1125 Fleming Plantation Blvd, Orange Park, FL 32003 · Clay County · (904) 213-8338
108 certified beds, about 96 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2005
CMS Care Compare ratings, data as of September 1, 2026 · CCN 106065 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 22, 2025, inspectors cited 1 health deficiency (the Florida average is 7.1, the national average 9.2).
Of 10 health citations since October 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $43,664 in the last three years; the largest was $43,664, and the latest is dated March 14, 2025.
Nurses and nurse aides worked 3.64 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
38.9% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Gold Fl Trust II, an affiliated group of 36 nursing homes.
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.
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.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain a safe environment for two (Resident #20 and #44) of six residents reviewed for smoking safety. Specifically, cigarette lighters were found in the residents' rooms, in violation of the facility's smoking policy, which prohibits residents from possessing smoking materials in their personal living spaces, placing residents at risk for fire and smoke related injuries.
Inspectors wroteBased on a review of resident records, the facility's standards and guidelines, facility reports, hospital records, and interviews with staff, the facility failed to act in accordance with a resident's advance directives in accordance with her Do Not Resuscitate (DNR) status (the desire have cardiopulmonary resuscitation (CPR) withheld in the event of cardiac or respiratory arrest) after finding her unresponsive. This affected one (Resident #2) of four residents reviewed for advance directives. The facility's failure to review and honor Resident #2's DNR status prolonged her dying process, deprived her of a natural death, and likely resulted in severe pain and organ damage. Additionally, Resident #2 could not express her reaction to this event. Applying the reasonable person concept, Resident #2 would likely experience serious psychosocial harm by being resuscitated against her wishes. [...]
Inspectors wroteBased on resident and staff interviews, record review, and a review of facility policies and procedures, the facility failed to ensure that individual financial records were available through quarterly statements and upon request for 56 of 56 residents with personal funds accounts in the facility. Quarterly statements were not provided to the residents since at least May 2024.
Inspectors wroteBased on resident and staff interviews and record review, the facility failed to notify each resident that received Medicaid benefits when the amount in the resident's account reached $200.00 less than the Social Security Income (SSI) resource limit for one person; and that if the amount in the account, in addition to the value of the resident's other nonexempt resources, reached the SSI resource limit for one person, the resident may lose eligibility for Medicaid or SSI. This affected six of 56 residents with personal funds accounts in the facility.
Inspectors wroteBased on observations, interviews, medical record review, and policy and procedure review, the facility failed to assist with making podiatry appointments and ensuring appropriate foot care was provided for one (Resident #36) of 27 sampled residents. Failure to provide appropriate foot care can result in ingrown toenails, fungal infections, skin infections, and can potentially impact the resident's dignity and sense of self-worth.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain appropriate infection control practices during medication administration for two (Residents #51 and #15) of five residents observed during medication administration from a total of 27 residents in the sample. Failure to adhere to infection control and prevention protocol increases the risk of transmitting communicable diseases and infection.
Inspectors wroteBased on observations and interviews, the facility failed to store and serve food in accordance with professional standards for food service safety. This failure could lead to the spread of foodborne illness, and potentially impacted every resident who consumed food from the facility's kitchen.
Inspectors wroteBased on record review, observations and interviews, the facility failed to ensure that one (Resident #141) of one resident reviewed for Peripherally Inserted Central Catheter (PICC) dressing changes, from a total of 34 residents in the sample, received treatment and care in accordance with professional standards of practice. Specifically, the facility failed to ensure an order was written for PICC dressing changes upon the resident's admission, and failed to change the dressing per its own policy.
Inspectors wroteBased on record review and interviews, the facility failed to ensure that residents who required dialysis received such services and associated care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one (Resident #49) of one resident receiving dialysis services, from a total of 34 residents in the sample. Specifically, the facility failed to ensure ongoing communication was monitored and maintained with the dialysis center, and physician's orders were followed for catheter site monitoring.
Inspectors wroteBased on record review and interviews, the facility failed to ensure residents were free from significant medication errors for one (Resident #390) of six residents whose medications were reviewed, from a total of 34 residents in the sample. Specifically, the facility failed to ensure antibiotics were administered for a new resident admitted with sepsis.
7 fire safety citations on file: 5 on May 22, 2025, 2 on June 29, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| March 14, 2025 | Fine | $43,664 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.64 | 3.82 | 3.86 |
| Registered nurses | 0.52 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.33 | 3.49 | 3.42 |
| Nurse aides | 2.26 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | 38.9% | 41.4% | 45.8% |
| Registered nurse turnover | 50.0% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.77 on weekdays and 3.33 on weekends, 12% 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 3.53 in April to June 2025 to 3.64 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 | 3.64 | 0.52 | 3.77 | 3.33 | 0.0% | 0 of 90 | 96 |
| Oct to Dec 2025 | 3.48 | 0.50 | 3.58 | 3.24 | 0.0% | 0 of 92 | 100 |
| Jul to Sep 2025 | 3.48 | 0.55 | 3.55 | 3.29 | 0.0% | 0 of 92 | 102 |
| Apr to Jun 2025 | 3.53 | 0.61 | 3.61 | 3.32 | 0.0% | 0 of 91 | 101 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 3.1 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 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 | 3.0 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.2 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.4 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.4 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Isle Healthcare & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
50.8% this home
No different from the national rate
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 155 eligible stays.
12.4% this home
No different from the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 182 eligible stays.
6.7% this home
No different from the national rate
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 120 eligible stays.
41.9% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 86 residents counted.
0.0% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 136 residents counted.
2.1% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 136 residents counted.
100.0% this home
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 61 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ISLE HEALTHCARE & REHABILITATION CENTER LLC. CMS links this home to Gold Fl Trust II, a group of 36 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Isle SNF Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 03/23/2022 |
| Fl Master Opco Holdco LLC | 5% or greater indirect ownership interest | Organization | 100% | 07/27/2022 |
| Fuentes, Jose | W-2 managing employee | Individual | 07/27/2022 | |
| Shelby, Jack | Corporate officer | Individual | 07/27/2022 |
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.
Chosen from this home's own inspection record.
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