Jacksonville, FL

Aviata At San Jose

4-star overall rating with 4-star inspections with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

9355 San Jose Blvd, Jacksonville, FL

(904) 739-0877

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

109

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aviata Health Group

Operator or chain grouping

Approved since

1985-12-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

52 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.56

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.31

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.60

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.36

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.38

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.63

CMS adjusted RN staffing hours

Adjusted total hours

4.06

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

12,501

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

11.95

Composite VBP score used to determine payment impact.

Payment multiplier

0.9810

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.35

Baseline 16.94% · Performance 19.88% · Measure score 3.35 · Achievement 3.35 · Improvement 0

Healthcare-associated infections

0

Baseline 6.93% · Performance 8.67% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0

Baseline 69.86% · Performance 74.75% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.43

Baseline 3.13 hours · Performance 3.48 hours · Measure score 1.43 · Achievement 1.43 · Improvement 0.84

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.64%	10.72% 0.1 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 10.87% · Lower 95% interval 6.53%
Discharge to community	44.31%	50.57% 6.3 pts worse	No Different than the National Rate · Eligible stays 37 · Observed rate 29.73% · Lower 95% interval 27.3%
Medicare spending per beneficiary	1.04	1.02 About the same
Drug regimen review with follow-up	97%	95.27% 1.7 pts better	Numerator 97 · Denominator 100
Falls with major injury	4%	0.77% 3.2 pts worse	Numerator 4 · Denominator 100
Discharge self-care score	40.38%	53.69% 13.3 pts worse	Numerator 21 · Denominator 52
Discharge mobility score	48.08%	50.94% 2.9 pts worse	Numerator 25 · Denominator 52
Pressure ulcers or injuries, new or worsened	10%	2.29% 7.7 pts worse	Numerator 10 · Denominator 100 · Adjusted rate 9.85%
Healthcare-associated infections requiring hospitalization	8.67%	7.12% 1.5 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 18.18% · Lower 95% interval 5.03%
Staff COVID-19 vaccination coverage	7.93%	8.2% 0.3 pts worse	Numerator 13 · Denominator 164
Staff flu vaccination coverage	28.68%	42% 13.3 pts worse	Numerator 39 · Denominator 136
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 26 · Denominator 52
Transfer of health information to provider	90.91%	95.95% 5 pts worse	Numerator 40 · Denominator 44
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	6.52%	25.2% 18.7 pts worse	Numerator 3 · Denominator 46

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	2.1 0.3 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.7 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.2 0.2 pts worse	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	97.8% 1.9 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.9% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	99.2% 0.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.9%	2.6% 2.3 pts worse	3.3% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 6.4% · Q3 3.2% · Q4 5.3% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.5%	3.7% 2.2 pts better	11.4% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.4% · Q3 0.0% · Q4 2.2% · 4Q avg 1.5%
Percentage of long-stay residents who lose too much weight	2.2%	5.9% 3.7 pts better	5.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.5% · Q3 3.8% · Q4 1.2% · 4Q avg 2.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	5.9%	15.7% 9.8 pts better	19.6% 13.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.9% · Q3 3.7% · Q4 10.8% · 4Q avg 5.9%
Percentage of long-stay residents who received an antipsychotic medication	6.9%	9.8% 2.9 pts better	16.7% 9.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 2.6% · Q3 5.9% · Q4 7.8% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.7%	11.7% 4 pts better	16.3% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 3.8% · Q3 3.1% · Q4 6.1% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.7%	9.8% 6.1 pts better	14.9% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.1% · Q3 2.7% · Q4 2.7% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.4% About the same	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.8% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.8%	12.5% 3.3 pts worse	19.8% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 17.0% · Q3 13.0% · Q4 18.0% · 4Q avg 15.8%
Percentage of long-stay residents with pressure ulcers	6.5%	5.1% 1.4 pts worse	5.1% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 6.8% · Q3 5.5% · Q4 4.6% · 4Q avg 6.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.2%	94.3% 2.9 pts better	81.7% 15.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 95.7% · Q4 93.4% · 4Q avg 97.2%
Percentage of short-stay residents who had an outpatient emergency department visit	10.4%	9.3% 1.1 pts worse	12.0% 1.6 pts better	Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 12.2% · Expected 13.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.3%	1.5% 0.2 pts better	1.6% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 3.4% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	94.7% 5.3 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.8%	26.2% 7.6 pts worse	23.9% 9.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.8% · Observed 39.0% · Expected 27.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-24 · Fire 2025-04-24

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

9 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 2 Health 2023-06-15 · Fire 2023-06-15

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-09-30 · Fire 2021-09-30

3 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-24

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

E42 · Emergency Preparedness Deficiencies

Fire Safety

Meet the requirements of an integrated health system.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-30

D · Potential for more than minimal harm 2023-06-15

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-15

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-07-11

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-24

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-24

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-05-30

D · Potential for more than minimal harm 2023-03-07

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-04-15

F · Potential for more than minimal harm 2021-09-30

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2021-11-16

E · Potential for more than minimal harm 2021-09-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2021-11-16

Penalties and ownership