Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Jacksonville Nursing And Rehab Center during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment and multiple medical conditions was found with razors and a medication inhaler at bedside, despite lacking assessment or approval for self-administration. Staff interviews confirmed that facility policy prohibits residents from keeping medications in their rooms without proper authorization, but the inhaler remained accessible and was not reported by all staff who observed it.
A resident with a history of heart failure, COPD, and respiratory failure was observed receiving oxygen therapy without a physician's order. Staff interviews confirmed that the resident used oxygen daily, but no order was documented, and the facility lacked a specific oxygen administration policy. The care plan required oxygen to be given as ordered, but this was not followed.
Failure to Prevent Unauthorized Medication Access and Self-Administration
Penalty
Summary
A deficiency was identified when razors and a medication inhaler were found at the bedside of a resident with moderate cognitive impairment and multiple medical diagnoses, including cerebrovascular disease, COPD, nicotine dependence, and anxiety disorder. The resident had a BIMS score of 12, indicating moderate cognitive impairment, and required varying levels of assistance with daily activities. There was no physician's order for self-administration of medications, nor was there any evidence in the care plan or medical record that the resident had been assessed or approved for self-administration of medications or treatments. The resident's most recent smoking evaluation also indicated unsafe smoking behavior. Interviews with staff confirmed that facility policy does not permit residents to self-administer medications or keep medications in their rooms without proper assessment and documentation. Staff members stated that if medications are found in a resident's possession, they are to notify a nurse or unit manager immediately. However, the inhaler remained at the resident's bedside, and at least one staff member observed it but did not report it, assuming the nurse was already aware. Review of facility policy confirmed that self-administration of medication requires interdisciplinary team approval and care plan documentation, which was not present in this case.
Oxygen Therapy Administered Without Physician Order
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards of practice for a resident who was observed receiving oxygen therapy without a physician's order. During an observation, the resident was found to be receiving oxygen at 3.5 L/min via nasal cannula, but a review of the medical record revealed no active physician's order for oxygen therapy. The resident had a history of heart failure, COPD, and both acute and chronic respiratory failure with hypoxia. The care plan indicated that oxygen should be administered as ordered, but this was not followed, as there was no documented order in place. Interviews with staff revealed that CNAs were not responsible for changing oxygen flow rates and would notify a nurse if issues arose, while LPNs stated they would adjust oxygen based on physician orders. However, the LPN confirmed that the resident used oxygen daily without an order. Additionally, the facility did not have a specific policy for oxygen administration, and the procedural guideline for physician's orders required detailed documentation, which was not present for this resident's oxygen therapy.
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What surveyors actually found near you
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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) |
|---|---|---|---|---|
| Lakeside Center For Rehabilitation And Healing | 1.2 mi | ★★★★★ | 6 | 0 |
| Aviata At Harts Harbor | 3.5 mi | ★★★★★ | 26 | 0 |
| Pavilion At Jacksonville, The | 4 mi | ★★★★★ | 18 | 0 |
| Jacksonville Rehabilitation And Nursing | 5 mi | ★★★★★ | 44 | 0 |
| River City Nursing And Rehab Center | 6.1 mi | ★★★★★ | 2 | 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.