Above average — CMS composite of the measures below.
A standard survey is most likely before 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 Life Care Center At Wells Crossing during CMS and state inspections, most recent first.
Dish machine temperatures and sanitizer readings were inaccurately documented. Kitchen staff reported running the machine multiple times until it reached 120 degrees F before recording the log, and observed testing showed wash and rinse temperatures that varied from the repeated log entries. Staff also used improper methods to check sanitizer concentration, resulting in no valid sanitizer reading during the observed tests. Log review showed repeated identical entries, missing documentation, and several outlier readings, while the CDM confirmed dietary aides were responsible for completing the temperature logs.
A resident with stroke-related hemiplegia, muscle weakness, and severe cognitive impairment was ordered a palm guard for the left hand, but he was observed twice without it while his contracted hand and overgrown nails pressed into his palm. Staff gave inconsistent accounts about the device, with some unaware of the order and others stating it was only used in therapy, while the care plan did not include the adaptive device.
The facility failed to have a contract with the outside dialysis provider for a resident who required dialysis services. The resident had MD orders for dialysis at an outside provider every Mon, Wed, and Fri, with instructions related to a fistula/shunt and scheduled transport for treatment. Dialysis communication forms confirmed the resident attended the provider, and the Administrator confirmed there was no contract in place.
Dish machine temperatures and sanitizer readings were inaccurately documented
Penalty
Summary
The facility failed to follow proper sanitation and food handling practices related to the dish machine, with kitchen staff not accurately logging dish machine temperatures and sanitizer concentrations. During a kitchen tour, a Dietary Aide reported the machine was a high-temperature dish machine, but when it was run for testing, the observed wash and rinse temperatures were 110/120 degrees F on the first test and 118/122 degrees F on the second test. The aide was observed using the test strip in open air inside the dishwasher tank on the first test and pouring water from a ware onto the test strip on the second test, so no sanitizer concentration was completed for either test. Review of the dish machine temperature logs from January through June 2025 showed repeated documentation of wash and rinse temperatures as 120 degrees F for each meal period, with rinse test strips documented as 100 ppm except for several missing entries and a few entries showing different values. Missing documentation was identified on multiple dates, including dinner entries in January and March, all mealtime documentation on one date in March, and extensive missing entries in June. Additional exceptions included a wash temperature of 130 degrees F on one February lunch entry, a wash temperature of 122 degrees F on one April breakfast entry, a rinse test strip of 200 ppm on one June breakfast entry, and a rinse test strip of 20 ppm on another June entry. The September 2025 log also showed wash and final rinse temperatures documented as 120 degrees F without deviation for the reviewed period. During interviews, Dietary Aides stated that the dish machine was run multiple times until it reached 120 degrees F before the temperature was documented, and that the staff assigned to the dish machine were responsible for completing the log after each use. The Certified Dietary Manager stated that staff knew the required temperature because it was listed on the log and thermometer, and confirmed that dietary aides were responsible for documenting the dish machine temperature logs after each shift, breakfast, lunch, and dinner. The facility policy titled Low Temp Dish Machine required the machine to be used according to the manufacturer’s specifications and required the temperature and sanitizer ppm to be recorded on the log a minimum of three times per day.
Ordered palm guard not worn and staff unaware of device use
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice when an ordered palm guard for the resident’s left hand was not being worn and direct-care staff were not aware that it should be worn. The resident had diagnoses including type II diabetes mellitus, hemiplegia/hemiparesis following a stroke, dysarthria following a stroke, and muscle weakness. The resident’s MDS showed severe cognitive impairment, one-sided upper and lower extremity functional impairment, and dependence for multiple activities of daily living. The resident was observed sitting in a wheelchair in the resident lounge without the left-hand device on two separate occasions. During the first observation, the resident’s left hand was contracted and the nails on that hand were overgrown and pressing into the left palm. During the second observation, the resident was again without the device and the nails remained overgrown and pressing into the palm. When asked about the device, the resident could not explain where it was and displayed confusion during the interview. The physician’s order dated 9/3/2025 directed use of a palm guard for the left hand except during hygiene and bathing. The care plan did not include a focus, goal, or interventions for the ordered adaptive device. Staff interviews showed inconsistent awareness of the device and its use: one LPN did not know if the resident had a splint and had not seen him with one; a CNA said she had seen a tan glove-like device in the resident’s pocket but had not been told to put it on; the DOR stated there was no order for it; and therapy staff stated the device was to be worn during the day and removed for hygiene and bathing. The PT stated CNAs and nurses were responsible for monitoring devices when residents were not in therapy, and the OT confirmed the resident had been given a palm guard after skin breakdown was observed in the hand.
Missing Dialysis Provider Contract
Penalty
Summary
The facility failed to enter into a contract with the dialysis provider for one resident who received dialysis services, even though the facility did not furnish in-house dialysis services. Resident #54 had active physician orders indicating dialysis treatment at an outside provider, with instructions not to take blood pressure on the left arm with a fistula/shunt and to send the resident for dialysis every Monday, Wednesday, and Friday. The record also included a transportation order for a 10:30 chair time pickup, and dialysis communication forms verified that the resident attended the dialysis provider on those scheduled days, with the first treatment documented on 8/13/2025 at 11:30 AM. On 9/11/2025, the Administrator confirmed there was no contract with the dialysis provider. The facility policy stated that residents who require dialysis must receive such services consistent with professional standards of practice.
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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 Orange Park
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vivo Healthcare Orange Park | 0.7 mi | ★★★★★ | 0 | 0 |
| Aviata At Orange Park | 1.4 mi | ★★★★★ | 7 | 0 |
| Oak View Health And Rehabilitation Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Moosehaven | 1.5 mi | ★★★★★ | 0 | 0 |
| Orange Park Rehabilitation And Nursing Center | 1.9 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.