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 North Bank Center For Rehabilitation And Healing during CMS and state inspections, most recent first.
The facility failed to maintain infection control practices in several areas. Surveyors observed feces and brown debris left in a shared resident bathroom over multiple days, used uncovered disposable razors left on vanity sinks in two resident rooms, and improper PPE and hand hygiene during g-tube medication administration for a resident on EBP. Interviews with the DON, Infection Preventionist, Housekeeping Director, and other staff confirmed the observed conditions and that the practices did not meet facility expectations.
A resident with a casted LLE, limited mobility, and multiple chronic conditions developed a left buttock pressure injury after return from the hospital. The facility’s records showed no skin condition on admission, but later wound documentation, the wound nurse, and the NP gave inconsistent accounts of whether the wound was POA. The facility also failed to update the care plan, MDS, and matrix to reflect the fracture and acquired wound, despite existing orders for pressure relief and wound care.
Disposable razors were found left accessible on vanity sinks in two residents’ rooms instead of being discarded in the sharps container. One resident had severe cognitive impairment, dementia, repeated falls, and used a wheelchair, while the other had CVA-related deficits, a BIMS score indicating intact cognition, and needed assistance with bathing and personal hygiene. Staff interviews and facility policy confirmed that razors were not to be left in rooms and were to be treated as sharps.
Incorrect Oxygen Flow Rate and Incomplete Documentation: A resident with anxiety disorder and SOB had an active order for oxygen at 3 L/min via NC as needed for low O2 saturation, but repeated observations found the concentrator set at 2 to 2.5 L/min instead. The resident’s NC was also observed slipping out of place, and the care plan and MAR did not match the ordered oxygen flow rate; documentation was also missing for the HOB-elevated order on several shifts. RN and DON confirmed the ordered setting was 3 L/min.
A resident’s personal refrigerator was repeatedly observed without an internal thermometer, and staff interviews showed unclear responsibility for monitoring and logging refrigerator temperatures. RN G said the Unit Manager was responsible, while the DON said the ADON was responsible for monitoring, cleaning, and logging temperatures, and the facility policy required each unit refrigerator to have a thermometer and be monitored for correct temperatures.
Infection Control Failures in Bathroom Sanitation, Sharps Disposal, and G-Tube PPE Use
Penalty
Summary
The facility failed to maintain a sanitary environment in a shared resident bathroom in room [ROOM NUMBER] when brown-colored debris identified as feces was observed in and around the bathroom shower area over multiple observations. On 9/22/2025, surveyors found the shower curtain rod and clear plastic shower curtain still attached, with brown debris under the toilet, against the wall, on the lower toilet bowl, on the vertical pipe behind the toilet, and smeared along the shower wall and door frame. A later observation on 9/24/2025 showed no change, with the shower curtain rod and curtain still on the floor and the brown debris still present in the same areas. During interviews, the Housekeeping Director acknowledged that all housekeeping staff had received training on proper cleaning and disinfecting of biohazard materials and confirmed the room had been missed for several days. The Infection Preventionist/ADON stated that any brown substance in a bathroom should be treated as biological fluid and cleaned immediately, and she confirmed that the condition seen in room [ROOM NUMBER] should not have been left for three days. The Risk Manager/Staff Educator also confirmed the brown debris was feces and stated the condition was not acceptable infection control practice. The facility also failed to properly dispose of used disposable razors found accessible in two resident rooms on the 200-hall unit. Surveyors observed uncovered used razors on vanity sinks in rooms [ROOM NUMBERS] on two separate days. Staff interviews indicated razors should not be left in resident rooms, should be kept with nursing staff, and used razors should be discarded in the sharps container. Facility policy likewise stated razors must be discarded in the sharps container and contaminated sharps should be discarded immediately or as soon as feasible. In addition, the facility failed to follow infection control practices during medication administration via g-tube for a resident on Enhanced Barrier Precautions. An RN was observed administering medication through the g-tube while wearing gloves but no gown, then removing gloves and repositioning the g-tube before washing hands. Another RN was observed touching medication capsules without gloves. The DON and Infection Preventionist stated staff were expected to wear gown and gloves for g-tube medication administration and to perform hand hygiene before and after, and the Infection Preventionist confirmed that staff infection control practices needed to improve.
Failure to Prevent and Document Pressure Injury Care
Penalty
Summary
The facility failed to appropriately address pressure injury prevention for one resident with a casted left lower extremity and limited mobility. Resident #72 was admitted after a fall and left ankle fracture, returned to the facility with a cast on the left lower extremity, and had diagnoses including multiple sclerosis, diabetes mellitus, contractures, reduced mobility, abnormal posture, generalized muscle weakness, and rheumatoid arthritis. The resident’s admission assessment and skin sweep documented no skin conditions, and daily skilled charting from 8/29/2025 through 9/1/2025 also documented no new changes to skin integrity. The resident later developed a left buttock pressure injury. Physician orders were present for wound care beginning 9/4/2025 for a deep tissue injury and later for a stage 3 pressure injury, along with orders for a donut pillow in bed and an extended leg rest while up in the wheelchair. The interdisciplinary plan of care identified the resident as having potential for pressure ulcer development related to incontinence and decreased mobility, and included interventions such as avoiding positioning on bony prominences, using a low air loss mattress, monitoring nutritional status, and using a donut cushion while in bed. However, the facility failed to update the Matrix for the facility-acquired pressure injury and failed to update the resident’s care plan and MDS to include the fracture and acquired pressure wound. Surveyor interviews and record review showed inconsistent documentation about when the wound was identified and whether it was present on admission. The wound care nurse stated the resident was first seen on 9/4/2025 for a new admission skin assessment and that no documentation could be found to support a skin condition on admission. The weekly wound report listed the left buttock pressure injury as acquired on the resident’s admission date, while the nurse practitioner stated she relied on what the wound care nurse told her and was not there every day. The resident was observed later stating she had not been out of bed since returning from the hospital, that she had pain at her tailbone, and that she had a wound on her buttock that stung when the bandage was changed.
Disposable razors left accessible in resident rooms
Penalty
Summary
The facility failed to maintain a safe environment when disposable razors were left accessible in resident rooms instead of being properly discarded. Surveyors observed a single disposable razor lying on the vanity sink in the area leading to the shared bathroom in Resident #44’s room on two separate observations, and also observed a single disposable razor in a yellow hygiene basin on the vanity sink in Resident #24’s room on two separate observations. Photographic evidence was obtained for both residents. Resident #44 was admitted with diagnoses including unspecified dementia, anemia, adult failure to thrive, dysphagia, and repeated falls. His quarterly MDS dated 7/14/2025 documented unclear speech, a BIMS score of 04/15 indicating severe cognitive impairment, and wheelchair use for mobility. His care plan identified him as at risk for falls related to weakness and included interventions for a safe environment, call light in reach, and frequent rounding. Resident #24 was admitted with diagnoses including speech and language deficits following a cerebral infarction, encephalopathy, dysphagia, unspecified convulsions, nontraumatic intracranial hemorrhage, and type 2 diabetes mellitus. Her admission MDS dated 9/2/2025 documented a BIMS score of 13/15, upper extremity impairment on one side, partial to moderate assistance needed for showering, bathing, and personal hygiene, and wheelchair use. Staff interviews confirmed that razors were not supposed to be left in resident rooms. A CNA stated that if she saw items such as razors in rooms, she would remove them, give them to the nurse, and report it. The ADON and Infection Preventionist stated there should be absolutely no sharps at the bedside or left behind in rooms, including razors, lancets, or nail clippers, and that used razors should be disposed of in the sharps container and never left in the room. The Risk Manager and Staff Educator stated staff were expected to check for hazards and items left behind in the environment that could cause harm. The facility policy titled Standards and Guidelines: SG Disposable Resident Care Product Utilization stated that razors must be discarded in the sharps container.
Incorrect Oxygen Flow Rate and Incomplete Documentation
Penalty
Summary
The facility failed to ensure that Resident #34 received oxygen therapy as ordered. The resident, who had diagnoses including anxiety disorder and shortness of breath, had an active order for oxygen at 3 L/min via nasal cannula as needed for oxygen saturation below 90% every shift for shortness of breath. However, during multiple observations on 09/22/2025, 09/23/2025, and 09/24/2025, the oxygen concentrator beside the resident’s bed was set at 2 to 2.5 L/min or 2 L/min instead of the ordered 3 L/min. On one observation, the resident’s nasal cannula was resting on her top lip, and she stated that it slips out sometimes. The concentrator was also not within arm’s reach during one observation. The record review showed the resident’s care plan referenced oxygen therapy as needed for shortness of breath, but it listed oxygen at 2 L/min rather than the ordered 3 L/min. The September 2025 MAR did not document oxygen at 3 L/min as ordered, and documentation was missing for the order to keep the head of bed elevated on several dates. RN G confirmed at the bedside that the concentrator was set at 2 L/min and then verified the physician’s order for 3 L/min. RN G stated staff were responsible for monitoring oxygen therapy, checking physician orders for correct settings, and communicating settings during shift report. The DON also confirmed that correct oxygen settings were identified by checking physician orders.
Missing Thermometer in Resident Refrigerator
Penalty
Summary
The facility failed to provide a safe, sanitary, and comfortable environment for residents when it did not ensure that one resident with a personal refrigerator had an internal refrigerator thermometer and that refrigerator temperatures were monitored for safety. Resident #61’s personal refrigerator was observed on 09/22/2025, 09/23/2025, and 09/24/2025 with no internal thermometer present, and photographic evidence was obtained during the final observation. During interviews, RN G stated that the Unit Manager was responsible for monitoring resident refrigerators and that the night nurse logged refrigerator temperatures. The DON later stated that the ADON was responsible for monitoring, cleaning, and logging temperatures of resident personal refrigerators, and that the 3rd floor Unit Manager was new and still training. The facility policy titled Cleaning and Sanitation of Refrigerators and Freezers on Units stated that all refrigerators on the units would be monitored for correct temperatures and cleaned weekly, and that each refrigerator and freezer would be equipped with a thermometer.
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Illustrative
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) |
|---|---|---|---|---|
| Shands Jacksonville Medical Center | 1.3 mi | ★★★★★ | 0 | 0 |
| Park Ridge Nursing Center | 1.9 mi | ★★★★★ | 4 | 0 |
| Riverside Post Acute | 2.5 mi | ★★★★★ | 11 | 0 |
| Jacksonville Rehabilitation And Nursing | 3.4 mi | ★★★★★ | 44 | 0 |
| Vivo Healthcare University | 4.2 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.