Home / Florida / Fernandina Beach
Fernandina Beach Rehabilitation and Nursing Center
1625 Lime Street, Fernandina Beach, FL 32034 · Nassau County · (904) 261-0771
120 certified beds, about 115 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105470 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 9, 2026, inspectors cited 1 health deficiency (the Florida average is 7.1, the national average 9.2).
Of 17 health citations since November 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 3 fines totaling $31,051 in the last three years; the largest was $15,155, and the latest is dated June 27, 2024.
Nurses and nurse aides worked 3.35 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.
59.0% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Aston Health, an affiliated group of 38 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.
311/22
102/24
1206/24
104/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
10D
3E
2F
Potential for minimal harm
0A
1B
0C
April 9, 2026Standard inspection · 1 citation
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record reviews, interviews and a review of the facility's policy and procedure, the facility failed to provide a notice of transfer/discharge and a copy of the actual transfer/discharge form to the Long-Term Care Ombudsman's Office for three (Residents #7, #71 and #125) of five residents reviewed for transfer/discharge.
June 27, 2024Standard inspection, Complaint inspection · 12 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on medical record review and interviews, the facility failed to protect, in a timely manner, the resident's right to be free from verbal abuse/threat to deprive the resident of services by a staff member for one (Resident #79) of a total of 42 residents in the sample.
- F Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and staff interview, the facility failed to 1) Provide the appropriate transfer/discharge notice to the resident and their responsible party, and 2) Notify the Office of the State Long-Term Care Ombudsman in writing of a resident transfer to the hospital for one (Resident #70) of two residents reviewed for transfer/discharge and hospitalization, from a total sample of 42 residents.
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the maintenance of acceptable parameters of nutritional status, by failing to provide nutritional interventions in a timely manner to prevent significant weight loss for two (Residents #57 and #34) of five residents reviewed for nutrition, from a total sample of 42 residents.
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to 1) Provide meals for one (Resident #23) of four residents receiving hemodialysis, and 2) Complete communication information forms for three (Residents #55, #413, and #13) of four residents receiving hemodialysis.
- 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 maintain a clean and home-like environment in four (Rooms 106, 114, 163, and 166) of 62 occupied rooms.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review and interviews, the facility failed to ensure that all alleged violations involving abuse/mistreatment and misappropriation of resident property, were reported no later than two hours after the allegation was made, if the events that caused the allegation involved abuse, to the Administrator and to other officials, including the State Survey Agency, for one (Resident #79) of 42 residents in the survey sample.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to provide a Bed Hold notice to one (Resident #70) of two residents reviewed for transfer/discharge to acute care settings, from a total sample of 42 residents.
- 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 record review, the facility failed to maintain proper storage of medications for three (Residents # 51, #65, and #6) of 112 residents observed during the initial tour of the facility, one resident (#41) during an observation at one nurses' station (Station 2), and in one medication cart (Station 2 - C Hall) during a medication storage observation.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to maintain and document accurately on medication administration records for one (Resident #406) of 42 residents in the total sample.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on a review of medical records and facility policy, and observations made during medication administration, the facility failed to implement infection control measures to prevent the spread of infection. Standard of practice hand hygiene procedures were not implemented during provision of care for two (Residents #406 and #72) of four residents observed during medication administration.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facility failed to assess residents' pneumococcal vaccination status in a timely manner for two (Residents #454 and #406) of five residents reviewed for vaccination status, from a total sample of 42 residents.
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and interviews, the facility failed to provide form CMS-10055 (Skilled Nursing Facility Advance Beneficiary Notices) to two (Residents #55 and #456) of three residents sampled for review of beneficiary notices.
February 27, 2024Complaint inspection · 1 citation
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, record review, interviews, and facility policy review, the facility failed to ensure that four (Residents #13, #14, #11, and #3) of eight residents with pressure ulcers, from a sample of 18 residents, received care consistent with professional standards of practice, to prevent pressure ulcers and receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing.
November 9, 2022Standard inspection · 3 citations
- F Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on interviews and record review, the facility failed to 1) Maintain an effective system to obtain and use feedback and input from direct-care staff, other staff, residents, and resident representatives, including how such information would be used to identify problems that are high risk, high volume, or problem-prone, and opportunities for improvement; 2) Maintain an effective system to identify, collect, and use data and information from all departments, including but not limited to the facility assessment, and include how such information would be used to develop and monitor performance indicators; 3) Develop, monitor, and evaluate performance indicators, including the methodology and frequency for such development, monitoring, and evaluation; [...]
- 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 observations, interviews, and record review, the facility failed to give residents with limited mobility appropriate services, equipment, and assistance to maintain or improve mobility with maximum practicable independence unless a reduction in mobility was demonstrably unavoidable. This impacted one resident (#23) reviewed for care and services out of 18 residents with contractures, and from a total sample of 34 residents. Failure to provide appropriate range of motion (ROM) and splinting can result in increased pain and worsening of contractures.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on interviews and record review, the facility failed to ensure that all licensed nurses and certified nursing assistants demonstrated competencies and skills sets necessary to care for residents' needs, as identified through resident assessments and described in the plan of care. There were 107 residents in the facility at the time of the survey who were at risk of receiving substandard care and services.
Fire safety inspections
13 fire safety citations on file: 9 on April 9, 2026, 2 on September 18, 2024, 2 on June 27, 2024.
Every fire safety citation13 citations
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Include a process for Emergency Preparedness collaboration.
- D Create arrangements with other facilities to receive patients.
- D Provide a means of sharing information on occupancy/needs.
- D Provide family notifications of emergency plan.
- D Establish staff and initial training requirements.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Provide a written emergency evacuation plan.
- E Meet other general requirements.
- E Have a combustible roofing system that meets safety standards.
- E Ensure that testing and maintenance of electrical equipment is performed.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 27, 2024 | Fine | $5,358 |
| June 27, 2024 | Fine | $10,538 |
| June 27, 2024 | Fine | $15,155 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.35 | 3.82 | 3.86 |
| Registered nurses | 0.35 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.09 | 3.49 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 59.0% | 41.4% | 45.8% |
| Registered nurse turnover | 73.3% | 46.0% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.28 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 3.46 on weekdays and 3.09 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.59 in April to June 2025 to 3.35 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 | 3.35 | 0.35 | 3.46 | 3.09 | 0.2% | 0 of 90 | 115 |
| Oct to Dec 2025 | 3.21 | 0.23 | 3.26 | 3.06 | 0.3% | 0 of 92 | 115 |
| Jul to Sep 2025 | 3.25 | 0.25 | 3.33 | 3.07 | 0.4% | 0 of 92 | 111 |
| Apr to Jun 2025 | 3.59 | 0.50 | 3.77 | 3.16 | 0.5% | 0 of 91 | 109 |
| 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 | 7.2 | 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 | 1.4 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.2 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.1 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.6 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.0 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.5 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.1 | 1.8 |
Owners and operators
Legal business name: FERNANDINA BEACH REHAB, LLC. CMS links this home to Aston Health, a group of 38 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fb Rehab Holdings, LLC | 5% or greater direct ownership interest | Organization | 100% | 12/03/2018 |
| Quality Rehab Partners LLC | 5% or greater indirect ownership interest | Organization | 100% | 06/20/2019 |
| Blatt, Marc | Operational/managerial control | Individual | 01/01/2025 | |
| Cine, Nasline | Operational/managerial control | Individual | 07/30/2024 | |
| Jordan, Hilton | Operational/managerial control | Individual | 08/01/2019 | |
| Reed, Quintana | Operational/managerial control | Individual | 07/10/2024 | |
| Wildes, Donna | Operational/managerial control | Individual | 08/26/2025 | |
| Aston Healthcare LLC | Adp of the SNF | Organization | 01/01/2022 | |
| Blatt, Marc | Adp of the SNF | Individual | 10/02/2025 | |
| Jordan, Hilton | Adp of the SNF | Individual | 10/02/2025 | |
| Wildes, Donna | Adp of the SNF | Individual | 08/28/2025 |
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.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on April 9, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on June 27, 2024: "Provide enough food/fluids to maintain a resident's health."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on June 27, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 27, 2024: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the Florida average of 3.49.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Senior Care Center - St. Marys Saint Marys, 8.3 mi · 1 of 5 stars · 21 citations
- Lanier Rehabilitation Center Jacksonville, 15.3 mi · 3 of 5 stars · 11 citations
- River City Nursing and Rehab Center Jacksonville, 15.7 mi · 5 of 5 stars · 10 citations
- Aviata at Harts Harbor Jacksonville, 19 mi · 4 of 5 stars · 25 citations
- Lakeside Center for Rehabilitation and Healing Jacksonville, 20.5 mi · 5 of 5 stars · 8 citations
- Fleet Landing Atlantic Beach, 21 mi · 5 of 5 stars · 4 citations
- Jacksonville Nursing and Rehab Center Jacksonville, 21.7 mi · 5 of 5 stars · 8 citations
- Fountains Rehabilitation at Mill Cove Jacksonville, 23 mi · 3 of 5 stars · 15 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 Fernandina Beach Rehabilitation and Nursing Center's Medicare star rating?
- CMS rates Fernandina Beach Rehabilitation and Nursing Center 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fernandina Beach Rehabilitation and Nursing Center get at its last inspection?
- 1 health deficiency at the standard inspection on April 9, 2026. The Florida average is 7.1.
- Has Fernandina Beach Rehabilitation and Nursing Center been fined?
- Yes. CMS lists 3 fines totaling $31,051 in the last three years.
- Does Fernandina Beach Rehabilitation and Nursing 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 Fernandina Beach Rehabilitation and Nursing Center?
- CMS lists 11 owners and managers, and links the home to Aston Health. Legal business name: FERNANDINA BEACH REHAB, 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.