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Vivo Healthcare Orange Park

570 Wells Rd, Orange Park, FL 32073 · For profit - Limited Liability company · 120 certified beds · (904) 264-3912 Medicare & Medicaid certified

Call the home — (904) 264-3912 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

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 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
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (19) — 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.

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
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
570 Wells Rd · (904) 264-3912 · Call to confirm hours
Pharmacy
1635 Wells Rd · (904) 375-7277 · Call to confirm hours
Grocery
165 Park Ave · (904) 269-3612 · 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 5 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 3 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 increased2.7%8.7%15.4%better
Long-stay residents who lose too much weight4.7%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 symptoms15.9%4.6%6.5%worse
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 injury0.5%2.5%3.3%better
Long-stay residents whose ability to walk worsened6.8%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication15.5%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers3.8%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control7.7%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 table9.2%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.7%1.5%1.4%worse
Short-stay residents given the seasonal flu vaccine98.7%94.7%79.4%better
Short-stay residents rehospitalized after admission20.6%26.1%22.6%typical
Short-stay residents with an outpatient ER visit2.3%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.172.131.67better
Long-stay outpatient ER visits per 1,000 resident days0.521.151.80better

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.

51.7% 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 74 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

51.7%U.S. median 51.5%
Got home and stayed home
11.8%U.S. median 10.7%
Went back to hospital
41.7%U.S. median 56.6%
Met the expected recovery
0.39U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.20hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 41.7% 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 48 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 0.39 therapist hours per resident per day in 2026Q1 — more than 67% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 SNF51.7%CMS range 42.7–64.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.8%CMS range 8.5–15.610.7%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 discharge41.7%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 discharge58.3%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 discharge37.5%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 discharge100.0%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 worsened1.3%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 hospitalization6.0%CMS range 2.9–10.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.061.02Oct 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

0.34
RN hours/ resident / day
0.90
LPN hours/ resident / day
2.09
Aide hours/ resident / day
3.33
Total nurse hours/ resident / day
0.28
RN hoursweekends
53.5%
Total nursing turnover
37.5%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 113.2 residents a day — about 94% occupied, or roughly 7 beds typically open. It runs fairly full. 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 3.33 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.34 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 3.20 hrs/resident/day on weekends vs 3.38 on weekdays — 5% thinner on weekends. RN hours go from 0.37 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% 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

1
deficiencies at the latest standard inspection (2024-11-21)
8
at the previous standard inspection (2023-01-06)

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.

19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.

  • Actual harm · G2021-05-27 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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/staff interviews, clinical record review, and facility policy and procedure review, the facility failed to ensure that a resident with a pressure ulcer, received necessary care and services, consistent with professional standards of practice, to promote healing and prevent worsening of the pressure ulcer for one (Resident #75) of four residents reviewed for pressure ulcer development, from a total of 35 residents in the sample. The facility failed to reposition the resident to reduce the pressure on her coccyx/sacral area, and failed to provide the resident with a pressure-reducing mattress when the wound was discovered on 05/12/2021. This contributed to worsening of the pressure area from a Stage II to an unstageable wound. The findings include: Resident #75 was observed on 05/24/2021 at 9:30 AM, 10:22 AM, 12:40 PM, 1:45 PM and 2:50 PM. Each time she was in her room, lying in bed on her back. She was on a standard mattress. Resident #75 was observed on 05/25/2021 at 10:05 AM…

    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 before2024-11-21 · 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, facility document review, and the facility policy and procedure review, the facility failed to ensure that residents who needed respiratory care, were provided such care, consistent with professional standards of practice, for one (Resident #95) of four residents reviewed for respiratory care, in a total survey sample of 28 residents. Resident #95 did not receive oxygen at the flow rate ordered by his physician. The findings include: On 11/18/24 at 1:10 PM, Resident #95 was observed fully dressed, sitting in his wheelchair inside his doorway communicating with Maintenance Director A in Spanish. His room was approached and the resident's nasal cannula was observed on the floor next to his wheelchair. Maintenance Director A advised Licensed Practical Nurse (LPN) B that Resident #95's nasal cannula was on the floor. The Director of Nursing (DON) also advised LPN B that Resident #95 needed an oxygen tank for his wheelchair. The oxygen flow rate on the concentrator was set between…

    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 · F2023-01-06 · 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 the 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 the residents who consumed foods in the facility. The facility failed to ensure that the dietary staff was trained and knowledgeable about the proper procedures for food storage and proper sanitation practices in the kitchen. Specific instruction on 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: An initial tour of the kitchen was conducted with Certified Dietary Manager (CDM) L on 01/03/2023 at 9:55 a.m. During the tour, the bread cart next to the food prep area had four open bundles of bread with no date marking identified. Opened Thick and Easy food and beverage thickener was observed in the dry storage room on the bottom. These observations 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-01-06 · tag F0908 — failed to keep essential equipment working — widespread
    Keep all essential equipment working safely.
    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 maintain the kitchen freezer in a safe operating condition with the potential to place the health of all the residents who consumed foods in the facility at risk. The facility failed to ensure that the dietary staff was trained and knowledgeable about the proper procedures for maintaining essential equipment in the kitchen. Specific instruction on kitchen equipment is important in health care settings serving nursing home residents. Freezer units in disrepair may no longer be capable of properly cooling or holding time/temperature control for safety foods at safe temperatures. The findings include: An initial tour of the kitchen was conducted with Certified Dietary Manager (CDM) L on 01/3/2022 at 9:55 a.m. During the tour, observations of the walk-in freezer identified condensation buildup on and around the door area, to include shelves on the right side of freezer door and plastic freezer shields. (Photographic evidence obtained)…

    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 · D2023-01-06 · 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, staff interviews, record review, and facility policy and procedure review, the facility failed to implement a culturally competent, person-centered care plan for the use of assistive devices and a translation/interpreter service for communication, and the correct contact information for the contracted translator services for one (Resident #41) of three residents whose primary language was not English, from a total sample of 33 residents. The staff did not have a way to communicate with Resident #41 except to have her point at things. They relied on her family and staff who spoke her language (if they were available or on duty). The staff was unable to consistently communicate effectively with Resident #41 in a language she understood. Failure to develop and implement the care plan can result in negative health outcomes for the residents. The findings include: On 01/03/2023 at 11:10 AM, Resident #41 was observed lying in bed watching television. When she was greeted, she began to speak 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-01-06 · 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, staff interviews, record review, and facility policy and procedure review, the facility failed to provide necessary care and services to ensure a resident's ability to communicate, by failing to provide assistive devices for communication and correct contact information for the contracted translator services for one (Resident #41) of three residents whose primary language was not English, from a total sample of 33 residents. The staff did not have a way to communicate with Resident #41 except to have her point at things. They relied on her family and staff who spoke her language if they were available or on duty. The staff was unable to consistently communicate effectively with Resident #41 in a language she understood. Inability to make her needs known due to a language barrier may result in isolation, depression and unmet needs. The findings include: On 01/03/2023 at 11:10 AM, Resident #41 was observed lying in bed watching television. When she was greeted, she began to speak in French…

    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 · D2023-01-06 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 review, the facility failed to ensure that two (Residents #85 and #69) of a sample of 33 residents who were unable to carry out Activities of Daily Living (ADLs), received the necessary services to maintain grooming and personal hygiene for fingernail care and trimming. The findings include: On 01/03/23 at 4:00 pm, Resident #85 was observed sitting up in bed, awake, with the company of two visitors. The visitors identified themselves as the resident's son and daughter-in-law. The family members verbally encouraged the resident to speak up if she had anything to say. Resident #85 presented extremely elongated fingernails on both hands. She stated she had asked staff to trim them several times, but no one had trimmed them. (Photographic evidence obtained) The resident's daughter-in-law proceeded to trim the resident's nails during visit, stating, If no one else is going to do it, then I will. On 01/03/23 at 4:05 pm, Resident #69 was observed lying in bed, awake. The resident showed her…

    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 · D2023-01-06 · 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

    Based on resident, family, and staff interviews, and medical record review, the facility failed to ensure that one (Resident #85) of a sample of 33 residents, received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. The findings include: On 1/3/23 at 4:00 pm, Resident #85 was observed sitting up in her bed, awake. She stated she had asked to have appointments for a rheumatologist. She stated there had been no follow up and no appointments made that she was aware of. A medical record review revealed an order written on 8/24/22 which read: Schedule an appointment with rheumatology for consult. No evidence of this appointment being made or having taken place was found in the medical record. On 01/05/23 at 2:24 pm, Resident #85 was observed sitting up in her wheelchair with her son and daughter-in-law visiting. The resident was asked if she had a rheumatology consult since she was admitted to the facility in May 2022. She stated, No, no one has ever gotten back to me about that. I know I…

    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 before2023-01-06 · 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 one (Resident #50) of 16 residents receiving respiratory treatments, from a total sample of 33 residents, received the correct number of liters of oxygen as ordered by the physician. The findings include: On 01/04/2023 at 10:53 am, Resident #50 was observed lying in bed with her eyes closed wearing a nasal cannula. Resident #50's oxygen concentrator, located at bedside, was set at 3.0 Liters per minute (L/min) with no date to identify a change of tubing. (Photographic evidence obtained) A review of Resident #50's physician's order, dated 01/03/2023, revealed she was to receive oxygen at 2 L/min via nasal cannula every shift for oxygen management to keep her oxygen level >93%. On 01/05/2023 at 10:46 am, a second observation of Resident #50's oxygen concentrator, revealed it was set at 3.0 L/min with no date to identify a change of tubing. (Photographic evidence obtained) A medical record review revealed the resident was…

    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 · D2023-01-06 · tag F0880 — failed to prevent and control infections — isolated
    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 observation and interview, the facility failed to perform hand hygiene during medication administration for one (Resident #37) of three residents observed during medication administration. This practice has the potential to affect more than a limited number of residents. Facility census: 93 The findings include: During an observation of medication administration on 01/05/23 at 9:30 AM, Licensed Practical Nurse (LPN) H was observed preparing and administering medication for Resident #37. LPN H failed to perform hand hygiene prior to preparing the medication, and failed to perform hand hygiene after administering the medications to the resident. On 01/05/23 at 9:45 AM, an interview was conducted with LPN H. He confirmed that hand hygiene was required prior to and after each resident medication administration. He confirmed that he failed to perform hand hygiene during medication administration. He stated he forgot. A review of the facility's policy titled, Handwashing/Hand Hygiene, with a revised date of 12/2009, revealed on page one, number two, All personnel shall follow 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-05-27 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interview, the facility failed to monitor targeted behaviors for residents who were receiving psychotropic medications, and/or failed to monitor for drug-related side effects for four (Residents #25, #72, #330 and #381) of five residents reviewed for the use of psychotropic medications, from a total of 35 residents in the sample. The findings include: 1. A review of Resident #25's medical record revealed an admission date of 3/12/21. Her primary medical diagnosis was quadriplegia. Her cognition was intact, and she required total assistance from staff with activities of daily living (ADLs). A review of Resident #25's physician's orders revealed: An order dated 3/13/21 for bupropion (an antidepressant) 100 mg (milligrams) via g-tube (feeding tube) two times daily for depression. Monitoring of potential side effects related to the use of bupropion did not commence until 5/24/21. A second order, dated 3/13/21, for trazodone (an antidepressant) 50 mg via g-tube at bedtime for depression. Monitoring of potential side effects related to the use of trazodone did…

    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
Show the remaining 8 citations
  • Potential for harm · D2021-05-27 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, clinical record review, resident and staff interviews and facility policy and procedure review, the facility failed to provide reasonable accommodation of individual needs by ensuring one (Resident #11) of 35 sampled residents from a total of 84 residents had access to his call light at all times. The findings include: During a 05/24/2021 interview with Resident #11 at 11:45 AM, he stated he had concerns about pain (sciatica), and he had to ask for pain medication when he needed it. His call light was observed on the floor behind his bed. (Photographic evidence obtained) When asked if he could reach his call light, he stated, It's always like that. (on the floor) They put it in the drawer too. He confirmed that the staff moved his call light out of his reach and sometimes put it in the drawer of his nightstand. He confirmed he was not able to roll over in bed by himself and reach the call light when it was not clipped to the bed within his reach. He also confirmed that when he could reach the call light, he was able to use it to summon the staff. A review of…

    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 · D2021-05-27 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record reviews, the facility failed to provide services which met professional standards of quality for during medication administration. Professional standards of quality means that care and services are provided according to accepted standards of clinical practice. The findings include: On 5/25/21 at 9:30 AM, an observation of medication administration was conducted for Resident #75 with Employee E, Licensed Practical Nurse (LPN). The nurse unlocked the medication cart and removed two Styrofoam cups from the top drawer. Resident #75's first name was written on one cup. Resident #76's first name was written on the second cup. Each cup contained medications. The nurse was unable to recall the contents of either cup when asked. The nurse was asked to dispose of the cups and prepare new medications for one resident at a time. The nurse noted that Resident #75 had an order to receive furosemide (a diuretic) 40 milligrams (mg) and explained that it was not available. She was asked about the facility's process for medications that were unavailable.…

    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 · D2021-05-27 · 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, clinical record review and resident/staff interviews, the facility failed to ensure one (Resident #75) of one resident sampled for mobility, from a total of 35 sampled residents, received appropriate treatment and services to prevent further worsening of a left hand contracture. The findings include: A review of Resident #75's clinical record revealed she was admitted on [DATE]. Her diagnoses included cerebral infarction unspecified, hemiplegia and hemiparesis (weakness, paralysis on one side) following cerebral infarction affecting the left, non-dominant side, contracture of left hand, pressure ulcer of the sacral region - unspecified stage, muscle wasting and atrophy, dysphagia following cerebral infarction, facial weakness, hypertension, repeat falls, dysarthria and anarthria, sarcopenia, hyperlipidemia, and dementia without behavioral disturbances. (Copy obtained) A review of the Minimum Data Set (MDS) assessment, dated 05/08/2021, revealed the resident was assessed as requiring…

    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 · D2021-05-27 · 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 Based on observations, interviews, and record reviews, the facility failed to provide adequate supervision and assistive devices to prevent accidents for one (Resident #20) of one resident reviewed for accidents, from a total of 35 residents in the sample. The findings include: A review of Resident #20's medical record revealed he was admitted to the facility on [DATE] with a primary diagnosis of Parkinson's disease. His secondary diagnoses included anemia and arthritis. Resident #20 had a Brief Interview for Mental Status (BIMS) score of 13 out of a possible 15 points, indicating he was cognitively intact. He required extensive assistance from staff with activities of daily living (ADLs), including toileting. On 5/24/21 at 11:22 AM, Resident #20 was observed sitting up on the side of his bed. A large, crusted laceration was observed on the right side of his forehead. Resident #20 was yelling out repeatedly, Bathroom! The resident's room lights were off, and the window blinds were closed. He was asked whether he…

    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 · D2021-05-27 · 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, interviews, and record reviews, the facility failed to provide routine drugs for two (Resident #17 and Resident #75) of seven residents reviewed for compliance with medication administration, from a total of 35 residents in the sample. The findings include: On 5/25/21 at 9:30 AM, an observation of medication administration was conducted for Resident #75 with Employee E, Licensed Practical Nurse (LPN). The nurse noted that the resident had an order to receive furosemide (a diuretic) 40 milligrams (mg) and explained that it was not available. The nurse was asked about the facility's process when medications were unavailable. She explained that the facility did have an emergency drug supply, but that she wasn't sure if the furosemide was available in the supply. She then continued preparing medications. On 5/25/21 at 9:38 AM, an observation of medication administration was conducted for Resident #17 with Employee E, LPN. The nurse noted an order for the resident to receive an Eliquis (blood thinner) 5.0 mg tablet. She stated, This one has been on order for over…

    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 · D2021-05-27 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure medication error rates were not five percent or greater. There were 44 opportunities for error with a total of three errors, resulting in a medication error rate of 6.81% and involving two (Residents #75 and #17) of seven residents observed during medication administration. The findings include: On 5/25/21 at 9:30 AM, an observation of medication administration was conducted for Resident #75 with Employee E, Licensed Practical Nurse (LPN). The nurse noted that the resident had an order to receive furosemide (a diuretic) 40 milligrams (mg) and explained that it was not available. The nurse was asked about the facility's process for medications that were unavailable. She explained that the facility did have an emergency drug supply, but she wasn't sure whether the furosemide was available in the supply. She continued preparing medications and did not attempt to obtain furosemide for the resident. On 5/25/21 at 9:38 AM, an observation of medication administration was conducted for Resident #17 with Employee E, LPN. 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-05-27 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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 residents were free from significant medication errors for one (Resident #17) of seven residents reviewed for medication administration, from a total of 35 residents in the sample. The findings include: A review of Resident #17's medical record revealed he was admitted to the facility on [DATE]. His primary medical diagnosis was heart failure. His secondary diagnoses included epilepsy, atrial fibrillation, and a history of venous thrombosis. His cognition was intact and he required extensive assistance from staff with activities of daily living (ADLs). On 5/25/21 at 9:38 AM, an observation of medication administration was conducted for Resident #17 with Employee E, Licensed Practical Nurse (LPN). The nurse noted an order for the resident to receive an Eliquis (blood thinner) 5.0 mg (milligram) tablet. She stated, This one has been on order for over two weeks. She then noted an order for the resident to receive phenytoin sodium…

    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 · D2021-05-27 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure drugs used in the facility were labeled in accordance with currently accepted professional principles for three (Residents #75, #76 and #67) of seven residents observed during medication administration. The facility staff pre-poured medications and stored them in a medication cart with only the residents' first names written on the medication cups. The findings include: On 5/25/21 at 9:30 AM, an observation of medication administration was conducted for Resident #75 with Employee E, Licensed Practical Nurse (LPN). The nurse unlocked the medication cart and removed two Styrofoam cups from the top drawer. Resident #75's first name was written on one cup. Resident #76's first name was written on the second cup. Each cup contained medications. The nurse was unable to recall the contents of either cup when asked. The nurse was asked to dispose of the cups and prepare new medications for one resident at a time. On 5/25/21 at 9:35 AM, an observation of medication administration was conducted for Resident #67 with Employee…

    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

“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 VIVO HEALTHCARE — 12 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 52.4+2.6 vs chain
Health inspection 4 of 51.9+2.1 vs chain
Staffing 2 of 52.7-0.7 vs chain
Quality measures 5 of 54.3+0.7 vs chain
The other 11 homes this chain runs (chain average 2.4★, per CMS)

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
JACKSONVILLE 3 ORANGE PARK OPCO HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 09/09/2022
AB MARBEC REALTY GROUPOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF9%since 09/09/2022
JEK IRRV TR IIOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST13%since 09/09/2022
NMJ IRRV TR IIOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST13%since 09/09/2022
CUKIER, BROCHAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF10%since 09/09/2022
GLUCK, BENJAMINIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF5%since 09/09/2022
JACOBOWITZ, JUDAHIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF5%since 09/09/2022
JACKSONVILLE 3 PROPCO HOLDINGS LLCOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 09/09/2022
ORANGE PARK PROPCO LLCOrganization5% OR GREATER MORTGAGE INTERESTsince 09/09/2022
CUKIER, JOSEFIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/09/2022
SF IRREVOCABLE TRUSTOrganizationOPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF; ADP OF THE SNFsince 09/09/2022
FRIEDLAND, SHALOMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/09/2022
JAKOBOVITS, NATHANIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 10/07/2025
KAGAN, JEFFREYIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 10/07/2025
FORVIS MAZARS LLPOrganizationADP OF THE SNFsince 09/09/2022
JEK HOLDINGS LLCOrganizationADP OF THE SNFsince 09/09/2022
NMJ HOLDINGS LLCOrganizationADP OF THE SNFsince 09/09/2022
PEASE BELL CPAS LLCOrganizationADP OF THE SNFsince 09/09/2022
SUMMATION FINANCIAL SERVICES LLCOrganizationADP OF THE SNFsince 09/09/2022
VIVO HEALTHCARE CONSULTING LLCOrganizationADP OF THE SNFsince 09/09/2022
FOSTER-JACKSON, TRINITYIndividualADP OF THE SNFsince 01/30/2023
VISHEN, RAJESHIndividualADP OF THE SNFsince 04/01/2024

CMS files one row per role, so the 33 rows in the source record cover these 22 parties — each is shown once here with every role it holds. Nothing is omitted.

13 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.

$11.4M
Net patient revenuemost recent cost report
-0.5%
Operating marginrevenue minus expenses
$2.5M
Related-party expense22% of expenses
Who pays — share of resident-days
Medicaid 63%Medicare 11%Other / private 26%

This home reported $2.5M 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.

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

$337per resident / day
operating cost
$10,252per month
≈ monthly operating cost
$336per 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 105692. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-11-21, 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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