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Woodland Grove Healthcare & Rehabilitation Center

4325 Southpoint Boulevard, Jacksonville, FL 32216 · Duval County · (904) 245-7620

120 certified beds, about 110 residents a day · For profit - Corporation · Medicare and Medicaid since 2004

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 106058 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 30, 2025, inspectors cited 0 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 5 health citations since July 2021 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 3.60 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.

47.9% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Gold Fl Trust II, an affiliated group of 36 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.

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
1E
0F
Potential for minimal harm
0A
0B
0C
January 30, 2025Standard inspection · 0 citations
March 16, 2023Standard inspection · 3 citations
  1. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2023
    Inspectors wroteBased on resident and staff interviews, clinical record review, and facility policy and procedure review, the facility failed to implement their abuse prohibition policy for reporting allegations of abuse for one (Resident #300) of one resident reviewed for abuse, from a total of 28 sampled residents. Failure to report abuse allegations may place the resident at risk of harm.
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2023
    Inspectors wroteBased on staff interviews and medical record review, the facility failed to develop and implement a care plan for one (Resident #59) of twelve residents on oxygen therapy, from a total sample of 28 residents, to ensure that the resident's oxygen flow rate was administered as per the physician's order.
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2023
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that a resident requiring respiratory care, received such care consistent with professional standards of practice, by failing to ensure that one (Resident #59) of 12 residents on oxygen therapy, from a total sample of 28 residents, received the oxygen flow rate ordered by the physician.
July 22, 2021Standard inspection · 2 citations
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2021
    Inspectors wroteBased on observation, resident and staff interviews, and clinical record review, the facility failed to ensure that the pharmacy and nursing services accurately documented and administered controlled medication for one (Resident #45) of three sampled residents reviewed for pain management out of a sample of 34 residents.
  2. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2021
    Inspectors wroteBased on record reviews and staff interview, the facility failed to ensure medical records were complete and accurately documented for three (Resident #18, #48, and #6) of five residents sampled for unnecessary medication, out of a total sample of 34 residents.

Fire safety inspections

4 fire safety citations on file: 2 on January 30, 2025, 2 on March 16, 2023.

Every fire safety citation4 citations
  1. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 30, 2025 · Corrected (the home has a date of correction)
  2. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 30, 2025 · Corrected (the home has a date of correction)
  3. D
    Meet other general requirements.
    K 100 · March 16, 2023 · Corrected (the home has a date of correction)
  4. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 16, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.603.823.86
Registered nurses0.650.730.69
All nursing staff on weekends3.213.493.42
Nurse aides2.25
Licensed practical nurses0.70
Nursing staff turnover (share who left in a year)47.9%41.4%45.8%
Registered nurse turnover50.0%46.0%42.9%
Administrators who left1

CMS expects 3.64 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 3.76 on weekdays and 3.21 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 3.60 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.600.653.763.21 2.4%0 of 90110
Oct to Dec 20253.630.713.783.24 3.2%0 of 92110
Jul to Sep 20253.680.683.853.23 1.4%0 of 92105
Apr to Jun 20253.670.703.823.28 1.6%0 of 91108
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%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.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
2.58.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.62.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.19.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.04.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.38.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.126.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.89.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.52.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.11.8

Owners and operators

Legal business name: WOODLAND GROVE HEALTHCARE & REHABILITATION CENTER LLC. CMS links this home to Gold Fl Trust II, a group of 36 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Woodland Grove SNF Holdco LLC5% or greater direct ownership interestOrganization100%03/23/2022
Fl Master Opco Holdco LLC5% or greater indirect ownership interestOrganization100%07/27/2022
Stover, PatriciaW-2 managing employeeIndividual07/27/2022
Shelby, JackCorporate officerIndividual07/27/2022

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 16, 2023: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on March 16, 2023: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 16, 2023: "Provide safe and appropriate respiratory care for a resident when needed."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 22, 2021: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.21 hours per resident per day, below the Florida average of 3.49.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

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Common questions

What is Woodland Grove Healthcare & Rehabilitation Center's Medicare star rating?
CMS rates Woodland Grove Healthcare & Rehabilitation Center 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Woodland Grove Healthcare & Rehabilitation Center get at its last inspection?
0 health deficiencies at the standard inspection on January 30, 2025. The Florida average is 7.1.
Has Woodland Grove Healthcare & Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Woodland Grove Healthcare & Rehabilitation 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 Woodland Grove Healthcare & Rehabilitation Center?
CMS lists 4 owners and managers, and links the home to Gold Fl Trust II. Legal business name: WOODLAND GROVE HEALTHCARE & REHABILITATION CENTER LLC.

Sources

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