Deficiency Index

Jacksonville Health and Rehabilitation, LLC

Jacksonville, Alabama · CCN 015391

13 surveys since 2011, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
50
Surveys
13
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2023
’11’15’20’23
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file10/13

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
167
Ownership
For profit - Corporation
Chain
NHS MANAGEMENT
County
Calhoun
Medicare-certified since
1986

CMS ratings

Overall
3
Health inspection
2
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=4, floor 20).

Last survey on record

Sep 29, 2023

1,137 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.983.81
Registered-nurse hours per resident day0.38—
Annual nurse turnover44.5%47.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD433.3%E325.0%F216.7%
No harm, potential for minimalA—B—C325.0%
CMS’s current file: 12 of the 50 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5841×

    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.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6921×

    Provide enough food/fluids to maintain a resident's health.

In the surveyor’s words

From the most serious findings on record at Jacksonville Health and Rehabilitation, LLC, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Sep 29, 2023

    Based on observation, interview, the facility's Dishwashing Machine Temperature Log, the 2022 United States (U.S.) Food and Drug Administration (FDA) Food Code, and the facility's policies for Food Receipt and Storage, Dish Machine Sanitization, Food Preparation Guidelines, and Tray Assembly; the facility failed to ensure food safety by the following: storing food less than six inches from the floor in the Walk-in Cooler, having soiled and dusty vent covers over the refrigeration fans in the Walk-in Cooler, not effectively monitoring and documenting the dishwashing machine's sanitizing final rinse temperature, and not maintaining the temperature of a pan of Pureed Turkey Sandwiches below 41 degrees Fahrenheit (F). […]

  • No harm, potential for more than minimal, patternF584Sep 29, 2023

    Based on observations, interviews, and a facility policy titled Preventative Maintenance Strategy the facility failed to provide necessary maintenance services to maintain good repair of equipment and a home like environment. This deficient practice was observed on four of four days of the survey and had the potential to affect residents residing on the 100 hall, one of three halls in the facility. Findings include: A facility policy titled Preventative Maintenance Strategy dated 3/1/2010 documented: . 1. […]

  • No harm, potential for more than minimal, patternF803Sep 29, 2023

    Based on observation, interview, the facility's Diet Guide Sheet for Spring 2023/Week 2/Tuesday/Day 10, and the facility's policy for Cycle Menus; the facility failed to provide a six-ounce portion of Pureed Turkey Sandwich for 8 of 8 pureed meals observed. The facility further failed to provide a full six-ounce portion of Pureed Cream of Broccoli Soup for 5 of 8 pureed meals observed. This had the potential to affect 8 of 20 residents receiving pureed meals during a Supper trayline observation on 09/26/2023. Findings include: The facility's policy for Cycle Menus, dated 10/01/2005, included the following: . […]

  • No harm, potential for minimal, widespreadF809Sep 29, 2023

    Based on interview and the facility's Tray Service Schedule, the facility had scheduled an excess of 14 hours between the service of the Supper meal and the service of the Breakfast meal. This affected three of three resident units and had the potential to affect all residents receiving meals in the facility, 151 of 151 residents. Findings include: On 09/26/2023, Employee Identifier (EI) #5, the Dietary Manager provided a copy of the Tray Service Schedule. The Tray Service Schedule included the following information: a.) The first cart for Unit #2's supper was to be delivered at 5:05 PM and the first cart for breakfast was to be delivered at 7:20 AM. […]

Read 22 findings in full →The most serious and the most recent: 22 of 50 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 29, 2023Standard4 findings
  • Sep 19, 2019Standard4 findings
  • Sep 6, 2018Standard and complaint4 findings
  • Aug 24, 2017Standard4 findings
  • Aug 30, 2016Complaint3 findings
  • Jul 21, 2016Standard5 findings
  • Apr 21, 2016Complaint2 findings
  • Jul 23, 2015Complaint1 finding
Show the 5 earlier surveys
  • Jun 18, 2015Standard and complaint3 findings
  • Jul 10, 2014Standard and complaint5 findings · 2 harm
  • May 16, 2013—2 findings
  • Mar 22, 2012—7 findings
  • Feb 17, 2011—6 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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