Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at First Coast Health And Rehabilitation Center during CMS and state inspections, most recent first.
Failure to complete transfer/discharge notices and notify the Ombudsman: Three residents were discharged or transferred, including one sent to an acute care hospital for SOB/respiratory distress and two discharged at the resident or family request. No AHCA 3120-002 notices were found in the records, and there was no indication that the Ombudsman's office was notified. Interviews with the DSS, Administrator, and DON confirmed that no transfer/discharge notifications were sent to the Ombudsman for the month.
Ineffective Pest Control Program: Repeated live roaches and fruit flies were observed in resident rooms and hallways, and staff confirmed daily pest sightings. An LPN reported roaches and flies were seen daily, another LPN observed small flies in a resident room, and the Maintenance Director said the pest treatment every two weeks was not adequate. Pest logs and pest control records also documented roach and fly activity, including a broken or missing kitchen tile that allowed food and water to collect underneath.
The facility failed to maintain safe and functional bathroom facilities in the East Wing and [NAME] Wing, with leaking toilets and unsecured sinks. Staff were aware of the issues but did not effectively report them, leading to unresolved maintenance problems. The Maintenance Director was unaware of the issues due to a breakdown in the reporting system.
Failure to Complete Transfer/Discharge Notices and Notify Ombudsman
Penalty
Summary
The facility failed to complete the Notice of Transfer/Discharge (AHCA 3120-002) and failed to send a copy of the notice to the representative of the Office of the State Long-Term Care Ombudsman for three residents reviewed for discharge requirements. Resident #90 was admitted on 11/26/25, re-entered on 12/4/25, and was later discharged to an acute care hospital via EMS on 12/29/25 for shortness of breath and respiratory distress. A physician order dated 12/29/25 directed nursing staff to send the resident to the hospital for respiratory distress, and an SBAR summary documented a change in condition with a recommendation to send the resident to the hospital via 911. No Discharge/Transfer Notice AHCA 3120-002 form was found in the medical record, and there was no indication that the Ombudsman's office was notified. Resident #92 was admitted on 12/13/25 and discharged on 12/16/25 to an inpatient rehabilitation facility at the resident's request. Resident #23 was admitted on 10/23/25 and discharged on 12/18/25 to a facility in Ohio closer to family at the family's request. For both residents, no Discharge/Transfer Notice AHCA 3120-002 form was found in the medical record, and there was no indication that the Ombudsman's office was notified of the discharge. Interviews with the DSS, Administrator, and DON showed staff identified Social Services as responsible for Ombudsman notification, and the DON confirmed that no transfer or discharge notifications were sent to the Ombudsman in December 2025, even though the three residents were listed among the December discharges.
Ineffective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by repeated observations of live roaches and fruit flies in resident rooms and hallways. On 1/20/26, a live roach was observed crawling from a resident room into the hallway, and a CNA who witnessed it confirmed the sighting and stated that roaches and flies were seen daily. Small flying insects were also observed in resident rooms #101, #105, and #214. During the Life Safety facility tour on 1/22/26, a live roach was observed on the 300 hall near the nursing station, and on 1/23/26 another live roach was observed on the 100 hall. Staff interviews and record review showed that pest sightings were being documented, but pests continued to be seen in the facility. An LPN stated that roaches and fruit flies were observed daily and that she had last killed a roach on the 100 hall. Another LPN stated she had observed small flies in a resident room that day and that sightings were documented in the pest log for the pest control technician. The Maintenance Director stated pest control came every two weeks, but he did not feel the treatment was adequate and had not made additional service treatment calls. The pest log documented roaches in rooms #103, #105, and #107, and pest control records noted fly activity in the rehab center and a broken or missing kitchen tile that allowed food and water to accumulate underneath, creating harborage for small filth flies and cockroaches. The facility policy stated it would evaluate the effectiveness of services and contact the pest control agency if additional services were needed.
Facility Fails to Maintain Safe and Functional Bathroom Facilities
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment in the resident shower/bathroom areas of the East Wing and [NAME] Wing. During a tour, a foul odor was detected in the East Wing shower room, where a bucket was placed under a leaking toilet tank, and water sprayed from a shower head connection. In the [NAME] Wing, a disconnected flushometer caused water to spray from a toilet, with staff using linens to manage the water. These issues were not marked as out of order, allowing resident use. Interviews with staff revealed a lack of communication and training regarding maintenance reporting. Employee C, a CNA, was aware of the ongoing issue but had not reported it, while Employee A, an RN, confirmed the restroom was for resident use and had been leaking for some time. The Maintenance Director was unaware of the issues, indicating a breakdown in the reporting system, as he had not received any work orders or estimates for repairs. Resident #3 reported a sink not securely attached to the wall in her bathroom, which had been reported to staff but remained unrepaired. The Maintenance Director, upon inspection, acknowledged the need for repairs but had not been informed of the issues. The facility's maintenance system, TELS, was not effectively utilized by staff, contributing to unresolved plumbing issues and a lack of timely repairs.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Jacksonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dolphin Pointe Health Care Center | 0.6 mi | ★★★★★ | 13 | 0 |
| Fountains Rehabilitation At Mill Cove | 2.2 mi | ★★★★★ | 23 | 0 |
| University Crossing | 2.4 mi | ★★★★★ | 0 | 0 |
| Vivo Healthcare University | 2.7 mi | ★★★★★ | 0 | 0 |
| Riverwood Center | 3.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.