Home / Florida / Fleming Island
Pruitthealth - Fleming Island
2040 Town Center Blvd, Fleming Island, FL 32003 · Clay County · (904) 293-1311
97 certified beds, about 91 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2019
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 106124 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 15, 2026, inspectors cited 2 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 7 health citations since December 2022, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 3 fines totaling $16,153 in the last three years; the largest was $5,385, and the latest is dated June 13, 2025.
Nurses and nurse aides worked 3.72 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.98 of those hours.
39.5% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Pruitthealth, an affiliated group of 96 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.
012/22
110/24
406/25
204/26
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 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
1E
1F
Potential for minimal harm
0A
0B
0C
April 15, 2026Standard inspection · 2 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 facility 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 both the main kitchen and nourishment rooms. This deficient practice prevents staff from determining appropriate use and increases the risk of pathogen exposure. This failure had the potential to affect all residents who consumed food items from the main kitchen and/or the facility's nourishment rooms.
- E Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspectors wroteBased on facility documentation and staff interviews, the facility failed to develop, implement, and maintain an effective training program for all new and existing staff consistent with their expected roles, by failing to provide consistent food service training and reliable documentation of in-service training to kitchen staff, as well as accurate training records to reflect staff training attendance. Unsafe kitchen practices can lead to widespread foodborne illness outbreaks. This affected all kitchen staff members due to the facility's inability to produce training records with dates and signatures verifying staff attendance. Training was also produced for a staff member with dates prior to his date of hire.
June 13, 2025Complaint inspection · 4 citations
- J Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on staff interviews, record review, and the facility's policy and procedure titled Advance Directives, the facility failed to act in accordance with Resident #1's Advance Directives and Full Code status (the desire to be resuscitated in the event of cardiac/respiratory arrest) after finding him unresponsive with no respirations. This affected one (Resident #1) of three residents reviewed for Advance Directives. The facility's failure to honor Resident #1's Advance Directives deprived him of potentially lifesaving measures. Resident #1 was not revived and expired in the facility. Immediate Jeopardy (IJ) at a scope of J (isolated) was identified at 1:48 PM on [DATE]. On [DATE] at 11:40 PM, Immediate Jeopardy (IJ) began. [...]
- J Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on staff interviews, record review, and a review of the facility's policy and procedure titled Cardiopulmonary Resuscitation (CPR), the facility failed to administer cardiopulmonary resuscitation (CPR) to one resident who had a Full Code status (the desire to be resuscitated in the event of cardiac/respiratory arrest) after finding him unresponsive with no respirations. This affected one (Resident #1) of three residents reviewed for Advance Directives. The facility's failure to provide CPR according to Resident #1's Advance Directives deprived him of potentially lifesaving measures. Resident #1 was not revived and expired at the facility. Immediate Jeopardy (IJ) at a scope of J (isolated) was identified at 1:48 PM on [DATE]. On [DATE] at 11:40 PM, Immediate Jeopardy (IJ) began. [...]
- J Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on staff interviews, record review, a review of the facility's policy titled Abuse Prevention and Reporting, and a review of the Agency for Health Care Administration's Background Screening Clearinghouse website, the facility's administration failed to to administer the facility in a manner that enabled it to use its resources effectively and efficiently when it failed to immediately investigate the death of Resident #1 on [DATE]. The facility failed to ensure that measures were immediately put in place for resident safety, and thorough investigations were completed to identify system failures and facility needs. This placed the facility's 47 other residents identified as having a Full Code status at risk of suffering avoidable and untimely deaths. Immediate Jeopardy (IJ) at a scope of J (isolated) was identified at 1:48 PM on [DATE]. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interviews, record review, and the facility's policy and procedure titled Abuse Preventing and Reporting, the facility failed to 1) Ensure that alleged violations involving resident neglect were reported immediately, but not later than two hours after the allegation was made, if the events that caused the allegation resulted in serious bodily injury (death), to the State Survey Agency in accordance with State law for one (Resident #1) of three resident incident reports reviewed.
October 8, 2024Standard inspection · 1 citation
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure that a resident who was unable to carry out activities of daily living (ADLs), received necessary services to maintain good grooming and personal hygiene for one (Resident #294) of a total survey sample of 19 residents by not providing adequate fingernail care.
December 14, 2022Standard inspection · 0 citations
Fire safety inspections
3 fire safety citations on file: 1 on April 15, 2026, 2 on October 8, 2024.
Every fire safety citation3 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 13, 2025 | Fine | $5,384 |
| June 13, 2025 | Fine | $5,384 |
| June 13, 2025 | Fine | $5,385 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.72 | 3.82 | 3.86 |
| Registered nurses | 0.98 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.17 | 3.49 | 3.42 |
| Nurse aides | 2.13 | ||
| Licensed practical nurses | 0.61 | ||
| Nursing staff turnover (share who left in a year) | 39.5% | 41.4% | 45.8% |
| Registered nurse turnover | 35.3% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.88 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 3.94 on weekdays and 3.17 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 3.77 in April to June 2025 to 3.72 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 | 3.72 | 0.98 | 3.94 | 3.17 | 0.0% | 0 of 90 | 91 |
| Oct to Dec 2025 | 3.79 | 0.96 | 4.02 | 3.20 | 0.0% | 0 of 92 | 90 |
| Jul to Sep 2025 | 3.76 | 0.85 | 4.00 | 3.13 | 0.0% | 0 of 92 | 85 |
| Apr to Jun 2025 | 3.77 | 0.89 | 4.04 | 3.10 | 0.0% | 0 of 91 | 85 |
| 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 | 12.7 | 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 | 1.4 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.6 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.3 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.7 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.7 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 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: PRUITTHEALTH - FLEMING ISLAND, LLC. CMS links this home to Pruitthealth, a group of 96 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| United Health Services of Florida, Inc | Direct ownership interest | Organization | 10/16/2014 | |
| Pruitt, Neil | Direct ownership interest | Individual | 11/27/2013 | |
| Clay Healthcare Properties, Inc | 5% or greater indirect ownership interest | Organization | 100% | 04/20/2017 |
| J Paige Pruitt Trust | Indirect ownership interest | Organization | 06/22/2021 | |
| Lisa P Hamby Trust | Indirect ownership interest | Organization | 06/22/2021 | |
| Neil L Pruitt Jr Trust | Indirect ownership interest | Organization | 06/22/2021 | |
| Nwp 2020 Child Tr Fbo J Paige Pruitt | Indirect ownership interest | Organization | 08/12/2020 | |
| Nwp 2020 Child Tr Fbo Neil L Pruitt Jr | Indirect ownership interest | Organization | 08/12/2020 | |
| Pruitthealth-Northeast Florida, LLC | Indirect ownership interest | Organization | 10/16/2014 | |
| United Health Services Inc | Indirect ownership interest | Organization | 11/27/2013 | |
| Small, Philip | Corporate director | Individual | 11/27/2013 | |
| Pruitt, Nancy | Corporate officer | Individual | 11/27/2013 | |
| Pruitt, Neil | Corporate officer | Individual | 10/16/2014 | |
| Odonnell, Connie | Operational/managerial control | Individual | 03/20/2023 | |
| Samara, David | Operational/managerial control | Individual | 10/01/2018 | |
| Clay Healthcare Properties, Inc | Adp of the SNF | Organization | 10/05/2018 | |
| J Paige Pruitt Trust | Adp of the SNF | Organization | 06/22/2021 | |
| Lisa P Hamby Trust | Adp of the SNF | Organization | 06/22/2021 | |
| Neil L Pruitt Jr Trust | Adp of the SNF | Organization | 06/22/2021 | |
| Pruitthealth Consulting Services Inc | Adp of the SNF | Organization | 11/26/2013 | |
| Odonnell, Connie | Adp of the SNF | Individual | 04/03/2025 | |
| Samara, David | Adp of the SNF | Individual | 01/07/2026 | |
| Strang, Robert | Adp of the SNF | Individual | 08/15/2011 |
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.
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on April 15, 2026: "Develop, implement, and/or maintain an effective training program for all new and existing staff members."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on June 13, 2025: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
- 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 15, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 13, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.17 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Isle Healthcare & Rehabilitation Center Orange Park, 1.1 mi · 5 of 5 stars · 10 citations
- Middleburg Rehabilitation and Nursing Center Middleburg, 5.5 mi · 4 of 5 stars · 8 citations
- Aviata at Orange Park Orange Park, 5.7 mi · 4 of 5 stars · 10 citations
- Oak View Health and Rehabilitation Center Orange Park, 5.8 mi · 5 of 5 stars · 14 citations
- Life Care Center of Orange Park Orange Park, 5.9 mi · 5 of 5 stars · 8 citations
- Orange Park Rehabilitation and Nursing Center Orange Park, 6 mi · 4 of 5 stars · 12 citations
- Westminster Woods on Julington Creek Jacksonville, 6.1 mi · 5 of 5 stars · 0 citations
- Moosehaven Orange Park, 6.2 mi · 5 of 5 stars · 2 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 Pruitthealth - Fleming Island's Medicare star rating?
- CMS rates Pruitthealth - Fleming Island 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pruitthealth - Fleming Island get at its last inspection?
- 2 health deficiencies at the standard inspection on April 15, 2026. The Florida average is 7.1.
- Has Pruitthealth - Fleming Island been fined?
- Yes. CMS lists 3 fines totaling $16,153 in the last three years.
- Does Pruitthealth - Fleming Island 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 Pruitthealth - Fleming Island?
- CMS lists 23 owners and managers, and links the home to Pruitthealth. Legal business name: PRUITTHEALTH - FLEMING ISLAND, 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.