First Coast Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at First Coast Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Feb 29, 2024

  Based on interviews and record reviews, the facility failed to maintain sufficient nursing staff at all times to provide nursing and related services to assure resident safety and maintain the highest practicable physical, mental and psychosocial well-being for three (Residents #50, #71, and #289) of three resident requiring one on one supervision, from a total of 26 residents in the sample. This had the potential to negatively impact all 90 resident in the facility at the time of the survey. The findings include: 1. A review of Resident #50's clinical record revealed an admitted [DATE] with diagnoses that included encephalopathy, seizures, anxiety, depression, and schizoaffective disorder. […]

• No harm, potential for more than minimal, widespreadF947Feb 29, 2024

  Based on employee record reviews and staff interviews, the facility failed to provide the required in-service training for nurse aides, to ensure the continuing competence of nurse aides, no less than 12 hours per year, which includes dementia management training and resident abuse prevention training to 3 Certified Nursing Assistants (CNAs) (CNA Staff D, E, and F) of 5 staff reviewed. This has the potential to jeopardize continued conpetence of CNAs. The finding include: A record review of training files revealed the following: CNA D was hired on 2/10/21. Further review revealed no evidence a current 12 hours of in-service education was provided. CNA E was hired on 9/25/06. Further review revealed no evidence a current 12 hours of in-service was provided. CNA F was hired on 2/9/23. […]

• No harm, potential for more than minimal, widespreadF812Mar 17, 2022

  Based on observations, interviews, record reviews, and facility policy and procedure review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety by failing to ensure food was properly labeled; dishwashing machine was operating at required temperatures; maintain dishwashing machine daily temperature logs; maintained food at safe temperatures; and document food temperatures on temperature log. The findings include: During a tour of the kitchen on 3/14/22 at 9:55 AM, the following concerns were identified: 1. The milk cooler door was observed with a black substance on the rubber trim and the rubber trim was disconnected from the door. (Photographic evidence obtained) 2. […]

• No harm, potential for more than minimal, patternF628Jan 23, 2026

  Based on record review, interviews and a review of facility policies and procedures, the facility failed to 1) Complete the notice of transfer or discharge (Discharge/Transfer Notice AHCA 3120-002 form), and 2) Send a copy of the notice of transfer/Discharge to the representative of the Office of the State Long-Term Care Ombudsman's office for three (Residents #90, #92 and #23) of three residents reviewed for discharge requirements. The findings include:1.A review of Resident #90's medical record revealed an initial admission date of 11/26/25 and a re-entry date of 12/4/25. The resident was then discharged to an acute care hospital via emergency medical services for shortness of breath/respiratory distress on 12/29/25. […]

• No harm, potential for more than minimal, patternF925Jan 23, 2026

  Based on observations, interviews and record review, the facility failed to maintain an effective pest control program, as evidenced by repeated observations of live roaches and fruit flies in four (#101, #103, #105, and #214) of 39 resident rooms and two (100 hall and 300 hall) of three hallways. Failure of the facility to eradicate pests can pose health risks to vulnerable residents including transmission of diseases, allergic reactions and discomfort/infection related to bug bites. Pests can potentially threaten sanitation, contaminate food and cause residents emotional distress.The findings include: On 1/20/26 at 8:34 AM, a live roach was observed crawling on the floor from room [ROOM NUMBER] into the hallway. […]