Middleburg Rehabilitation and Nursing Center
1280 Henley Rd, Middleburg, FL 32068 · Clay County · (502) 568-7800
120 certified beds, about 118 residents a day · For profit - Corporation · Medicare and Medicaid since 2020
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 106143 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 15, 2026, inspectors cited 5 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 8 health citations since March 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 3.67 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.
46.7% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Benjamin Landa, an affiliated group of 48 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.
303/22
003/24
501/26
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 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
2E
0F
Potential for minimal harm
0A
0B
0C
January 15, 2026Standard inspection · 5 citations
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review, interviews, and a review of facility documentation, the facility failed to send a copy of the notice of transfer or discharge (Discharge/Transfer Notice AHCA 3120-002 form) to the representative of the Office of the State Long-Term Care Ombudsman's office for four (Residents #126, #150, #151 and #152) of four residents reviewed for discharge requirements.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observations, interviews and record review, the facility failed to honor a resident's right to make choices regarding accommodations to support safe bed mobility and positioning; specifically, failing to provide requested handrails in a timely manner for one (Resident #136) of 49 residents in the total survey sample. Failure to honor a resident's right to make choices about their care can result in physical injury or psychological distress.
- D 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 the required beneficiary notices to two (Residents #150 and #151) of three residents reviewed for beneficiary notices, who remained in the facility following termination of their Medicare Part A services, placing them at risk of not receiving the required notice of rights and services and potential financial liability.
- 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 ensure that a resident with limited range of motion (ROM) received appropriate treatment and services to increase ROM and/or to prevent further decrease in ROM for one (Resident #66) of four residents reviewed for mobility/positioning, by failing to ensure daily placement of a physician-ordered hand splint. Failure to apply a physician-ordered splint/brace can result in worsening of a contracture, functional decline and increased pain.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary environment and to help prevent the development and transmission of communicable diseases and infections for two (Residents #70 and #47) of nine residents observed during medication administration. RN B failed to perform hand hygiene as required while administering medications to more than one resident.
March 14, 2024Standard inspection · 0 citations
March 31, 2022Standard inspection · 3 citations
- E Employ staff that are licensed, certified, or registered in accordance with state laws.
Inspectors wroteBased on record review and interviews, the facility failed to ensure all professional staff was licensed in accordance with applicable State laws for one (Employee A) of ten employee records reviewed. The employee was listed on the employee roster and working as a licensed practical nurse (LPN), the employee's license status was listed as application in process. This practice has the potential to affect all 50 residents present in the facility at the time of the survey.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record reviews, observations, and interviews, the facility failed to 1) ensure each resident received adequate supervision to prevent accidents, failed to implement appropriate interventions, and failed to monitor the effectiveness of interventions to prevent falls for one (Resident #4) of three residents reviewed for accidents and hazards, and 2) failed to provide an environment free of hazards for one resident (Resident #8) in a total sample of 19 residents.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, record review, staff interviews, and facility policy and procedure, the facility failed to ensure a peripherally inserted central catheter (PICC) used for the administration of intravenous fluids was maintained in accordance with professional standards of practice, failed to develop a comprehensive person-centered care plan regarding the use of intravenous (IV) antibiotic, and failed to obtain physician's order for a PICC line for one (Resident #48) of one resident receiving intravenous antibiotic, from a total sample of 19 residents.
Fire safety inspections
1 fire safety citation on file: 1 on March 14, 2024.
Every fire safety citation1 citation
- E 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) | 3.67 | 3.82 | 3.86 |
| Registered nurses | 0.86 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.35 | 3.49 | 3.42 |
| Nurse aides | 2.15 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 46.7% | 41.4% | 45.8% |
| Registered nurse turnover | 37.5% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.86 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 3.81 on weekdays and 3.35 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 3.67 in April to June 2025 to 3.67 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 | 3.67 | 0.86 | 3.81 | 3.35 | 0.0% | 0 of 90 | 118 |
| Oct to Dec 2025 | 3.74 | 0.97 | 3.89 | 3.37 | 0.0% | 0 of 92 | 117 |
| Jul to Sep 2025 | 3.82 | 0.90 | 3.96 | 3.47 | 0.0% | 0 of 92 | 117 |
| Apr to Jun 2025 | 3.67 | 0.87 | 3.80 | 3.33 | 0.0% | 0 of 91 | 116 |
| 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 | 13.1 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 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 | 0.9 | 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 | 20.2 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.6 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.0 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.2 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.6 | 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 | 1.2 | 1.1 | 1.8 |
Owners and operators
Legal business name: MIDDLEBURG REHABILITATION AND NURSING CENTER LLC. CMS links this home to Benjamin Landa, a group of 48 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Middleburg Rehabilitation and Nursing Member, LLC | 5% or greater direct ownership interest | Organization | 100% | 10/07/2022 |
| Apja Opco LLC | 5% or greater indirect ownership interest | Organization | 10/07/2022 | |
| Flnho Capital Group LLC | 5% or greater indirect ownership interest | Organization | 10/07/2022 | |
| Gpja Opco LLC | 5% or greater indirect ownership interest | Organization | 10/07/2022 | |
| Jacksonville 4 Member Opco LLC | 5% or greater indirect ownership interest | Organization | 10/07/2022 | |
| Jacksonville 4 Opco Partners LLC | 5% or greater indirect ownership interest | Organization | 10/07/2022 | |
| Jflnho Capital Group, LLC | 5% or greater indirect ownership interest | Organization | 10/07/2022 | |
| Mkja Opco LLC | 5% or greater indirect ownership interest | Organization | 10/07/2022 | |
| Rpja Opco LLC | 5% or greater indirect ownership interest | Organization | 10/07/2022 | |
| Slja Opco LLC | 5% or greater indirect ownership interest | Organization | 10/07/2022 | |
| Zbl-18 LLC | 5% or greater indirect ownership interest | Organization | 10/07/2022 | |
| Landa, Judy | 5% or greater indirect ownership interest | Individual | 10/07/2022 | |
| Lowy, Shlomo | 5% or greater indirect ownership interest | Individual | 10/07/2022 | |
| Platschek, Alexander | 5% or greater indirect ownership interest | Individual | 10/07/2022 | |
| Henderson, Erica | W-2 managing employee | Individual | 10/08/2022 | |
| Brecher, Hal | Corporate officer | Individual | 10/07/2022 |
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.
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 January 15, 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 January 15, 2026: "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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on January 15, 2026: "Provide and implement an infection prevention and control program."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on March 31, 2022: "Employ staff that are licensed, certified, or registered in accordance with state laws."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.35 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
- Pruitthealth - Fleming Island Fleming Island, 5.5 mi · 2 of 5 stars · 7 citations
- Life Care Center of Orange Park Orange Park, 6.2 mi · 5 of 5 stars · 8 citations
- Isle Healthcare & Rehabilitation Center Orange Park, 6.3 mi · 5 of 5 stars · 10 citations
- Orange Park Rehabilitation and Nursing Center Orange Park, 6.4 mi · 4 of 5 stars · 12 citations
- Aviata at Orange Park Orange Park, 7.2 mi · 4 of 5 stars · 10 citations
- Oak View Health and Rehabilitation Center Orange Park, 7.6 mi · 5 of 5 stars · 14 citations
- Pavilion for Health Care, the Penney Farms, 8.2 mi · 5 of 5 stars · 3 citations
- Life Care Center at Wells Crossing Orange Park, 8.2 mi · 5 of 5 stars · 13 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 Middleburg Rehabilitation and Nursing Center's Medicare star rating?
- CMS rates Middleburg Rehabilitation and Nursing Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Middleburg Rehabilitation and Nursing Center get at its last inspection?
- 5 health deficiencies at the standard inspection on January 15, 2026. The Florida average is 7.1.
- Has Middleburg Rehabilitation and Nursing Center been fined?
- CMS lists no fines in the last three years.
- Does Middleburg 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 Middleburg Rehabilitation and Nursing Center?
- CMS lists 16 owners and managers, and links the home to Benjamin Landa. Legal business name: MIDDLEBURG REHABILITATION AND NURSING CENTER 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.