Chipola Health and Rehabilitation Center
4294 3rd Avenue, Marianna, FL 32446 · Jackson County · (850) 526-3191
60 certified beds, about 53 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105729 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 29, 2025, inspectors cited 8 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 10 health citations since March 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.42 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
40.3% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care, an affiliated group of 11 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
May 29, 2025Standard inspection · 8 citations
- D 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.
Inspectors wroteBased on observations and interviews, the facility failed to provide an environment that is clean and in good condition in 3 of 50 occupied rooms. (Rooms 106B, 107A, 108A/B)
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interviews, records reviews, and review of the faciity's policy and porcedure, the facility failed to conduct an accurate assessment by not assigning the proper code to the Minimum Data Set (MDS) that corresponds to the appropriate aspect of the resident care in 2 out of 6 residents. (Resident #24 and #7)
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observations, interviews, records and policy review, the facility failed to maintain acceptable parameters of nutritional status and electrolyte balance for 1 out of 2 enteral feeding residents by not following physician orders for enteral fluid hydration. (Resident #45)
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased upon observations and record reviews, the facility failed to ensure adequate documentation of narcotic sheets on 2 out of 3 medication carts.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, interviews, and policy review, the facility failed to facilitate consideration of precautions and safe administration of medication for 2 out of 6 residents as evidenced by 2 expired insulin pens present in the medication cart.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interviews and medical record reviews, the facility failed to maintain a complete and accurately documented clinical record as evidenced by inaccurate and missing documentation on the Medication Administration Record (MAR) for 1 out of 6 residents. (Resident #24)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews and record review, the facility failed to follow accepted infection prevention and control standards including hand hygiene, proper use of Personal Protective Equipment (PPE) and storage of oxygen tubing, to prevent the spread of infections by staff involved in direct resident care in 4 out 7 residents observed. (Resident #11, #7, #45, and #24)
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observations, interviews and medical record review, the facility failed to provide reasonable accommodation for resident needs by ensuring that the call bell was accessible for 5 out 12 residents observed in the 300 hallways. (Residents #7, #301, #8, #3, #23)
April 17, 2024Standard inspection · 1 citation
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to adequately clean fixed equipment (oven, fryer, and other surfaces) and ensure these surfaces were free from buildup and contamination via splashes, dust, and grease. This has the potential to affect 52 of the 56 residents who were consuming food prepared in the facility's kitchen.
March 16, 2023Standard inspection · 1 citation
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to provide appropriate treatment to prevent further decrease in range of motion for 1 of 1 residents reviewed for limited range of motion. (Resident #49)
Fire safety inspections
3 fire safety citations on file: 1 on May 29, 2025, 1 on April 17, 2024, 1 on March 16, 2023.
Every fire safety citation3 citations
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Install corridor and hallway doors that block smoke.
- D Install corridor and hallway doors that block smoke.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.42 | 3.82 | 3.86 |
| Registered nurses | 0.64 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.10 | 3.49 | 3.42 |
| Nurse aides | 2.05 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 40.3% | 41.4% | 45.8% |
| Registered nurse turnover | 38.5% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.34 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.55 on weekdays and 3.10 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.42 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.42 | 0.64 | 3.55 | 3.10 | 0.0% | 0 of 90 | 53 |
| Oct to Dec 2025 | 3.58 | 0.80 | 3.75 | 3.16 | 0.0% | 0 of 92 | 51 |
| Jul to Sep 2025 | 3.51 | 0.83 | 3.68 | 3.06 | 0.0% | 0 of 92 | 56 |
| Apr to Jun 2025 | 3.64 | 0.74 | 3.83 | 3.17 | 0.0% | 0 of 91 | 52 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.2 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.2 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.3 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.9 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.9 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.3 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.3 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 1.1 | 1.8 |
Owners and operators
Legal business name: 4294 3RD AVENUE OPERATIONS, LLC. CMS links this home to Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care, a group of 11 nursing homes averaging 2.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fmrgc Holdco, LLC | 5% or greater direct ownership interest | Organization | 100% | 04/01/2022 |
| Cse Marianna Holdings, LLC | 5% or greater security interest | Organization | 04/01/2022 | |
| Hoback, Tiffany | Managing control - governing body | Individual | 06/01/2025 | |
| Lee, Bradley | Managing control - governing body | Individual | 12/10/2024 | |
| Nsprmc, LLC | Operational/managerial control | Organization | 06/01/2025 | |
| Akerson, Mark | Operational/managerial control | Individual | 04/01/2022 | |
| Hingson, Andrea | Operational/managerial control | Individual | 09/02/2025 | |
| Jones, Tequilla | Operational/managerial control | Individual | 03/20/2025 | |
| Lee, Bradley | Operational/managerial control | Individual | 06/01/2025 | |
| Pomes, Treva | Operational/managerial control | Individual | 08/22/2023 | |
| Winkle, Ashley | Operational/managerial control | Individual | 12/10/2024 | |
| Cse Marianna Holdings, LLC | Adp of the SNF | Organization | 04/01/2022 | |
| Nsprmc, LLC | Adp of the SNF | Organization | 07/10/2025 | |
| Akerson, Mark | Adp of the SNF | Individual | 04/01/2022 | |
| Hingson, Andrea | Adp of the SNF | Individual | 09/02/2025 | |
| Jones, Tequilla | Adp of the SNF | Individual | 03/20/2025 | |
| Lee, Bradley | Adp of the SNF | Individual | 06/01/2025 | |
| Pomes, Treva | Adp of the SNF | Individual | 08/22/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 29, 2025: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 29, 2025: "Provide enough food/fluids to maintain a resident's health."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 29, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 29, 2025: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.10 hours per resident per day, below the Florida average of 3.49.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Marianna Health and Rehabilitation Marianna, 0.2 mi · 5 of 5 stars · 5 citations
- Courtyard Rehabilitation by Harborview Marianna, 3.9 mi · 4 of 5 stars · 5 citations
- Northwest Florida Community Hospital (snu) Chipley, 18.2 mi · 4 of 5 stars · 6 citations
- Washington Rehabilitation and Nursing Center Chipley, 18.3 mi · 5 of 5 stars · 6 citations
- Graceville Rehabilitation by Harborview Graceville, 20.2 mi · 4 of 5 stars · 3 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Chipola Health and Rehabilitation Center's Medicare star rating?
- CMS rates Chipola Health and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Chipola Health and Rehabilitation Center get at its last inspection?
- 8 health deficiencies at the standard inspection on May 29, 2025. The Florida average is 7.1.
- Has Chipola Health and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Chipola Health and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Chipola Health and Rehabilitation Center?
- CMS lists 18 owners and managers, and links the home to Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care. Legal business name: 4294 3RD AVENUE OPERATIONS, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.