For-profit

Fouraker Hills Rehab and Nursing Center

1650 Fouraker Rd, Jacksonville, FL 32221

(904) 786-8668 · Aston Health

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
2 of 5Staffing
4 of 5Resident quality
OwnershipFor profit - Limited Liability companyCertified beds120
Estimated occupancy97.2%Latest inspection2025-01-16

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 3 of 5
similar
Health-inspection score
Facility: 38.0 points
similar
Total nurse staffing
Facility: 3.42 hours/day
worse
RN staffing
Facility: 0.39 hours/day
worse
Staff turnover
Facility: Not reported by CMS
unavailable
Latest health deficiencies
Facility: 5 deficiencies
better
View data table
MetricFacilityCountyFlorida
Overall rating3 of 54 of 53 of 5
Health-inspection score38.0 points27.0 points38.5 points
Total nurse staffing3.42 hours/day3.56 hours/day3.63 hours/day
RN staffing0.39 hours/day0.53 hours/day0.62 hours/day
Staff turnoverNot reported by CMS48.2%41.8%
Latest health deficiencies5 deficiencies4 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2025-01-16
5 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0584 · Severity E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-07

Tag 0925 · Severity E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies · Deficient, Provider has date of correction 2025-02-07

Tag 0641 · Severity D

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-02-07

Tag 0676 · Severity D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-02-07

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 2025-02-07
2023-02-16
5 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 2023-03-15

Tag 0583 · Severity D

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-03-15

Tag 0676 · Severity D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-15

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 2023-03-15

Tag 0790 · Severity D

Provide routine and 24-hour emergency dental care for each resident.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-15
2021-07-16
10 deficiencies
Highest severity: J

Immediate-jeopardy citations: 2

Tag 0607 · Severity J

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2021-08-27

Tag 0689 · Severity J

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 2021-09-01

Tag 0645 · Severity D

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-09-01

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 2021-09-01

Staffing composition

2.06 hours/dayNurse aide
0.96 hours/dayLPN
0.39 hours/dayRN
Total staffing
3.42 hours/day
County median
3.56 hours/day
Florida median
3.63 hours/day
Weekend total
3.09 hours/day
Staff turnover
Not reported by CMS
RN turnover
Not reported by CMS

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: 1.9 per 1,000 days
20250101-20251231

Emergency-department visits

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

Falls with major injury

2.1%betterFlorida: 2.2% · County: 1.7%
2025Q2-2026Q1

Pressure ulcers

3.6%betterFlorida: 4.2% · County: 5.4%
2025Q2-2026Q1

Urinary tract infections

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

Antipsychotic medication use

13.0%worseFlorida: 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 many RNs are typically on site during days, nights, and weekends?

    Suggested because of: rn staffing
  2. How are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?

    Suggested because of: antipsychotic use
  3. 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
120
Average daily residents
116.6
Ownership
For profit - Limited Liability company
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1990-08-10
CCN
105707

Staffing Data

Reported measureValue
Nurse aide hours2.06412
Lpn hours0.96425
Rn hours0.38967
Reported total hours3.41804
Weekend total hours3.09284
Weekend rn hours0.30091
Adjusted total hours4.23253
Total turnover percentNot reported by CMS
Rn turnover percentNot reported by CMS
Administrators left2

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

5Health citations
4Fire 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.

2

2021-07-16 · J

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2021-07-16 · J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ownership & Operators

NameRoleShare
WJ CARE HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
GUTMAN, SAMUELINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
WILDES, DONNACORPORATE OFFICERNOT APPLICABLE
BLATT, MARCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BURKES, SONYAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FENAES, EMILEEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LACY, SUSIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WILDES, DONNAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ASTON HEALTHCARE LLCADP OF THE SNFNOT APPLICABLE
BLATT, MARCADP OF THE SNFNOT APPLICABLE
FENAES, EMILEEADP OF THE SNFNOT APPLICABLE
WILDES, DONNAADP OF THE SNFNOT APPLICABLE

Helpful resources

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