Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Park Ridge Nursing Center during CMS and state inspections, most recent first.
Oxygen Flow Rates Not Set as Ordered: Three residents were observed receiving O2 through NC at 1.5 LPM even though each had physician orders for 2-4 LPM, with one resident ordered continuous O2 due to chronic respiratory failure and another with severe dementia and total dependence in mobility. Staff interviews confirmed the lower concentrator settings, and the DON stated nurses were expected to follow physician orders and monitor oxygen saturation and respiratory status.
The facility failed to implement a comprehensive care plan for a resident with a skin tear. The treatment administration record showed discrepancies, and the dressing was not changed as ordered. Interviews with nursing staff revealed confusion and inconsistency in following the treatment order, and the Director of Nursing confirmed the documentation errors.
The facility failed to provide appropriate oxygen therapy to a resident, as the oxygen tubing was not placed in the resident's nostrils on multiple occasions, despite physician's orders and facility policy. Staff interviews revealed a lack of clarity regarding their roles in managing the resident's oxygen.
The facility failed to ensure accurate and complete medical records for a resident with multiple medical conditions. The resident's bandage was not changed as documented, and staff were confused about the treatment order. The Director of Nursing confirmed the discrepancy, highlighting a lapse in documentation and adherence to facility policy.
Oxygen Flow Rates Not Set as Ordered
Penalty
Summary
The facility failed to ensure that residents who required respiratory care received oxygen at the physician-ordered flow rates. Three residents were observed with nasal cannulas connected to oxygen concentrators set at 1.5 LPM, while each resident had active orders for oxygen at 2-4 LPM via nasal cannula. The observations were documented with photographs, and the residents’ records confirmed the higher ordered flow rates. Resident #54 had diagnoses including solitary pulmonary nodule, dementia, psychotic disturbance, mood disturbance, anxiety, diastolic CHF, and chronic respiratory failure with hypoxia. The resident’s active orders included oxygen at 2-4 LPM via nasal cannula every shift, with a later change to continuous oxygen administration due to frequent shortness of breath with exertion. Resident #39 had diagnoses including dementia, psychotic disturbance, mood disturbance, anxiety, shortness of breath, pneumonia, acute upper respiratory infection, and acute and chronic respiratory failure, and had an order for oxygen at 2-4 LPM via nasal cannula continuously every shift. Resident #87 had diagnoses including encephalopathy, Alzheimer’s disease, COPD, mood disorder, dementia, psychotic disturbance, mood disturbance, anxiety, and CHF, and also had an order for oxygen at 2-4 LPM via nasal cannula continuously every shift. During interviews, an LPN described checking oxygen orders, verifying concentrator settings, and documenting them, and later confirmed that the photographed concentrator settings for Residents #39 and #54 were 1.5 LPM. Another LPN assigned to Resident #87 stated she checked oxygen orders and matched them to concentrator settings, and after reviewing the order confirmed it was for 2-4 LPM. The DON stated staff were to follow physician orders and monitor for hypoxia, SOB, and oxygen saturation. The facility’s oxygen administration policy stated that oxygen care included monitoring SpO2 daily, starting at the lowest rate ordered and adjusting to a higher ordered rate as needed to maintain saturation above 90%, unless otherwise stated in the physician’s order.
Failure to Implement Comprehensive Care Plan for Resident
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for Resident #32, who was observed with a skin tear on his left forearm. The resident's medical record indicated a physician's order for the treatment of the skin tear, which included cleansing with wound cleanser, applying Xeroform, and covering with a dry dressing every other day. However, the treatment administration record (TAR) showed discrepancies in the documentation of the dressing changes. The dressing was supposed to be changed on 5/10/2024, 5/12/2024, and 5/14/2024, but photographic evidence taken on 5/13/2024 showed a bandage dated 5/8/2024, indicating that the dressing had not been changed as ordered. Interviews with the nursing staff revealed confusion and inconsistency in following the treatment order. One LPN admitted to not being familiar with accessing the TAR, while another LPN acknowledged the confusion in the order and confirmed that the dressing should have been changed every other day. The Director of Nursing reviewed the TAR and confirmed that the treatment was not documented correctly, and the bandage should have been changed on the specified dates. The facility's policy for wound treatment management, which was reviewed and revised on 1/4/2024, was not adhered to, leading to the deficiency in care for Resident #32.
Failure to Provide Appropriate Oxygen Therapy
Penalty
Summary
The facility failed to ensure that a resident requiring oxygen therapy received care consistent with professional standards of practice, the comprehensive care plan, and physician's orders. Observations revealed that the resident's oxygen concentrator was set at 2 liters per minute, but the oxygen tubing was not placed in the resident's nostrils and was hanging close to the floor. On another occasion, the resident was transferred back to bed, and the oxygen nasal cannula was not placed in her nostrils, with the tubing found in a bag hanging on the concentrator. Despite the presence of the surveyor, the staff did not correct the situation promptly. The resident involved had multiple diagnoses, including senile degeneration of the brain, dementia, and arteriosclerotic heart disease, and was receiving oxygen therapy and hospice services. The resident's care plan did not include a focus on oxygen therapy, and staff interviews revealed a lack of clarity regarding their roles in managing the resident's oxygen. The facility's policy on oxygen administration stated that oxygen should be administered under physician orders and consistent with professional standards, but this was not adhered to in the observed instances.
Failure to Maintain Accurate Medical Records
Penalty
Summary
The facility failed to ensure that medical records for Resident #32 were complete, accurately documented, readily accessible, and systematically organized. During a tour, Resident #32 was observed with a bandage on his left forearm dated 5/8/2024, despite the treatment administration record (TAR) indicating that the bandage had been changed on 5/10/2024, 5/12/2024, and 5/14/2024. Interviews with staff revealed confusion regarding the treatment order, with one LPN stating the bandage should be changed every other day and another LPN confirming the bandage was changed on 5/14/2024 but not on the other dates as indicated in the TAR. The Director of Nursing confirmed that the treatment order was for every other day and that the bandage should have been changed on 5/10/2024, 5/12/2024, and 5/14/2024. The photographic evidence taken on 5/13/2024 showed the bandage dated 5/8/2024, indicating that the treatment was not performed as documented. The facility's policy for documentation in the medical record requires that all assessments, observations, and services provided be accurately and timely documented, which was not adhered to in this case. Resident #32's medical history includes metabolic encephalopathy, major depressive disorder, esophagitis with bleeding, aphasia, peripheral vascular disease (PVD), unspecified dementia, anorexia, and cerebral infarction pneumonitis due to inhalation of food and vomit. The failure to accurately document and perform the treatment as ordered for the resident's skin tear on his left forearm highlights a significant lapse in maintaining accurate and complete medical records, as required by the facility's policy and professional standards.
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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) |
|---|---|---|---|---|
| Riverside Post Acute | 0.7 mi | ★★★★★ | 11 | 0 |
| North Bank Center For Rehabilitation And Healing | 1.9 mi | ★★★★★ | 13 | 0 |
| Shands Jacksonville Medical Center | 2.3 mi | ★★★★★ | 0 | 0 |
| Jacksonville Rehabilitation And Nursing | 3.7 mi | ★★★★★ | 44 | 0 |
| Westside Oaks Rehabilitation & Nursing Center | 4.6 mi | ★★★★★ | 19 | 4 |
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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.