For-profit

Fountains Rehabilitation at Mill Cove

9960 Atrium Way, Jacksonville, FL 32225

(904) 724-4001

3CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
3 of 5Overall
3 of 5Health inspections
4 of 5Staffing
4 of 5Resident quality
OwnershipFor profit - Limited Liability companyCertified beds84
Estimated occupancy98.7%Latest inspection2026-02-12

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 3 of 5
similar
Health-inspection score
Facility: 41.0 points
worse
Total nurse staffing
Facility: 3.74 hours/day
similar
RN staffing
Facility: 0.63 hours/day
similar
Staff turnover
Facility: 41.6%
similar
Latest health deficiencies
Facility: 8 deficiencies
worse
View data table
MetricFacilityCountyFlorida
Overall rating3 of 54 of 53 of 5
Health-inspection score41.0 points27.0 points38.5 points
Total nurse staffing3.74 hours/day3.56 hours/day3.63 hours/day
RN staffing0.63 hours/day0.53 hours/day0.62 hours/day
Staff turnover41.6%48.2%41.8%
Latest health deficiencies8 deficiencies4 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2026-02-12
8 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 2026-03-20

Tag 0582 · Severity E

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-20

Tag 0880 · Severity E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2026-03-20

Tag 0620 · Severity D

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-20

Tag 0656 · Severity D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-03-20

Tag 0685 · Severity D

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-03-20

Tag 0732 · Severity D

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2026-03-20

Tag 0908 · Severity D

Keep all essential equipment working safely.

Environmental Deficiencies · Deficient, Provider has date of correction 2026-03-20
2024-04-11
2 deficiencies
Highest severity: D

Immediate-jeopardy citations: 0

Tag 0645 · Severity D

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-05-08

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 2024-05-08
2022-04-28
5 deficiencies
Highest severity: D

Immediate-jeopardy citations: 0

Tag 0550 · Severity D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-05-27

Tag 0684 · Severity D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-05-27

Tag 0693 · Severity D

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 2022-05-27

Tag 0695 · Severity D

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-05-27

Tag 0759 · Severity D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-05-27

Staffing composition

2.25 hours/dayNurse aide
0.86 hours/dayLPN
0.63 hours/dayRN
Total staffing
3.74 hours/day
County median
3.56 hours/day
Florida median
3.63 hours/day
Weekend total
3.33 hours/day
Staff turnover
41.6%
RN turnover
38.5%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

3.0 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 1.9 per 1,000 days
20250101-20251231

Emergency-department visits

2.1 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days
20250101-20251231

Falls with major injury

1.7%betterFlorida: 2.2% · County: 1.7%
2025Q2-2026Q1

Pressure ulcers

5.5%worseFlorida: 4.2% · County: 5.4%
2025Q2-2026Q1

Urinary tract infections

0.0%unavailableFlorida: 0.0% · County: 0.0%
2025Q2-2026Q1

Antipsychotic medication use

7.2%similarFlorida: 7.0% · County: 7.5%
2025Q2-2026Q1

These group measures do not predict an individual resident’s experience.

Questions to ask

Use these prompts during a tour or phone call
  1. How does the care team prevent and treat pressure injuries?

    Suggested because of: pressure ulcers
  2. How will the care plan be developed, reviewed, and shared with our family?

    Suggested because of: general care planning

Facility Details

County
Duval County
Certified beds
84
Average daily residents
82.9
Ownership
For profit - Limited Liability company
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1996-09-13
CCN
105927

Staffing Data

Reported measureValue
Nurse aide hours2.24938
Lpn hours0.86346
Rn hours0.63051
Reported total hours3.74334
Weekend total hours3.32803
Weekend rn hours0.45558
Adjusted total hours3.89922
Total turnover percent41.6
Rn turnover percent38.5
Administrators left0

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

8Health citations
18Fire 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.

0

Ownership & Operators

NameRoleShare
ATRIUM SNF HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
ATRIUM MASTER HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
BHP SERVICES5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
WIERZBA, KYLEW-2 MANAGING EMPLOYEENOT APPLICABLE
SOFIA, LISACORPORATE OFFICERNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology