Life Care Center of Jacksonville

In the surveyor’s words

From the most serious findings on record at Life Care Center of Jacksonville, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Oct 13, 2021

  Based on observations, a records review, a review of the facility's policies and procedures for Cardiopulmonary Resuscitation (CPR) and Advance Directives and Advance Care Planning, and interviews with staff, the facility failed to ensure clinical staff appropriately provided basic life support, including cardiopulmonary resuscitation (CPR) to a resident (#1) requiring such emergency care, out of five residents reviewed for Code Status/Advance Directives, by failing to 1) Verify the resident's code status when the resident was found unresponsive, 2) Provide CPR as per the resident's documented wishes and her physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . On [DATE] at 1:30 AM, Registered Nurse (RN) A was notified that Resident#1 had a change in condition. […]

• No harm, potential for more than minimal, widespreadF812Jun 25, 2026

  Based on food service observations, staff interviews, facility documentation and a review of the facility's policies and procedures, the facility failed to follow proper temperature documentation requirements for food safety to prevent bacterial growth and the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility, by failing to consistently monitor, verify, and document accurate operating temperatures and sanitizer concentrations for the mechanical dish machine and 3-compartment sink. Food handling and sanitation are important in health care settings serving nursing home residents. […]

• No harm, potential for more than minimal, patternF689Jun 25, 2026

  Based on record reviews, observations and interviews, the facility failed to ensure that the residents' environment remained as free of accident hazards as was possible for four (Residents #98, #38, #109 and #125) of four residents reviewed for accidents, from a total survey sample of 31 residents. The facility failed to properly store scissors, hair shears, and knives used by Residents #98, # 38, 109 and #125. This placed the residents reviewed for accidents and any other residents who could access their rooms, at risk for accidents with injury. The findings include:1.On 6/22/2026 at 11:39 AM, Resident #98 was observed in bed with his eyes closed. He did not respond when greeted. Hair shears were observed on his bedside table. […]

• No harm, potential for more than minimal, isolatedF677Oct 20, 2022

  Based on observations, interviews, and record review, the facility failed to ensure that one (Resident #25) of 42 sampled residents, who was unable to carry out activities of daily living (ADLs), received the necessary services to maintain good grooming and personal hygiene. The findings include: A review of Resident #25's medical record revealed he had a Brief Interview for Mental Status (BIMS) score of 10 out of a possible 15 points, indicating moderate cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF759Mar 18, 2021

  Based on observations, record reviews and interviews, the facility failed to ensure a medication error rate of less than 5% for two (Residents #66 and #18) of three residents sampled for medication administration review. There were 27 opportunities for error with six medication errors identified, for a medication error rate of 22.22%. The findings include: 1. A review of Resident #66's medical record revealed current physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . On 3/17/21 at 8:20 AM, an observation of medication administration was made with Employee A, Registered Nurse (RN), for Resident #66. […]