Pavilion at Jacksonville, the
1771 Edgewood Ave W, Jacksonville, FL 32218 · Duval County · (904) 766-7436
60 certified beds, about 57 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105826 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 12, 2026, inspectors cited 4 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 11 health citations since May 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 3.35 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
55.4% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to The Pavilion Group, an affiliated group of 6 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.
305/22
405/24
403/26
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
4F
Potential for minimal harm
0A
0B
0C
March 12, 2026Standard inspection · 4 citations
- F Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure that menus met the nutritional needs of residents in accordance with established national guidelines (S483.60) which included not following menu recipes. This has the potential to affect all residents that consume their meals prepared by the facility. There were 60 residents in the facility at the time of the survey.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to properly store, prepare, distribute and serve food in accordance with professional standards for food service safety. The ice machine had a buildup of a dark fuzzy residue on the seams and edges of the lid, food processor had dried yellowish food residue with buildup, meat slicer had miscellaneous debris in the crevices/seams under the blade, milk cooler's seal was detached, onions in storeroom were soft and slimy, no pots in the kitchen, and nourishment room had debris and staining on cabinet floor surface. This could potentially affect the 60 residents residing in the facility.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review, observation, interview, and facility policy review, the facility failed to maintain residents' medical records that were complete and accurately documented for one (Resident #6) of four residents reviewed for indwelling catheter, from a total survey sample of 24 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, interviews, and facility policy review, the facility failed to practice proper infection control measures for one (Resident #16) of five residents observed during medication administration, and failed to ensure a safe, clean, comfortable and home-like environment for one (Resident #25) of 24 residents sampled. Specifically, the facility failed to properly clean a multidose vial stopper of insulin prior to injecting a clean insulin needle into Resident #16 and failed to clean a dried reddish-brown stain on the floor in Resident #25's room. Failure to appropriately clean and sanitize bloodborne pathogens could pose health risk to vulnerable residents including the possibility to spread blood borne infections to employees and residents.
May 2, 2024Standard inspection, Complaint inspection · 4 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on interviews, record review, and policy and procedure review, the facility failed to ensure food served was prepared by methods that conserved nutritive value and flavor, by failing to follow standardized recipes to provide palatable and appetizing food in accordance with professional standards for food service. This practice can result in decreased food consumption by residents who consume foods from the facility's kitchen. Residents at nutritional and hydration risk could be affected, potentially impacting their ability to heal, and possibly resulting in an overall health status decline.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and staff interview, the facility failed to obtain a pre-admission screening and resident review (PASARR), Level II, for two (Residents #25 and #33) of 21 residents sampled. Resident #25 was diagnosed with bipolar disorder on admission to the facility, and Resident #33 was diagnosed with schizoaffective disorder after admission. Neither resident was referred for a Level II PASARR (in-depth evaluation by the state-designated mental health or intellectual disability authority). The Level II evaluation report must be used by the facility when conducting assessments of the resident, developing the care plan, and when transitions of care occur. Incorporating the Level II information in these processes promotes comprehensive assessment and provision of care for residents with MD (mental disorders) or ID (intellectual disability).
- D Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on kitchen food service observations, staff interviews, facility record review, and facility policy and procedure review, the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, by failing to employ a qualified food service manager who met state requirements for food service managers and who did not frequently receive consultations from a qualified dietitian or other clinically qualified nutrition professional.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record reviews and interviews, the facility failed to provide an appropriate discharge summary including a recapitulation of the stay, for two (Residents #54 and #208) of three residents sampled for discharges, from a total sample of 21 residents.
May 12, 2022Standard inspection · 3 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 observations, interviews, and record review, the facility failed to 1) Ensure food items had not expired, 2) Document food items' use by dates, 3) Keep thermometers in cooling units that contained food, 4) Use sanitizer in the three-compartment sink every time it was used, and 5) Keep food temperature logs for every meal. This deficient practice could potentially affect all residents receiving food from the facility's kitchen.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observations, record review and interviews, the facility failed to monitor behaviors for one (Resident #6) of five residents selected for unnecessary medications review, from a total of 23 residents in the sample.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on medical record review, interviews with staff, and a review of the Policy and Procedure for General Guidelines for Medication Administration, the facility failed to monitor apical pulses for digoxin administration and to obtain a digoxin level for one (Resident #29) of 23 sampled residents. An apical pulse should be obtained before administering digoxin (heart medication), because it is not administered if the apical pulse is below 60. The medication should be monitored through laboratory work due to a narrow safety range.
Fire safety inspections
19 fire safety citations on file: 14 on March 12, 2026, 5 on May 2, 2024.
Every fire safety citation19 citations
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Create arrangements with other facilities to receive patients.
- D Establish staff and initial training requirements.
- D Conduct testing and exercise requirements.
- D Meet the requirements of an integrated health system.
- D 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.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Have simulated fire drills held at unexpected times.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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) | 3.35 | 3.82 | 3.86 |
| Registered nurses | 0.51 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.18 | 3.49 | 3.42 |
| Nurse aides | 2.11 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 55.4% | 41.4% | 45.8% |
| Registered nurse turnover | 50.0% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.31 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 3.42 on weekdays and 3.18 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.19 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 | 0.51 | 3.42 | 3.18 | 2.3% | 0 of 90 | 57 |
| Oct to Dec 2025 | 3.29 | 0.45 | 3.37 | 3.08 | 0.0% | 0 of 92 | 58 |
| Jul to Sep 2025 | 3.36 | 0.56 | 3.44 | 3.15 | 0.0% | 0 of 92 | 57 |
| Apr to Jun 2025 | 3.19 | 0.63 | 3.30 | 2.91 | 0.0% | 0 of 91 | 60 |
| 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 | 5.6 | 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 | 0.5 | 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 | 4.8 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.3 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.9 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.2 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.5 | 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 | 1.7 | 1.1 | 1.8 |
Owners and operators
Legal business name: THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC. CMS links this home to The Pavilion Group, a group of 6 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pavilion Holdings LLC | Direct ownership interest | Organization | 03/03/2021 | |
| Ftk Capital LLC | Indirect ownership interest | Organization | 05/01/2021 | |
| Npnh1 LLC | Indirect ownership interest | Organization | 05/01/2021 | |
| Shs Keren LLC | Indirect ownership interest | Organization | 05/01/2021 | |
| Birnbaum, Ezra | Indirect ownership interest | Individual | 05/01/2021 | |
| Hirsch, Shaye | Indirect ownership interest | Individual | 05/01/2021 | |
| Inzelbuch, Azriel | Indirect ownership interest | Individual | 05/01/2021 | |
| Moerman, Rafael | Indirect ownership interest | Individual | 05/01/2021 | |
| Singer, Simon | Indirect ownership interest | Individual | 05/01/2021 | |
| Krieser, Akiva | Operational/managerial control | Individual | 05/01/2021 | |
| Lewis, Joseph | Operational/managerial control | Individual | 02/26/2024 | |
| Moerman, Rafael | Operational/managerial control | Individual | 05/01/2021 | |
| Fasten Halberstam LLP | Adp of the SNF | Organization | 05/28/2021 | |
| Ftk Capital LLC | Adp of the SNF | Organization | 05/01/2021 | |
| Npnh1 LLC | Adp of the SNF | Organization | 05/01/2021 | |
| Pavilion Holdings LLC | Adp of the SNF | Organization | 03/03/2021 | |
| Pavilion Management Group LLC | Adp of the SNF | Organization | 05/28/2021 | |
| Powerback Rehabilitation LLC | Adp of the SNF | Organization | 05/28/2021 | |
| Richards Mitchell & Cross Pa | Adp of the SNF | Organization | 05/28/2021 | |
| Shs Keren LLC | Adp of the SNF | Organization | 05/01/2021 | |
| Inzelbuch, Azriel | Adp of the SNF | Individual | 05/01/2021 | |
| Lewis, Joseph | Adp of the SNF | Individual | 02/26/2024 | |
| Moerman, Rafael | Adp of the SNF | Individual | 05/01/2021 | |
| Yu, Zhi | Adp of the SNF | Individual | 05/28/2021 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on March 12, 2026: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 12, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 12, 2022: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- 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 March 12, 2026: "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 3.18 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Jacksonville Rehabilitation and Nursing Jacksonville, 1.1 mi · 2 of 5 stars · 20 citations
- Shands Jacksonville Medical Center Jacksonville, 3.1 mi · 5 of 5 stars · 0 citations
- Jacksonville Nursing and Rehab Center Jacksonville, 4 mi · 5 of 5 stars · 8 citations
- North Bank Center for Rehabilitation and Healing Jacksonville, 4.4 mi · 5 of 5 stars · 15 citations
- Aviata at Harts Harbor Jacksonville, 4.5 mi · 4 of 5 stars · 25 citations
- Park Ridge Nursing Center Jacksonville, 4.7 mi · 5 of 5 stars · 4 citations
- Lakeside Center for Rehabilitation and Healing Jacksonville, 4.7 mi · 5 of 5 stars · 8 citations
- Riverside Post Acute Jacksonville, 5.3 mi · 3 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 Pavilion at Jacksonville, the's Medicare star rating?
- CMS rates Pavilion at Jacksonville, the 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pavilion at Jacksonville, the get at its last inspection?
- 4 health deficiencies at the standard inspection on March 12, 2026. The Florida average is 7.1.
- Has Pavilion at Jacksonville, the been fined?
- CMS lists no fines in the last three years.
- Does Pavilion at Jacksonville, the 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 Pavilion at Jacksonville, the?
- CMS lists 24 owners and managers, and links the home to The Pavilion Group. Legal business name: THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION 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.