Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avir At Jacksonville during CMS and state inspections, most recent first.
Unlabeled, Open, and Expired Food Stored in Kitchen: Surveyors observed an open bag of shredded cheese in a refrigerator with no date or label, along with multiple freezer items stored open to air, including frozen pork patties, cookies, mangoes, and pepperoni. An open bag of cinnamon rolls was also found expired. Staff and the DM stated kitchen staff were responsible for checking refrigerators and freezers for mislabeled or expired food, and the facility policy required foods to be covered, labeled, and dated.
Failure to follow EBP and hand hygiene occurred when the DON and a CNA provided direct care to a resident with sepsis, an indwelling catheter, and a pressure ulcer. They assisted with repositioning, transferring, and catheter bag handling without proper gown and glove use, and the DON left the room without hand hygiene. Facility policy required gown and glove use for high-contact care and hand hygiene before exiting the room.
A resident with dementia, respiratory diagnoses, and a need for continuous O2 allegedly had her oxygen mask forcefully applied by an LVN, who reportedly yelled that the resident must keep the mask on or would die. A laundry aide witnessed the event, immediately reported it to the Maintenance Director, and provided a written statement. The ADON was informed, spoke with a sitter who described the nurse as blunt about mask use, and concluded the incident was not reportable, without interviewing the reporting aide. The Administrator was not informed until days later and was unaware of the written statement, and the DON acknowledged that facility policy requires immediate reporting of abuse allegations to the ADM or a supervisor, which did not occur in this case.
A CNA at the facility searched a resident's personal possessions and removed items without permission, causing the resident distress. The CNA was following instructions to check for towels but failed to obtain explicit consent, violating the resident's right to privacy and dignity.
Unlabeled, Open, and Expired Food Stored in Kitchen
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food under sanitary conditions in the kitchen. During observation, surveyors found an open bag of shredded cheese in a refrigerator with no date or labeling and stored open to air. In the freezer, surveyors observed an open bag of frozen pork patties stored open to air with date received labeling. Surveyors also observed an open box containing an open bag of frozen cookies, an open box containing an open bag of frozen mangoes, an open bag of pepperoni, and an open and expired bag of cinnamon rolls. The cinnamon rolls had a use-by date of 12/13/25 and were expired. During interviews, kitchen staff and administration stated that staff were responsible for checking refrigerators and freezers for mislabeled or expired food, with checks typically done once per shift or daily, and that all kitchen staff were responsible for proper labeling and removal of expired items. The facility policy stated that all foods stored in the refrigerator or freezer are to be covered, labeled, and dated with a use-by date.
Failure to Follow EBP and Hand Hygiene During Resident Care
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program when the DON and a CNA did not follow Enhanced Barrier Precautions and hand hygiene while providing direct care to a resident with sepsis, moderately impaired cognition, an indwelling catheter, and a pressure ulcer. The resident’s face sheet, MDS, care plan, and order summary showed the resident required EBP, including gown and glove use during high-contact care activities and hand hygiene before entering and exiting the room. During observation, the resident was in a wheelchair in the dining room with a catheter bag attached to the wheelchair. When the DON and CNA assisted the resident back to her room to adjust her position, neither staff member applied PPE before prolonged direct contact, and both touched and repositioned the catheter bag without gloves. The DON left the room without completing hand hygiene. The CNA remained in the room assisting with the resident’s clothing and hair. Later, when the resident requested to be placed back into bed, the DON entered with gloves on, but the CNA again did not apply PPE. The resident was transferred by mechanical lift into bed, and both staff adjusted her position, removed the sling pad, and adjusted linens. The DON removed her gloves and left without hand hygiene, while the CNA sanitized her hands and left the room. Interviews with the CNA, DON, ADON, and Administrator confirmed that gown and gloves were expected for direct care under EBP and that hand hygiene was required before leaving the room, and the facility policies stated that transferring, device care, and other high-contact activities required gown and glove use and that gloves do not replace hand hygiene.
Failure to Timely Report Alleged Abuse Involving Oxygen Mask Application
Penalty
Summary
The facility failed to ensure that an alleged abuse incident was reported immediately, but not later than two hours after the allegation was made, as required by policy and HHSC reporting guidelines. The incident involved a female resident with dementia, dehiscence of a surgical wound, bronchopneumonia, and a need for continuous oxygen therapy. Her care plan documented impaired gas exchange and the need for frequent redirection to keep her oxygen mask on. On the date of the incident, a laundry aide reported entering the resident’s room and observing an LVN yelling at the resident to keep her oxygen mask on or she would go to the hospital, and forcefully pushing the oxygen mask onto the resident’s face and pulling the straps into place. The laundry aide immediately reported the allegation to the Maintenance Director, consistent with her abuse/neglect training, and wrote a statement describing the LVN’s alleged verbal and physical actions. The Maintenance Director then notified the ADON and provided the written statement. The ADON went to the resident’s room and spoke with a sitter from the state hospital who was present during the incident. The sitter reported that the LVN had been blunt with the resident about keeping the mask on and the risks of taking it off, but the ADON stated that the sitter did not report that the LVN forcefully placed the oxygen mask on the resident’s face. Based on her interviews, the ADON determined the incident was not reportable and did not notify the Administrator or HHSC within the required timeframe. Subsequent interviews revealed discrepancies between what was reported to the ADON and what witnesses stated to the surveyor. The sitter later told the surveyor that the LVN yelled at the resident to put the mask back on, forcefully put the mask on while saying, "If you don't put this mask on you're going to die," and that the resident appeared frightened. The laundry aide confirmed she was never interviewed by the ADON beyond providing her written statement. The Administrator reported she was not notified of the incident until two days after it occurred and was unaware of the laundry aide’s written statement until the survey. The DON stated that, per policy, abuse allegations should be reported immediately to the Administrator or, in her absence, to a supervisor, and acknowledged that this allegation was not reported to the Administrator as required.
Violation of Resident's Right to Privacy and Dignity
Penalty
Summary
The facility failed to ensure that a resident's right to be treated with respect and dignity was upheld. Specifically, a CNA went through a resident's personal possessions without permission and removed items from his room. The resident, who had intact cognition and no noted mood or behavior concerns, reported feeling distressed and disrespected by the CNA's actions. The incident occurred when the CNA was instructed by the ADON to check resident rooms for towels, and the CNA proceeded to search the resident's nightstand drawers and closet without obtaining explicit permission, despite the resident's objections. The CNA claimed she was following orders to retrieve extra towels from resident rooms and believed the resident was initially fine with her actions. However, the resident became upset when the CNA continued to search his closet. The CNA later returned to the room with another CNA to remove the towels while the resident was not present. The ADON and DON confirmed that the CNA was instructed to check for towels but emphasized that staff should have asked for permission before searching through personal belongings. The facility's policy on resident rights, which mandates treating residents with respect, kindness, and dignity, was not followed in this instance. The DON acknowledged that the CNA's actions were inappropriate and initiated an in-service training on resident rights and privacy for the staff. The resident expressed that his main concern was the violation of his rights and the need for corrective action to prevent such incidents in the future.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 105 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Jacksonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Twin Oaks Health & Rehabilitation Center | 2.1 mi | ★★★★★ | 12 | 0 |
| Legacy At Jacksonville | 3.2 mi | ★★★★★ | 9 | 0 |
| Cherokee Trails Nursing Home | 12.6 mi | ★★★★★ | 20 | 0 |
| The Arbors Healthcare And Rehabilitation Center | 13.3 mi | ★★★★★ | 20 | 0 |
| Bluebonnet Point Wellness | 15.1 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Avir At Jacksonville.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.