Life Care Center of Hilliard
3756 W Third St., Hilliard, FL 32046 · Nassau County · (904) 845-3988
120 certified beds, about 109 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105756 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 23, 2026, inspectors cited 4 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 10 health citations since July 2022 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 3.83 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
55.4% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Life Care Centers of America, an affiliated group of 194 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.
207/22
307/24
101/25
404/26
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
4E
1F
Potential for minimal harm
0A
0B
0C
April 23, 2026Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on food service observations, staff interviews, and a review of the facility's policies and procedures, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, by failing to ensure food items were properly labeled and dated in the main kitchen. This deficient practice prevents staff from determining the appropriate use by date and increases the risk of pathogen exposure to all residents who consume foods from the facility's kitchen.
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on observations, record reviews, interviews, and a review of the facility's policies and procedures, the facility failed to provide transfer/discharge notification to the Long-Term Care (LTC) Ombudsman's office for seven (Residents #129, #127, #48, #8, #91, #98 and #135) of 21 residents reviewed for transfer/discharge. Appropriate notification to the LTC Ombudsman's office provides added protection to residents from being inappropriately transferred or discharged . It provides residents with access to an advocate who can inform them of their options and rights, and it ensures that the LTC Ombudsman's office is aware of facility practices and activities related to transfers and discharges.
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record reviews, interviews and a review of facility policies and procedures, the facility failed to ensure that residents who needed respiratory care, were provided such care, consistent with professional standards of practice, by failing to ensure that oxygen was administered at the ordered flow rate for four (Residents #95, #115, #119 and #6) of 10 residents reviewed for oxygen therapy.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, interviews, record review ,and a review of the facility's policies and procedures, the facility failed to ensure that its medication error rate was not 5% or greater. There were 26 opportunities for error with two errors identified, resulting in an error rate of 7% and involving two (Residents #6 and #99) of five residents observed during medication administration.
January 13, 2025Complaint inspection · 1 citation
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on a record review, interviews, and facility policy review, the facility failed to thoroughly investigate allegations of abuse for two (Residents #1 and #5) of three residents reviewed for abuse, from a total sample of 5 residents.
July 11, 2024Standard inspection · 3 citations
- E 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 ensure a sanitary and orderly interior, by failing to maintain the shower rooms on the 100, 200 and 600 hallways in an orderly and sanitary manner.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations and interviews, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment, and to help prevent the transmission of communicable diseases and infections, by failing to ensure proper infection control practices during insulin administration, resident dining, gloving, and linen handling. This impacted two (Residents #54 and #4) of 44 residents in the total survey sample, as well as numerous residents in the dining room on 7/10/24 during the breakfast meal, and potentially more receiving assistance with meals and other care from Certified Nursing Assistants (CNAs) Y and C.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to maintain residents' dignity while dining related to staff standing while assisting with meals and tablemates not being served trays together for six (Residents #106, #4, #8, #75, #21, and #6) of eight residents reviewed for dignity, from a total of 44 residents in the survey sample.
July 28, 2022Standard inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interviews and record reviews, the facility failed to provide treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for one (Resident #2) of 29 residents sampled, by failing to apply physician-ordered topical medication.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that residents requiring respiratory care, received such care, consistent with professional standards of practice and the comprehensive care plan for three (Residents #53, #87 and #58) of five residents reviewed for oxygen use, from a total of 29 residents in the sample.
Fire safety inspections
15 fire safety citations on file: 3 on April 23, 2026, 11 on July 11, 2024, 1 on July 28, 2022.
Every fire safety citation15 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure proper usage of power strips and extension cords.
- E Conduct testing and exercise requirements.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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 Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure proper usage of power strips and extension cords.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have proper medical gas storage and administration areas.
- F Inspect, test, and maintain automatic sprinkler systems.
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) | 3.83 | 3.82 | 3.86 |
| Registered nurses | 0.67 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.36 | 3.49 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 55.4% | 41.4% | 45.8% |
| Registered nurse turnover | 57.9% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.43 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 4.02 on weekdays and 3.36 on weekends, 16% 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 3.75 in April to June 2025 to 3.83 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 | 3.83 | 0.67 | 4.02 | 3.36 | 0.0% | 0 of 90 | 109 |
| Oct to Dec 2025 | 3.87 | 0.67 | 4.01 | 3.50 | 0.0% | 0 of 92 | 108 |
| Jul to Sep 2025 | 3.84 | 0.58 | 4.02 | 3.41 | 0.0% | 0 of 92 | 112 |
| Apr to Jun 2025 | 3.75 | 0.64 | 3.88 | 3.43 | 0.0% | 0 of 91 | 114 |
| 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 | 6.9 | 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 | 7.7 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.7 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.8 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.4 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.9 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.1 | 1.8 |
Owners and operators
Legal business name: HILLIARD OPERATIONS LLC. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Preston, Forrest | Indirect ownership interest | Individual | 08/24/2015 | |
| Anderson, Pamela | Managing control - governing body | Individual | 10/10/2022 | |
| Connors, Tyler | Managing control - governing body | Individual | 06/19/2019 | |
| Preston, Aaron | Managing control - governing body | Individual | 01/03/2005 | |
| Cross, Cindy | Corporate officer | Individual | 01/24/2017 | |
| Henry, Terry | Corporate officer | Individual | 01/24/2017 | |
| Thurmond, Joan | Corporate officer | Individual | 01/24/2017 | |
| Life Care Centers of America, Inc. | Operational/managerial control | Organization | 08/24/2015 | |
| Anderson, Pamela | Operational/managerial control | Individual | 10/10/2022 | |
| Connors, Tyler | Operational/managerial control | Individual | 06/19/2019 | |
| Fletcher, Todd | Operational/managerial control | Individual | 05/01/2021 | |
| Lay, Lisa | Operational/managerial control | Individual | 04/24/2017 | |
| Preston, Aaron | Operational/managerial control | Individual | 01/03/2005 | |
| Preston, Aubrey | Operational/managerial control | Individual | 11/27/2024 | |
| Preston, Forrest | Operational/managerial control | Individual | 08/24/2015 | |
| Sharpe, Michael | Operational/managerial control | Individual | 10/01/2010 | |
| Swanker, Richard | Operational/managerial control | Individual | 01/01/2022 | |
| Ziegler, James | Operational/managerial control | Individual | 08/24/2015 | |
| Life Care Centers of America, Inc. | Adp of the SNF | Organization | 09/26/2012 | |
| Connors, Tyler | Adp of the SNF | Individual | 03/03/2025 | |
| Preston, Forrest | Adp of the SNF | Individual | 09/26/2012 | |
| Sharpe, Michael | Adp of the SNF | Individual | 03/03/2025 |
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 3 problems in this area, most recently on April 23, 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 3 problems in this area, most recently on April 23, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 23, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 23, 2026: "Ensure medication error rates are not 5 percent or greater."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.36 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Folkston Park Care and Rehabilitation Center Folkston, 11.5 mi · 1 of 5 stars · 26 citations
- Lakeside Center for Rehabilitation and Healing Jacksonville, 20.8 mi · 5 of 5 stars · 8 citations
- Jacksonville Nursing and Rehab Center Jacksonville, 21.3 mi · 5 of 5 stars · 8 citations
- Senior Care Center - St. Marys Saint Marys, 21.6 mi · 1 of 5 stars · 21 citations
- River City Nursing and Rehab Center Jacksonville, 22 mi · 5 of 5 stars · 10 citations
- Aviata at Harts Harbor Jacksonville, 23.1 mi · 4 of 5 stars · 25 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 Life Care Center of Hilliard's Medicare star rating?
- CMS rates Life Care Center of Hilliard 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Life Care Center of Hilliard get at its last inspection?
- 4 health deficiencies at the standard inspection on April 23, 2026. The Florida average is 7.1.
- Has Life Care Center of Hilliard been fined?
- CMS lists no fines in the last three years.
- Does Life Care Center of Hilliard 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 Life Care Center of Hilliard?
- CMS lists 22 owners and managers, and links the home to Life Care Centers of America. Legal business name: HILLIARD 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.