Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

JACKSONVILLE REHABILITATION AND NURSING

JACKSONVILLE, FL · 120 certified beds · Last Life Safety survey April 30, 2026

CMS Certification Number 105138 · first certified May 1967

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

Ownership changed February 1, 2022 (change of ownership)to JACKSONVILLE CENTER FOR REHABILITATION AND HEALTHCARE from SUMMER BROOK FL SNF MANAGEMENT LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within FL

64 citations — more than 100% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 38 citations; the earlier surveys in the window averaged 13. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 10 months from now. This facility’s last Life Safety survey was April 2026. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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9 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

24 of the 64 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 64 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	64
Median facility in FL	7
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
July 14, 2022	1
July 25, 2024	25
April 30, 2026	38

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	3	2026-04-30
K-0923	Have proper medical gas storage and administration areas.	2	2026-04-30
E-0039	Conduct testing and exercise requirements.	2	2026-04-30
E-0042	Meet the requirements of an integrated health system.	2	2026-04-30
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2026-04-30
K-0363	Install corridor and hallway doors that block smoke.	2	2026-04-30
K-0324	Provide properly protected cooking facilities.	2	2026-04-30
E-0029	Develop a communication plan.	2	2026-04-30

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 24
Gas, Vacuum, and Electrical Systems Deficiencies 13
Smoke Deficiencies 11
Egress Deficiencies 5
Other 11

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	24
Gas, Vacuum, and Electrical Systems Deficiencies	13
Smoke Deficiencies	11
Egress Deficiencies	5
Miscellaneous Deficiencies	5
Services Deficiencies	5
Construction Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 30, 2026 — 38 citations

Citations issued on April 30, 2026
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (June 10, 2026)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (June 10, 2026)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (June 10, 2026)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (June 10, 2026)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (June 10, 2026)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (June 10, 2026)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (June 10, 2026)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (June 10, 2026)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (June 10, 2026)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (June 10, 2026)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (June 10, 2026)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (June 10, 2026)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (June 10, 2026)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (June 10, 2026)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (June 10, 2026)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (June 10, 2026)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (June 10, 2026)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (June 10, 2026)
E-0042	Meet the requirements of an integrated health system.	Deficient, Provider has date of correction (June 10, 2026)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (June 10, 2026)
K-0231	Provide large enough exits.	Deficient, Provider has date of correction (June 10, 2026)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (June 10, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (June 10, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (June 10, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (June 10, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (June 10, 2026)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (June 10, 2026)
K-0500	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (June 10, 2026)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (June 10, 2026)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (June 10, 2026)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (June 10, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (June 10, 2026)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (June 10, 2026)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (June 10, 2026)
K-0915	Have proper power supply for life support equipment.	Deficient, Provider has date of correction (June 10, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 10, 2026)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (June 10, 2026)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (June 10, 2026)

July 25, 2024 — 25 citations

Citations issued on July 25, 2024
Tag	What the surveyor checks	Status
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (August 25, 2024)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (August 25, 2024)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (August 25, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (August 25, 2024)
E-0042	Meet the requirements of an integrated health system.	Deficient, Provider has date of correction (August 25, 2024)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (August 25, 2024)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (August 25, 2024)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (August 25, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 25, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (August 25, 2024)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (August 25, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 25, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 25, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (August 25, 2024)
K-0400	Meet fire sprinkler requirement for tall buildings.	Deficient, Provider has date of correction (August 25, 2024)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (August 25, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 25, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 25, 2024)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (August 25, 2024)
K-0915	Have proper power supply for life support equipment.	Deficient, Provider has date of correction (August 25, 2024)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Deficient, Provider has date of correction (August 25, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 25, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (August 25, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (August 25, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (August 25, 2024)

July 14, 2022 — 1 citation

Citations issued on July 14, 2022
Tag	What the surveyor checks	Status
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (August 19, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.