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

WESTMINSTER WOODS ON JULINGTON CREEK

JACKSONVILLE, FL · 60 certified beds · Last Life Safety survey November 15, 2024

CMS Certification Number 105901 · first certified March 1996

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Westminster Woods on Julington Creek (25 State Road 13). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Operated by WESTMINSTER COMMUNITIES OF FLORIDA · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

3
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within FL

3 citations — more than 19% 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

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

The latest survey found 1 citation; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: February 2026 to October 2026. This facility’s last Life Safety survey was November 2024. 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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Which alerts

Emergency preparedness

1 of the 3 citations on file is 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

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.

This facility3FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility3
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
02021-0722022-1212024-11
Citations at each Life Safety survey
Survey dateCitations
July 1, 20210
December 29, 20222
November 15, 20241

Most-cited tags

Most-cited tags at this facility
K-03451K-02111E-00011
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12022-12-29
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-11-15
E-0001Establish an Emergency Preparedness Program (EP).12022-12-29

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 1
  • Egress Deficiencies 1
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies1
Egress Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

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

November 15, 2024 — 1 citation

Citations issued on November 15, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 10, 2024)

December 29, 2022 — 2 citations

Citations issued on December 29, 2022
TagWhat the surveyor checksStatus
E-0001Establish an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 25, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 25, 2023)

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