Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-02-13 3 deficiencies Highest severity: F
Immediate-jeopardy citations: 0
Tag 0812 · Severity F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-03-13
Tag 0880 · Severity F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-03-13
Tag 0689 · Severity D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-13
2023-03-30 10 deficiencies Highest severity: G
Immediate-jeopardy citations: 0
Tag 0693 · Severity G
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-05-10
Tag 0727 · Severity F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-05-10
Tag 0814 · Severity F
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-05-10
Tag 0558 · Severity D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-05-10
Tag 0657 · Severity D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-05-10
Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-06-21
Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-05-10
Tag 0758 · Severity D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-05-10
Tag 0812 · Severity D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-05-10
Tag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-05-10
2021-08-19 5 deficiencies Highest severity: D
Immediate-jeopardy citations: 0
Tag 0658 · Severity D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-09-28
Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-09-28
Tag 0686 · Severity D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-09-28
Tag 0697 · Severity D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-09-28
Tag 0883 · Severity D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2021-09-28
Staffing composition
2.19 hours/dayNurse aide
0.86 hours/dayLPN
0.37 hours/dayRN
Total staffing
3.42 hours/day
County median
3.66 hours/day
Florida median
3.63 hours/day
Weekend total
3.17 hours/day
Staff turnover
48.0%
RN turnover
63.6%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.9 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.8 per 1,000 days 20250101-20251231
Emergency-department visits
1.6 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.4 per 1,000 days 20250101-20251231
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffing
What is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnover
How will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
County
Clay County
Certified beds
120
Average daily residents
111.6
Ownership
For profit - Corporation
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1989-07-01
CCN
105663
Staffing Data
Reported measure
Value
Nurse aide hours
2.18599
Lpn hours
0.86405
Rn hours
0.36888
Reported total hours
3.41892
Weekend total hours
3.16928
Weekend rn hours
0.20958
Adjusted total hours
4.14895
Total turnover percent
48
Rn turnover percent
63.6
Administrators left
1
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
3Health citations
11Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
2023-03-30 · G
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Ownership & Operators
Name
Role
Share
OAK PARENT LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
AIH HOLDINGS 10 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
ALTRANAIS CARE CENTERS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
ASPIRE INVESTORS HOLDINGS II LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
ASPIRE INVESTORS HOLDINGS III LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
ASPIRE INVESTORS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
GREEN COVE HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
HAUTCO HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
HAUTCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
LEINEN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
FREUND, NOCHUM
CORPORATE OFFICER
NOT APPLICABLE
FREUND, NOCHUM
OPERATIONAL/MANAGERIAL CONTROL
NOT APPLICABLE
GOLDBERGER, FAIGY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF