Non-profit

Pavilion for Health Care, the

3465 Caroline Blvd, Penney Farms, FL 32079

(904) 297-9700

5CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
5 of 5Overall
5 of 5Health inspections
5 of 5Staffing
4 of 5Resident quality
OwnershipNon profit - CorporationCertified beds50
Estimated occupancy89.4%Latest inspection2026-03-26

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 5 of 5
better
Health-inspection score
Facility: 1.0 points
better
Total nurse staffing
Facility: 4.91 hours/day
better
RN staffing
Facility: 0.64 hours/day
similar
Staff turnover
Facility: 34.4%
better
Latest health deficiencies
Facility: 0 deficiencies
better
View data table
MetricFacilityCountyFlorida
Overall rating5 of 55 of 53 of 5
Health-inspection score1.0 points16.5 points38.5 points
Total nurse staffing4.91 hours/day3.66 hours/day3.63 hours/day
RN staffing0.64 hours/day0.51 hours/day0.62 hours/day
Staff turnover34.4%46.8%41.8%
Latest health deficiencies0 deficiencies2 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2026-03-26
0 deficiencies
Highest severity: Not reported by CMS

Immediate-jeopardy citations: 0

No matching citation detail was published.

2024-06-20
1 deficiencies
Highest severity: D

Immediate-jeopardy citations: 0

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 2024-07-10
2022-09-15
2 deficiencies
Highest severity: D

Immediate-jeopardy citations: 0

Tag 0759 · Severity D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-10-01

Tag 0760 · Severity D

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-10-01

Staffing composition

3.17 hours/dayNurse aide
1.10 hours/dayLPN
0.64 hours/dayRN
Total staffing
4.91 hours/day
County median
3.66 hours/day
Florida median
3.63 hours/day
Weekend total
4.15 hours/day
Staff turnover
34.4%
RN turnover
37.5%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

1.8 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.8 per 1,000 days
20250101-20251231

Emergency-department visits

2.1 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.4 per 1,000 days
20250101-20251231

Falls with major injury

2.8%worseFlorida: 2.2% · County: 2.5%
2025Q2-2026Q1

Pressure ulcers

3.6%betterFlorida: 4.2% · County: 4.1%
2025Q2-2026Q1

Urinary tract infections

1.6%unavailableFlorida: 0.0% · County: 0.0%
2025Q2-2026Q1

Antipsychotic medication use

5.9%betterFlorida: 7.0% · County: 5.6%
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. What fall-prevention program is used, and how are families notified after a fall?

    Suggested because of: falls major injury
  2. 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
50
Average daily residents
44.7
Ownership
Non profit - Corporation
Provider type
Medicare and Medicaid
In hospital
No
Date certified
2012-12-27
CCN
106096

Staffing Data

Reported measureValue
Nurse aide hours3.16523
Lpn hours1.0988
Rn hours0.64342
Reported total hours4.90745
Weekend total hours4.15
Weekend rn hours0.38539
Adjusted total hours6.18216
Total turnover percent34.4
Rn turnover percent37.5
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

0Health citations
1Fire 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
AGRESTI, GERALDMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
BARTON, TERESAMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
BRIDGMAN, MARYMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
COSTIN, RICHARDMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
DECKERHOFF, KIPMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
IRVINE, FRANCESMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
KEATING, NANCYMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
KNOFF, RICHARDMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
LOPER, HARRYMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
LOVELACE, JIMMYMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
MEERNIK, GARYMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
PIERCE, REBECCAMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
RENNINGER, JAMESMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
VANDERKAMP, STEPHENMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
WESTBERRY, RANNELMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
SCOTT, TERESACORPORATE DIRECTORNOT APPLICABLE
SCOTT, TERESACORPORATE OFFICERNOT APPLICABLE
ISSA, HANIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCGURER, CHRISTIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SCOTT, TERESAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
STANDLEY, JAMIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ISSA, HANIADP OF THE SNFNOT APPLICABLE
MCGURER, CHRISTIEADP OF THE SNFNOT APPLICABLE
SCOTT, TERESAADP OF THE SNFNOT APPLICABLE
STANDLEY, JAMIEADP OF THE SNFNOT APPLICABLE

Helpful resources

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