Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Vivo Healthcare Normandy during CMS and state inspections, most recent first.
Dirty and Damaged Dinnerware on Tray Line: Surveyors observed cracked plates and plates with food debris stuck on them on the tray line, and the items were removed from service. Interviews confirmed Dietary Aides were responsible for ensuring dinnerware and utensils were clean and in good condition, and the facility policy required food-contact surfaces and utensils to be clean to sight and touch and free of cracks or chips.
Pureed foods were served on the tray line in a smeared, unformed manner instead of using standardized recipes to produce appetizing, appealing meals. A cook said she relied on her own judgment for consistency and thickener use, while a dietary aide and the CDM confirmed the cook was responsible for pureed food preparation and that recipes were the guide for preparation. The facility policy required nourishing, palatable, well-balanced diets prepared using established guidelines.
A facility failed to keep care plans current for three residents with significant needs. One resident had a PICC line for IV antibiotics, another had a right heel arterial ulcer with wound care orders, and a third was admitted with a Life Vest and later had an order for daily battery changes, yet none of these items were included in the residents’ care plans. Staff interviews confirmed the omissions.
Inadequate Grooming and ADL Assistance: A resident with moderate cognitive impairment and extensive assistance needs was observed with greasy hair, white flakes, and excessively long facial hair on repeated occasions. The resident stated staff shaved him, but he could not recall the last shave or hair wash, and he later said he wanted a shampoo and shave. CNA and LPN interviews confirmed grooming was expected daily and included hair washing and facial hair removal, yet the resident remained unkempt.
Failure to Follow Wound Care and Splint Orders: A resident with a right lower leg skin tear was repeatedly observed with an unchanged dressing despite an order for wound care three times weekly, and staff gave conflicting accounts about who was responsible for the dressing changes. Another resident with hemiplegia and limited ROM had an active OT order for a left hand splint to be worn daily when out of bed, but the splint was not being worn, the MAR had no documentation for the order, and staff were unaware of the requirement or believed it was unnecessary.
Failure to clean fecal soilage during sacral wound care: A resident with a stage 3 sacral PU and multiple serious diagnoses, including CVA, hemiplegia, and malnutrition, had an ordered dressing change performed while visible fecal matter and odor were present in the gluteal cleft. The RN applied the new dressing without cleaning the fecal soilage first, and later acknowledged the wound should have been cleaned better; the DON stated the wound care assistant/CNA could provide incontinent care.
Incorrect PICC Line Documentation: A resident with a PICC/midline ordered for the right arm was observed with the line in the right upper inner arm, and an LPN also stated the PICC was in the right arm. However, multiple daily skilled notes documented the PICC placement in the left arm, and the DON stated nursing staff were expected to document accurately.
Shower Room Used for Equipment Storage: The facility failed to keep the 100 hallways' resident shower room separate from storage. A storage sign was posted on the shower room door, mechanical lifts were observed inside, and a resident was later observed exiting the room after showering. Staff including a CNA, LPN, Housekeeper, Maintenance Assistant, and ESD all reported they did not know why the room was being used for storage, while the Maintenance Director stated it had been used that way for about a year because there was no room to store the lifts.
Dirty and Damaged Dinnerware on Tray Line
Penalty
Summary
The facility failed to follow proper food safety sanitation standards and food handling practices when dinnerware used for resident meals was not kept in clean and good condition. During a follow-up kitchen tour on 12/16/2025 at 11:00 a.m., surveyors observed cracked plates and plates with food debris stuck on them on the tray line, and those items were pulled from service. The report states this deficiency affected the facility’s food service process and had the potential to affect all residents who consumed food from the kitchen. Interviews conducted on 12/18/2025 identified that Dietary Aides were responsible for ensuring dinnerware and utensils were clean and in good condition. A Dietary Aide stated that this responsibility occurred when dishes were being washed, and the Certified Dietary Manager confirmed that Dietary Aides were responsible for this task. The facility policy titled Food Safety Requirements required food to be stored, prepared, distributed, and served in accordance with professional standards, and cited FDA Food Code requirements that food-contact surfaces and utensils be clean to sight and touch and free of cracks, chips, and similar imperfections.
Pureed Foods Served Without Following Standardized Recipes
Penalty
Summary
The facility failed to ensure food served was prepared by methods that conserved nutritive value and appearance by not following standardized recipes for pureed foods. During a follow-up tour of the kitchen on 12/16/2025 at 11:00 a.m., a cook was observed on the tray line serving pureed meal components of savory based chicken, fluffy rice, seasoned spinach, and a white roll that were smeared on the plate with no shape or consistent form. Photographic evidence was obtained of the observation. During interviews on 12/18/2025, the cook stated she was responsible for preparing pureed food and described using consistency judgment, saying she had been told pureed food should be smooth and now should be thick like mashed potatoes, and that she would add thickener if she overpoured liquid. A dietary aide stated the cook was responsible for pureed food and that recipes were used to show cooks how to prepare it. The CDM also confirmed that the cook was responsible for preparing pureed food and stated that the recipe was used to show cooks how to prepare pureed foods. The facility policy titled Menus and Adequate Nutrition stated that menus are to be developed and prepared to meet resident choices and that the facility will provide nourishing, palatable, well-balanced diets using established guidelines.
Failure to Update Care Plans for PICC Line, Heel Wound, and Life Vest
Penalty
Summary
The facility failed to update comprehensive care plans to reflect residents’ current status for intravenous access, skin condition, and a Life Vest for three residents reviewed. One resident was observed with a PICC line in the right upper inner arm with a clean, dry dressing dated 12/16/2025 and stated he was receiving IV antibiotics through 12/24/2025; his record showed orders for PICC/midline care, but no care plan documentation for the PICC line was present. The MDS Coordinator stated it should have been care planned and was unsure why the PICC line was not included. Another resident was observed with a dressing on the right heel, and the record showed wound care orders for an arterial ulcer on the right heel, including cleansing, collagen, and bordered gauze three times weekly; however, the care plan did not address the right heel ulcer. A third resident was admitted with diagnoses including pulmonary embolism, chronic systolic CHF, acute respiratory failure with hypoxia, and COPD, and was admitted with a Life Vest; the record included a hospital transfer form listing the Life Vest provider and later an order for daily battery changes, but no care plan was present for the Life Vest or related orders. The MDS Coordinator stated the Life Vest needed to be care planned and could not identify it in the current care plan, and the Administrator stated that everything pertinent and relevant to a resident’s care plan should be included.
Inadequate Grooming and ADL Assistance
Penalty
Summary
The facility failed to ensure adequate grooming for a resident who was unable to perform ADLs independently. Resident #116 was admitted with diagnoses including need for assistance with personal care, Myasthenia Gravis without acute exacerbation, encephalopathy, and seizures. The resident's MDS showed a BIMS score of 10 out of 15, indicating moderate cognitive impairment, and he required substantial to maximal staff assistance with toileting, bed mobility, and personal hygiene, as well as total staff assistance with transfers. During observations on 12/15/2025 and 12/17/2025, Resident #116 was found in bed with excessively long facial hair, greasy hair, and numerous white/gray flakes in his hair. On the first observation, he stated the staff shaved him and that it had been a couple of weeks since he recalled being shaved; he also could not remember the last time his hair had been washed. On the second observation, his chin and upper lip hair remained excessively long and partially covered his lip, and his head hair remained greasy with many flakes. When asked, he stated he wanted a shampoo and shave. Interviews with CNA Q, LPN/Unit Manager W, and the DON showed that grooming was expected daily and that showers or baths were to be provided on assigned days and per resident preference, with hair washing and facial hair removal included as part of care. CNA Q confirmed she had provided incontinent care, assisted with eating, and straightened the resident's bed, and she observed that his hair was greasy with white flakes and his facial hair was excessive and long. The facility's ADL policy stated that residents unable to carry out ADLs would receive necessary services to maintain good grooming and personal and oral hygiene.
Failure to Follow Wound Care and Splint Orders
Penalty
Summary
The facility failed to provide treatment and care according to orders and the resident’s care plan for a resident with a right lower leg skin tear. The resident was observed on multiple occasions with a dressing dated 12/10/2025 still in place, while the physician’s order called for cleansing the wound and applying xeroform and border gauze three times weekly on Monday, Wednesday, and Friday beginning 12/11/2025. The resident stated he could not remember when the dressing had been changed, and an LPN stated the floor nurses did the skin tear dressing changes but she had not had the resident in several days. The record showed the resident had been admitted with multiple serious diagnoses, including hereditary and idiopathic neuropathy, protein-calorie malnutrition, sepsis, type 2 diabetes mellitus, chronic respiratory failure with hypoxia, COPD, muscle wasting and atrophy, resistance to multiple antibiotics, ESBL resistance, and bacteremia. The change-in-condition documentation on 12/10/2025 noted a skin tear with the recommendation that it be addressed by wound care. The TAR documented dressing changes on 12/12/2025, 12/15/2025, and 12/17/2025, but the wound care RN stated she did not follow skin tears and could not explain the documentation, while the DON stated skin tears should have triggered notification to wound care, the family, and the physician for orders. The facility also failed to provide care in accordance with orders and the care plan for a resident with left-sided hemiplegia and limited range of motion. The resident had active orders for OT splint placement with the splint to be worn daily when out of bed, off at night and for hygiene care, along with PT services and maintenance therapy. During observation, the resident was found in bed without the splint, and he stated the splint was in his drawer and that he was not wearing it. The MAR contained no documentation for the splint order, staff interviewed were unaware of the splint requirement or stated they had not worked with the resident, and one LPN said she did not find an order and believed the resident did not need the splint because his hand was opening a little.
Failure to clean fecal soilage during sacral wound care
Penalty
Summary
The facility failed to ensure that a resident with a stage 3 sacral pressure ulcer received necessary treatment and services consistent with professional standards of practice to promote healing and prevent infection. During an observation, the RN wound care nurse prepared to change the ordered dressing to the resident’s sacral wound while the resident was positioned on her left side. With the sacral and gluteal area exposed, a dark brown substance was observed beginning at the top of the gluteal cleft and extending to the bottom of the cleft, with a fecal odor present. The RN cleaned the wound using wound cleanser, applied a new treatment and dressing, refastened the resident’s brief, and instructed the resident to lie on her back, but did not clean the fecal matter from the gluteal cleft before redressing the wound and refastening the brief. The resident was admitted with multiple diagnoses including cerebral infarction, hemiplegia affecting the right dominant side, unspecified protein-calorie malnutrition, muscle wasting and atrophy, and other significant orthopedic and neurologic conditions. The physician’s order for the wound directed staff to cleanse the sacrum with normal saline, pat dry, and apply Medihoney, collagen, and border gauze dressing every day shift and as needed for soilage or dislodgement. During interview, the RN stated it was not acceptable practice to leave visible feces present and acknowledged the wound should have been cleaned better. The RN also stated that if a resident was soiled, staff would normally notify CNAs and return later, but agreed that this was not acceptable standard practice and that the dressing should have been changed if CNAs were busy. The DON stated the wound care assistant was also a CNA and could provide incontinent care without waiting on anyone.
Incorrect PICC Line Location Documented in Resident Record
Penalty
Summary
The facility failed to appropriately document the correct location of a resident’s PICC line in five of 14 daily chart notes for one resident reviewed for required record components. Resident #30 was admitted with diagnoses including hereditary and idiopathic neuropathy, mood disorder, cutaneous abscess of the chest wall, elevated white blood cell count, anemia, anxiety disorder, depression, pain, and primary hypertension, and had a physician order for a PICC/midline in the right arm with dressing changes every 7 days and as needed. During observation, the resident was seen with a PICC line in the upper inner right arm, and the area was clean, dry, and dressed. The resident stated the dressing had been changed that morning and reported receiving intravenous antibiotics through 12/24/2025. On another observation, the PICC line was again seen in the right upper inner arm, and an LPN stated the resident’s PICC line was in the right arm. However, review of the resident’s daily skilled notes for 12/2/2025, 12/4/2025, 12/8/2025, 12/10/2025, and 12/11/2025 showed the PICC placement documented in the left arm. The DON stated that nursing staff were expected to document accurately.
Shower Room Used for Equipment Storage
Penalty
Summary
The facility failed to provide a safe, sanitary, and comfortable homelike environment for residents on the 100 hallways by not keeping the resident shower room separate from equipment storage. On 12/16/2025, a storage sign was observed on the 100 hallways' resident shower room door, and when the door was opened, mechanical lifts were observed stored in the room. The shower room was still being used by residents, and on 12/18/2025 Resident #77 was observed exiting the 100 hallways' shower/storage room after completing a shower. During interviews, CNA S, LPN R, Housekeeper P, Maintenance Assistant N, and Environmental Services Director O each stated they did not know why the storage sign was posted on the shower room door or that the room was being used for both showers and storage. Environmental Services Director O stated equipment was being put in the room and it started being used for storage, and Maintenance Director M stated the room had been used for storage for about one year because there were too many lifts and no room to store them. He also stated the facility was not supposed to provide showers to residents when the room is used as storage. The facility policy titled Resident Rights states residents have a right to a safe, clean, comfortable, and homelike environment.
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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) |
|---|---|---|---|---|
| Fouraker Hills Rehab And Nursing Center | 0.7 mi | ★★★★★ | 0 | 0 |
| Westside Oaks Rehabilitation & Nursing Center | 2.8 mi | ★★★★★ | 19 | 4 |
| Cedar Hill Nursing And Rehab Center | 4.4 mi | ★★★★★ | 7 | 0 |
| Riverside Post Acute | 6.4 mi | ★★★★★ | 11 | 0 |
| Park Ridge Nursing Center | 6.8 mi | ★★★★★ | 4 | 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.