Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-11-14333 E Ashley St, Jacksonville, FL 32202
(904) 798-5300 · Summit Care
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 86.8% | Latest inspection | 2025-09-25 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 5 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 24.0 points | 27.0 points | 38.5 points |
| Total nurse staffing | 3.62 hours/day | 3.56 hours/day | 3.63 hours/day |
| RN staffing | 0.71 hours/day | 0.53 hours/day | 0.62 hours/day |
| Staff turnover | 45.9% | 48.2% | 41.8% |
| Latest health deficiencies | 5 deficiencies | 4 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-11-14Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-11-14Ensure 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 2025-11-14Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-11-14Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Deficient, Provider has date of correction 2025-11-14Immediate-jeopardy citations: 0
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-11-20Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-11-13Provide 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 2023-11-20Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-11-13Immediate-jeopardy citations: 0
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-01-01Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-01-01Develop 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 2022-01-01Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-01-01Implement 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 2022-01-01Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-01-01Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.18524 |
| Lpn hours | 0.72615 |
| Rn hours | 0.71109 |
| Reported total hours | 3.62248 |
| Weekend total hours | 3.30748 |
| Weekend rn hours | 0.59071 |
| Adjusted total hours | 3.65206 |
| Total turnover percent | 45.9 |
| Rn turnover percent | 45.5 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
| Name | Role | Share |
|---|---|---|
| ASHLEY STREET SNF INTERMEDIARY HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ASHLEY STREET SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| BLUMENTHAL, JUSTIN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| ASHLEY STREET OPCO MANAGER LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology