Pavilion for Health Care, the
3465 Caroline Blvd, Penney Farms, FL 32079 · Clay County · (904) 297-9700
50 certified beds, about 45 residents a day · Non profit - Corporation · Medicare and Medicaid since 2012
CMS Care Compare ratings, data as of September 1, 2026 · CCN 106096 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2026, inspectors cited 0 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 3 health citations since September 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 4.91 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
34.4% of nursing staff left within the year CMS measured (Florida average 41.4%).
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.
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 3 health citations on file.
March 26, 2026Standard inspection · 0 citations
June 20, 2024Standard inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, record review, staff interview, and policy and procedure review, the facility failed to maintain accurately documented medical records for one (Resident #13) of one resident reviewed for non-pressure related skin conditions.
September 15, 2022Standard inspection · 2 citations
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, record reviews, and staff interviews, the facility failed to ensure a medication error rate of 5% or less, based on three errors out of 31 opportunities for error, resulting in an error rate of 9.68%. This involved three (Residents #31 and #6 & #13) of five residents observed during medication administration, from a total sample of 18 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to adhere to the parameters ordered by the physician for the administration of blood pressure medication for one (Resident # 31) of five residents observed during medication administration, from a total of 18 residents in the sample.
Fire safety inspections
1 fire safety citation on file: 1 on June 20, 2024.
Every fire safety citation1 citation
- D Provide properly protected cooking facilities.
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) | 4.91 | 3.82 | 3.86 |
| Registered nurses | 0.64 | 0.73 | 0.69 |
| All nursing staff on weekends | 4.15 | 3.49 | 3.42 |
| Nurse aides | 3.17 | ||
| Licensed practical nurses | 1.10 | ||
| Nursing staff turnover (share who left in a year) | 34.4% | 41.4% | 45.8% |
| Registered nurse turnover | 37.5% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.04 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 5.21 on weekdays and 4.15 on weekends, 20% 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 5.78 in April to June 2025 to 4.91 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 | 4.91 | 0.64 | 5.21 | 4.15 | 0.0% | 0 of 90 | 45 |
| Oct to Dec 2025 | 5.49 | 0.77 | 5.72 | 4.91 | 0.0% | 0 of 92 | 42 |
| Jul to Sep 2025 | 5.79 | 0.77 | 6.05 | 5.12 | 0.0% | 0 of 92 | 40 |
| Apr to Jun 2025 | 5.78 | 0.83 | 6.06 | 5.09 | 0.0% | 0 of 91 | 39 |
| 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 | 7.4 | 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 | 1.6 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 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 | 9.8 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 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 | 33.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.5 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.1 | 1.8 |
Owners and operators
Legal business name: PENNEY RETIREMENT COMMUNITY, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Agresti, Gerald | Managing control - governing body | Individual | 01/01/2025 | |
| Barton, Teresa | Managing control - governing body | Individual | 01/01/2023 | |
| Bridgman, Mary | Managing control - governing body | Individual | 01/01/2025 | |
| Costin, Richard | Managing control - governing body | Individual | 01/01/2023 | |
| Deckerhoff, Kip | Managing control - governing body | Individual | 01/01/2025 | |
| Irvine, Frances | Managing control - governing body | Individual | 01/01/2025 | |
| Keating, Nancy | Managing control - governing body | Individual | 01/01/2025 | |
| Knoff, Richard | Managing control - governing body | Individual | 01/01/2025 | |
| Loper, Harry | Managing control - governing body | Individual | 01/01/2025 | |
| Lovelace, Jimmy | Managing control - governing body | Individual | 01/01/2023 | |
| Meernik, Gary | Managing control - governing body | Individual | 01/01/2025 | |
| Pierce, Rebecca | Managing control - governing body | Individual | 01/01/2025 | |
| Renninger, James | Managing control - governing body | Individual | 01/01/2025 | |
| Vanderkamp, Stephen | Managing control - governing body | Individual | 01/01/2023 | |
| Westberry, Rannel | Managing control - governing body | Individual | 01/01/2025 | |
| Scott, Teresa | Corporate director | Individual | 04/01/2014 | |
| Scott, Teresa | Corporate officer | Individual | 04/01/2014 | |
| Issa, Hani | Operational/managerial control | Individual | 01/01/2023 | |
| McGurer, Christie | Operational/managerial control | Individual | 01/01/2023 | |
| Scott, Teresa | Operational/managerial control | Individual | 04/01/2014 | |
| Standley, Jamie | Operational/managerial control | Individual | 04/09/2018 | |
| Issa, Hani | Adp of the SNF | Individual | 01/01/2023 | |
| McGurer, Christie | Adp of the SNF | Individual | 01/01/2023 | |
| Scott, Teresa | Adp of the SNF | Individual | 04/01/2014 | |
| Standley, Jamie | Adp of the SNF | Individual | 04/09/2018 |
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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on September 15, 2022: "Ensure medication error rates are not 5 percent or greater."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on June 20, 2024: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
Other nursing homes nearby
- Aviata at Green Cove Springs Green Cove Springs, 7.8 mi · 2 of 5 stars · 18 citations
- Middleburg Rehabilitation and Nursing Center Middleburg, 8.2 mi · 4 of 5 stars · 8 citations
- Isle Healthcare & Rehabilitation Center Orange Park, 8.8 mi · 5 of 5 stars · 10 citations
- Pruitthealth - Fleming Island Fleming Island, 9.2 mi · 2 of 5 stars · 7 citations
- Life Care Center of Orange Park Orange Park, 13.6 mi · 5 of 5 stars · 8 citations
- Orange Park Rehabilitation and Nursing Center Orange Park, 13.8 mi · 4 of 5 stars · 12 citations
- Aviata at Orange Park Orange Park, 14.2 mi · 4 of 5 stars · 10 citations
- Oak View Health and Rehabilitation Center Orange Park, 14.4 mi · 5 of 5 stars · 14 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 for Health Care, the's Medicare star rating?
- CMS rates Pavilion for Health Care, the 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pavilion for Health Care, the get at its last inspection?
- 0 health deficiencies at the standard inspection on March 26, 2026. The Florida average is 7.1.
- Has Pavilion for Health Care, the been fined?
- CMS lists no fines in the last three years.
- Does Pavilion for Health Care, 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 for Health Care, the?
- CMS lists 25 owners and managers. Legal business name: PENNEY RETIREMENT COMMUNITY, INC..
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.