172.131.67worse
Long-stay outpatient ER visits per 1,000 resident days1.511.151.80better

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.

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.

46.5% 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 94 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

46.5%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
83.7%U.S. median 56.6%
Met the expected recovery
0.56U.S. median 0.31
Therapy hours / resident / day
0.25hours / resident / day
Physical therapy
0.24hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 83.7% 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 92 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 0.56 therapist hours per resident per day in 2026Q1 — more than 86% 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 SNF46.5%CMS range 38.0–54.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 8.2–14.310.7%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 discharge83.7%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 discharge79.3%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 discharge57.6%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 setting91.6%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 hospitalization9.1%CMS range 6.0–13.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.041.02Oct 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

0.38
RN hours/ resident / day
0.99
LPN hours/ resident / day
2.09
Aide hours/ resident / day
3.47
Total nurse hours/ resident / day
0.30
RN hoursweekends
50.0%
Total nursing turnover
61.9%
RN turnover

How full it usually is: this home is certified for 163 beds and averages 158.8 residents a day — about 97% occupied, or roughly 4 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 3.47 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.09 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 3.12 hrs/resident/day on weekends vs 3.60 on weekdays — 13% thinner on weekends. RN hours go from 0.42 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%.

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

2
deficiencies at the latest standard inspection (2025-05-01)
4
at the previous standard inspection (2023-06-02)

Deficiencies are fewer than at the previous inspection — improving. 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.

  • Potential for harm · D2025-05-01 · 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 observation, record review, interviews, and a review of facility policies and procedures, the facility failed to ensure that the residents' environment was as free of accident hazards as was possible for one (Resident #108) of 34 residents in the total survey sample. Razors were discovered at Resident #108's bedside. The findings include: On 04/29/25 at 13:52 PM, medication (an oral inhaler) was observed at the bedside of Resident #108. (Photographic evidence obtained). The resident stated, They gave it to me so I can take it when I need it. A review of Resident #108's medical record revealed an admission date of 3/24/25 and diagnoses including unspecified sequelae of other cerebrovascular disease, COPD (chronic obstructive pulmonary disease), nicotine dependence, and anxiety disorder. A review of the admission MDS (minimum data set) assessment, dated 4/1/25, revealed a BIMS (brief interview for mental status) score of 12 out of 15 possible points, indicating moderate cognitive impairment. The resident required set-up/clean up assistance with eating, substantial/maximal…

    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 before2025-05-01 · 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

    Based on observation, record review, interviews, and a review of the facility's policies and procedures, the facility failed to provide respiratory care consistent with professional standards of practice for one (Resident #33) of four residents reviewed for oxygen administration. Resident #33 was receiving oxygen without a physician's order. The findings include: On 04/29/25 at 11:13 AM, an interview was attempted with Resident #33. He offered no verbal response to interview questions, and instead covered his head. Oxygen was observed infusing at 3.5 L/min (liters per minute) via nasal cannula (NC). A review of Resident #33's medical record revealed an admission date of 3/26/2013 and diagnoses including heart failure, COPD (chronic obstructive pulmonary disease) and acute and chronic respiratory failure with hypoxia. A review of the resident's active physician's orders revealed no orders for oxygen therapy. A review of the Quarterly MDS (minimum data set) assessment, dated 4/16/25, revealed a BIMS (brief interview for mental status) score of 15 out of 15 possible points, indicating…

    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 · D2023-06-02 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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

    Based on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment, affecting one (Resident #73) of 103 residents, by failing to eliminate pests from the resident's room. Failure to ensure the necessary housekeeping and maintenance services are provided for residents can increase the risk of disease-causing organisms within the facility. The findings include: On 5/30/23 at 10:28 a.m., Resident #73's room was observed with small roaches crawling on the floor at the doorway entry and on the side of the trash can in the resident's bathroom. (Photographic evidence obtained) A review of the facility's pest control provider's invoices from March 3, 2023 through June 1, 2023, revealed that pests were identified as well as spilled food material on the floors of multiple resident rooms and food debris inside of resident nightstands during their visits. (Copies obtained) A review of the facility's In-House Pest Control Measures from December 2022, through June 2023, revealed no In-House Pest Control Measures were completed…

    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 before2023-06-02 · 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, and record reviews, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for three (Residents #47, #102, and #237) of [NAME]-seven sampled residents. The findings include: 1. On 5/31/2023 at 12:02 p.m., Certified Nursing Assistant (CNA) C was observed in Resident #47's room with the door ajar. From the hallway, the CNA could be seen transferring the resident to bed using a mechanical lift (Hoyer lift) by himself. Upon seeing the surveyor in the hallway, the CNA immediately pulled the privacy curtain preventing further observation. CNA C was then observed exiting Resident #47's room at 12:08 p.m. He was asked about the observation of him transferring the resident using the mechanical lift by himself without assistance and whether this was his routine. He stated it depended upon whether the resident was skilled or not. He stated he had…

    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 · D2023-06-02 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for 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 reviews, the facility failed to ensure that two (Residents #57 and #85) of two residents reviewed for limited range of motion, from a total of 37 residents in the sample, received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion. The findings include: 1. On 5/31/23 at 11:29 AM, Resident #57 was observed in bed. His right upper extremity was contracted to his chest. When the resident was asked if he was able to extend his arm, he held it with the left hand as he tried to stretch it, then shook his head no. He was then asked if he was attending any therapy and again he shook his head no. He stated he had a splint but staff were not consistent with applying it. On 5/31/23 at 3:00 PM, the resident was observed in bed with no splint on his right upper extremity (RUE). On 6/01/23 at 10:05 AM, the resident was observed in bed with no splint on his RUE. On 6/02/23 at 10:30 AM, the resident was observed 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 · Dcited before2023-06-02 · 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 observation, interview, and record review, the facility failed to ensure that a resident who required respiratory care, including tracheostomy care and tracheal suctioning, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for one (Resident #2) of six residents receiving respiratory treatment, from a total of 37 residents in the sample. The findings include: During an interview with Resident #2 on 5/30/2023 at 2:19 p.m., she advised that she stopped breathing when she slept. She stated Licensed Practical Nurse (LPN) A/Unit Manager was supposed to have ordered her a CPAP device two months ago but it still hadn't arrived. A review of Resident #2's medical record revealed that she was admitted to the facility on [DATE]. Her diagnoses included heart failure; type 1 diabetes; ischemic cardiomyopathy; hemiplegia/hemiparesis; obstructive sleep apnea; atherosclerotic heart disease of native coronary…

    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 before2021-09-23 · 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 interviews and record review, the facility failed to provide care and treatment in accordance with professional standards of practice, by delaying hospitalization for one (Resident #51) of two residents reviewed for hospitalizations from a total sample of 40 residents. The findings include: A review of Resident #51's medical record revealed an admission date of 4/14/21 and a readmission date of 7/21/21. Her primary medical diagnosis was nondisplaced intertrochanteric fracture of right femur. Secondary medical diagnoses included osteoarthritis, dementia with behavioral disturbances, osteoporosis, and fracture of sacrum. A significant change assessment dated [DATE] revealed resident's cognition was moderately impaired, and she required limited to extensive assistance with activities of daily living. A nursing progress note dated 7/18/21 at 2:24 AM indicated Resident #51 was observed lying on her back next to her bed. An abrasion was noted above the right eye. The resident stated she slipped and fell. 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 · D2021-09-23 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such 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 interviews and record review, the facility failed to implement interventions to address a resident's acute pain related to a fracture after sustaining a fall for one (Resident #51) of two residents reviewed for pain management from a total sample of 40 residents. The findings include: A review of Resident #51's medical record revealed an admission date of 4/14/21 and a readmission date of 7/21/21. Her primary medical diagnosis was nondisplaced intertrochanteric fracture of right femur. Secondary medical diagnoses included osteoarthritis, dementia with behavioral disturbances, osteoporosis, and fracture of sacrum. A significant change assessment dated [DATE] revealed resident's cognition was moderately impaired, and she required limited to extensive assistance with activities of daily living. A nursing progress note dated 7/18/21 at 2:24 AM indicated Resident #51 was observed lying on her back next to her bed. An abrasion was noted above the right eye. The resident stated she slipped and fell. She denied…

    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

“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 SOVEREIGN HEALTHCARE HOLDINGS — 43 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 5 of 53.7+1.3 vs chain
Health inspection 4 of 53.2+0.8 vs chain
Staffing 2 of 53.1-1.1 vs chain
Quality measures 5 of 54.5+0.5 vs chain
The other 42 homes this chain runs (chain average 3.7★, per CMS)
1 of 5Abercorn Rehabilitation CenterSavannah, GA 1 of 5Sunnybrook Rehabilitation CenterRaleigh, NC 2 of 5Lake Worth Rehabilitation CenterLake Worth, FL 2 of 5Monroe Rehabilitation CenterMonroe, NC 2 of 5Pinellas Point Nursing And Rehab CenterSaint Petersburg, FL 2 of 5Riviera Palms Rehabilitation CenterPalmetto, FL 2 of 5Rocky Mount Rehabilitation CenterRocky Mount, NC 3 of 5Bayshore Pointe Nursing And Rehab CenterTampa, FL 3 of 5Lanier Rehabilitation CenterJacksonville, FL 3 of 5Lincolnton Rehabilitation CenterLincolnton, NC 3 of 5Medicana Nursing And Rehab CenterLake Worth, FL 3 of 5Port Orange Nursing And Rehab CenterPort Orange, FL 3 of 5Raleigh Rehabilitation CenterRaleigh, NC 3 of 5Tiffany Hall Nursing And Rehab CenterPort Saint Lucie, FL 3 of 5Treyburn Rehabilitation CenterDurham, NC 4 of 5Atlantic Shores Nursing And Rehab CenterMelbourne, FL 4 of 5Bonifay Nursing And Rehab CenterBonifay, FL 4 of 5Boulevard Rehabilitation CenterBoynton Beach, FL 4 of 5Braden River Rehabilitation Center LLCBradenton, FL 4 of 5Hunters Creek Nursing And Rehab CenterOrlando, FL 4 of 5Metro West Nursing And Rehab CenterOrlando, FL 4 of 5Northdale Rehabilitation CenterTampa, FL 4 of 5Ocala Oaks Rehabilitation CenterOcala, FL 4 of 5Orange City Nursing And Rehab CenterDebary, FL 4 of 5Pettigrew Rehabilitation CenterDurham, NC 4 of 5Royal Oaks Nursing And Rehab CenterTitusville, FL 4 of 5Sarasota Point Rehabilitation CenterSarasota, FL 4 of 5Silas Creek Rehabilitation CenterWinston-Salem, NC 4 of 5Warner Robins Rehabilitation CenterWarner Robins, GA 4 of 5Zebulon Rehabilitation CenterZebulon, NC 5 of 5Arbor Trail Rehab And Skilled Nursing CenterInverness, FL 5 of 5Boynton Beach Rehabilitation CenterBoynton Beach, FL 5 of 5Crestview Rehabilitation Center, LLCCrestview, FL 5 of 5Cypress Pointe Rehabilitation CenterWilmington, NC 5 of 5Fort Walton Rehabilitation Center, LLCFort Walton Beach, FL 5 of 5Macclenny Nursing And Rehab CenterMacclenny, FL 5 of 5Marianna Health And RehabilitationMarianna, FL 5 of 5Moultrie Creek Nursing And Rehab CenterSaint Augustine, FL 5 of 5Palm City Nursing & Rehab CenterPalm City, FL 5 of 5Parkview Rehabilitation Center At Winter ParkWinter Park, FL

Showing 40 of 42; lowest-rated first.

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 / managerTypeRoleSince
SOVEREIGN HEALTHCARE HOLDINGS LLCOrganizationDIRECT OWNERSHIP INTERESTsince 05/19/2009
CRONQUIST 2015 FAMILY TROrganizationINDIRECT OWNERSHIP INTERESTsince 12/31/2015
JOHN J NOTERMANN BUSINESS TROrganizationINDIRECT OWNERSHIP INTERESTsince 11/12/2017
MANGINE, JOHNIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/25/2012
BERKADIA COMMERCIAL MORTGAGE LLCOrganization5% OR GREATER SECURITY INTERESTsince 09/23/2014
FL JACKSONVILLE HOLDINGS, LLCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 05/19/2009
HEALTH SERVICES PROPERTIES LLCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 05/19/2009
BROWN, FATEIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 05/01/2017
CHERY, DAWNIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 06/08/2017
KAAR, SUSANIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 10/01/2003
SOUTHERN HEALTHCARE MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2003
COVINGTON, RAELYNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/11/2023
CRONQUIST, ROYCEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2018
MELTON, DONALDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/15/2009
NOTERMANN, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
SINGH, HARPREETIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/17/2021
NOTERMANN, BRENDAIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 11/20/2025
FORVIS MAZARS LLPOrganizationADP OF THE SNFsince 01/01/2025
SOVEREIGN HEALTHCARE DISBURSEMENTS LLCOrganizationADP OF THE SNFsince 05/19/2009
KELLY, MICHELLEIndividualADP OF THE SNFsince 02/01/2018

CMS files one row per role, so the 33 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

9 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.

$16.2M
Net patient revenuemost recent cost report
+2.3%
Operating marginrevenue minus expenses
$775K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 75%Medicare 11%Other / private 14%

About 75% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $775K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$307per resident / day
operating cost
$9,320per month
≈ monthly operating cost
$314per 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 105710. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-01, 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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