Cycle 1
Health 2024-08-09 · Fire 2024-08-09
6 health deficiencies
Top issue: Environmental (3 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Jacksonville, FL
Cedar Hill Nursing And Rehab Center
3-star overall rating with 2-star inspections with $21,921 in total fines with 6 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
5888 Blanding Blvd, Jacksonville, FL
(904) 772-1220
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
119
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
Eliyahu Mirlis
Operator or chain grouping
Approved since
1991-04-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 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
0.26
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.01
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.17
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.16
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.11
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
4.00
CMS adjusted total nurse staffing hours
Case-mix index
1.08
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,427
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.42
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.91% · Performance 21.43% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.57
Baseline 6.20% · Performance 7.66% · Measure score 0.57 · Achievement 0.57 · Improvement 0
Total nurse turnover
5.21
Baseline 58.57% · Performance 42.39% · Measure score 5.21 · Achievement 5.21 · Improvement 4.30
Adjusted total nurse staffing
2.39
Baseline 3.98 hours · Performance 3.76 hours · Measure score 2.39 · Achievement 2.39 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.44% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 80 · Observed rate 12.5% · Lower 95% interval 8.21% |
| Discharge to community | 41.6% |
50.57%
9 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 28.26% · Lower 95% interval 31.04% |
| Medicare spending per beneficiary | 1.25 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 90.28% |
95.27%
5 pts worse
|
Numerator 65 · Denominator 72 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 72 |
| Discharge self-care score | 59.32% |
53.69%
5.6 pts better
|
Numerator 35 · Denominator 59 |
| Discharge mobility score | 72.88% |
50.94%
21.9 pts better
|
Numerator 43 · Denominator 59 |
| Pressure ulcers or injuries, new or worsened | 1.39% |
2.29%
0.9 pts better
|
Numerator 1 · Denominator 72 · Adjusted rate 1.34% |
| Healthcare-associated infections requiring hospitalization | 7.66% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 47 · Observed rate 10.64% · Lower 95% interval 4.39% |
| Staff COVID-19 vaccination coverage | 78.22% |
8.2%
70 pts better
|
Numerator 79 · Denominator 101 |
| Staff flu vaccination coverage | 11.17% |
42%
30.8 pts worse
|
Numerator 21 · Denominator 188 |
| Discharge function score | 74.58% |
56.45%
18.1 pts better
|
Numerator 44 · Denominator 59 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 36.59% |
25.2%
11.4 pts better
|
Numerator 15 · Denominator 41 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.1
0.9 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.2
0.7 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 4.0% |
2.6%
1.4 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.6% · Q3 4.5% · Q4 3.6% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
3.7%
1.2 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 2.0% · Q4 4.0% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
5.9%
1.9 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 5.6% · Q3 2.2% · Q4 6.2% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 45.8% |
15.7%
30.1 pts worse
|
19.6%
26.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.9% · Q2 44.0% · Q3 49.5% · Q4 46.9% · 4Q avg 45.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 39.5% |
9.8%
29.7 pts worse
|
16.7%
22.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.3% · Q2 36.2% · Q3 39.5% · Q4 41.8% · 4Q avg 39.5% · 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 | 10.3% |
11.7%
1.4 pts better
|
16.3%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 10.0% · Q3 5.5% · Q4 3.3% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.4% |
9.8%
1.4 pts better
|
14.9%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 11.4% · Q3 5.6% · Q4 5.3% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.4%
0.2 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
0.8%
0.6 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.5% |
12.5%
6 pts better
|
19.8%
13.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 7.5% · Q3 1.6% · Q4 8.0% · 4Q avg 6.5% |
| Percentage of long-stay residents with pressure ulcers | 1.6% |
5.1%
3.5 pts better
|
5.1%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 1.0% · Q4 3.1% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.3%
5.7 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.9% |
9.3%
5.4 pts better
|
12.0%
8.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.9% · Observed 4.7% · Expected 13.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.5%
0.3 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 1.8% · 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 | 18.0% |
26.2%
8.2 pts better
|
23.9%
5.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 18.6% · Expected 24.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-21 · Fire 2022-07-21
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-01-22 · Fire 2021-01-22
6 health deficiencies
Top issue: Environmental (2 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-08-09
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-16
E · Potential for more than minimal harm
2024-08-09
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2024-09-16
E · Potential for more than minimal harm
2024-08-09
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-09-16
E · Potential for more than minimal harm
2024-08-09
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-09-16
E · Potential for more than minimal harm
2024-08-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-16
E · Potential for more than minimal harm
2024-08-09
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-16
E · Potential for more than minimal harm
2024-08-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-16
D · Potential for more than minimal harm
2024-08-09
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-09-16
D · Potential for more than minimal harm
2024-08-09
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-16
D · Potential for more than minimal harm
2021-01-22
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2021-03-01
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-08-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-23
E · Potential for more than minimal harm
2024-08-09
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-23
E · Potential for more than minimal harm
2024-08-09
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2024-09-23
E · Potential for more than minimal harm
2024-08-09
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-09-23
D · Potential for more than minimal harm
2024-08-09
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-09-23
D · Potential for more than minimal harm
2024-08-09
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-09-23
J · Immediate jeopardy
2023-10-17
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-07
J · Immediate jeopardy
2023-10-17
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 2023-11-07
D · Potential for more than minimal harm
2023-10-17
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-07
E · Potential for more than minimal harm
2023-04-13
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2023-04-14
D · Potential for more than minimal harm
2022-07-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-21
D · Potential for more than minimal harm
2022-07-21
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 2022-08-21
E · Potential for more than minimal harm
2021-01-22
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2021-02-22
D · Potential for more than minimal harm
2021-01-22
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2021-02-22
Penalties and ownership
What sits behind the stars
$4,368
2023-12-26
Fine
Fine · fine $4,368
Fine
$17,553
2023-10-17
Fine
Fine · fine $17,553
Fine
Ownership
5888 Blanding Blvd Jacksonville Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Mirlis, Eliyahu
5% Or Greater Indirect Ownership Interest · Individual
Cooke, Gary
Operational/Managerial Control · Individual
Tran, Phuc
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Westside Oaks Rehabilitation & Nursing Center
Jacksonville, FL
1-star overall rating with 1-star inspections with abuse icon flag with $96,892 in total fines with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Fouraker Hills Rehab And Nursing Center
Jacksonville, FL
2-star overall rating with 3-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Life Care Center At Wells Crossing
Orange Park, FL
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out