Tag 0676 · Severity G
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 2025-02-04For-profit
Riverwood Center
2802 Parental Home Road, Jacksonville, FL 32216
(904) 721-0088 · Aston Health
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 240 |
|---|---|---|---|
| Estimated occupancy | 90.8% | Latest inspection | 2025-01-09 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 50.0 points
Total nurse staffing
Facility: 3.36 hours/day
RN staffing
Facility: 0.38 hours/day
Staff turnover
Facility: 47.1%
Latest health deficiencies
Facility: 8 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 50.0 points | 27.0 points | 38.5 points |
| Total nurse staffing | 3.36 hours/day | 3.56 hours/day | 3.63 hours/day |
| RN staffing | 0.38 hours/day | 0.53 hours/day | 0.62 hours/day |
| Staff turnover | 47.1% | 48.2% | 41.8% |
| Latest health deficiencies | 8 deficiencies | 4 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-01-09
8 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
Tag 0558 · Severity D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-04Tag 0583 · Severity D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-04Tag 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 2025-02-04Tag 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 2025-02-04Tag 0755 · Severity D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-02-04Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-02-04Tag 0791 · Severity D
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-02-042023-02-02
7 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0804 · Severity F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-03-02Tag 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 2023-03-02Tag 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 2023-03-02Tag 0687 · Severity D
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-02Tag 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 2023-03-02Tag 0755 · Severity D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-03-02Tag 0761 · Severity D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-03-022021-06-17
12 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 2021-07-17Tag 0584 · Severity D
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 2021-07-17Tag 0655 · Severity D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-07-17Tag 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 2021-07-17Tag 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 2021-07-17Tag 0690 · Severity D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-07-17Tag 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 2021-07-17Tag 0761 · Severity D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-07-17Staffing composition
2.07 hours/dayNurse aide
0.90 hours/dayLPN
0.38 hours/dayRN
- Total staffing
- 3.36 hours/day
- County median
- 3.56 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.10 hours/day
- Staff turnover
- 47.1%
- RN turnover
- 20.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.5 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.9 per 1,000 days20250101-20251231
Emergency-department visits
0.7 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
2.1%similarFlorida: 2.2% · County: 1.7%2025Q2-2026Q1
Pressure ulcers
4.5%worseFlorida: 4.2% · County: 5.4%2025Q2-2026Q1
Urinary tract infections
0.3%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
24.5%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
What changes were made after inspectors reported actual harm during the 2025-01-09 inspection?
Suggested because of: latest actual harmHow many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat 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 are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic use
Facility Details
- County
- Duval County
- Certified beds
- 240
- Average daily residents
- 218
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1967-03-20
- CCN
- 105135
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.07275 |
| Lpn hours | 0.90079 |
| Rn hours | 0.38452 |
| Reported total hours | 3.35806 |
| Weekend total hours | 3.10257 |
| Weekend rn hours | 0.28301 |
| Adjusted total hours | 3.80116 |
| Total turnover percent | 47.1 |
| Rn turnover percent | 20 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$34,778.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-01-09 | Fine | $34,778.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
8Health citations
14Fire 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
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| KLEIN, SAMUEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 75% |
| KALMUS, GREGORY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology