Orange Park, FL

Life Care Center Of Orange Park

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

2145 Kingsley Ave, Orange Park, FL

(904) 272-2424

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

180

Certified beds

Average residents

174

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Centers Of America

Operator or chain grouping

Approved since

1996-09-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

194 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 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

0.45

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

1.04

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.30

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.79

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.49

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.51

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

3.86

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

48%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,535

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

Performance score

16.41

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.43

Baseline 22.36% · Performance 21.87% · Measure score 0.43 · Achievement 0 · Improvement 0.43

Healthcare-associated infections

0.77

Baseline 7.35% · Performance 7.60% · Measure score 0.77 · Achievement 0.77 · Improvement 0

Total nurse turnover

3.64

Baseline 48.17% · Performance 48.80% · Measure score 3.64 · Achievement 3.64 · Improvement 0

Adjusted total nurse staffing

1.72

Baseline 3.90 hours · Performance 3.57 hours · Measure score 1.72 · Achievement 1.72 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.42%	10.72% 1.7 pts worse	No Different than the National Rate · Eligible stays 467 · Observed rate 13.06% · Lower 95% interval 10.08%
Discharge to community	57.45%	50.57% 6.9 pts better	Better than the National Rate · Eligible stays 421 · Observed rate 52.73% · Lower 95% interval 52.56%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	99.19%	95.27% 3.9 pts better	Numerator 244 · Denominator 246
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 246
Discharge self-care score	70%	53.69% 16.3 pts better	Numerator 126 · Denominator 180
Discharge mobility score	50.56%	50.94% 0.4 pts worse	Numerator 91 · Denominator 180
Pressure ulcers or injuries, new or worsened	0.41%	2.29% 1.9 pts better	Numerator 1 · Denominator 246 · Adjusted rate 0.37%
Healthcare-associated infections requiring hospitalization	7.6%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 280 · Observed rate 7.86% · Lower 95% interval 5.28%
Staff COVID-19 vaccination coverage	6.88%	8.2% 1.3 pts worse	Numerator 15 · Denominator 218
Staff flu vaccination coverage	63.82%	42% 21.8 pts better	Numerator 97 · Denominator 152
Discharge function score	67.22%	56.45% 10.8 pts better	Numerator 121 · Denominator 180
Transfer of health information to provider	96.61%	95.95% 0.7 pts better	Numerator 57 · Denominator 59
Transfer of health information to patient	96.58%	96.28% 0.3 pts better	Numerator 113 · Denominator 117
Resident COVID-19 vaccinations up to date	11.48%	25.2% 13.7 pts worse	Numerator 14 · Denominator 122

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.1 0.3 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	1.2 0.4 pts better	1.8 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · 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	3.0%	2.6% 0.4 pts worse	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.5% · Q3 3.4% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.1%	3.7% 2.6 pts better	11.4% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.7% · Q4 0.7% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight	8.0%	5.9% 2.1 pts worse	5.4% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 7.2% · Q3 10.3% · Q4 5.8% · 4Q avg 8.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.3%	15.7% 4.4 pts better	19.6% 8.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 10.0% · Q3 8.0% · Q4 8.1% · 4Q avg 11.3%
Percentage of long-stay residents who received an antipsychotic medication	6.0%	9.8% 3.8 pts better	16.7% 10.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 3.0% · Q3 2.9% · Q4 4.7% · 4Q avg 6.0% · 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	7.2%	11.7% 4.5 pts better	16.3% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 9.1% · Q3 9.2% · Q4 7.6% · 4Q avg 7.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.3%	9.8% 5.5 pts better	14.9% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.4% · Q3 6.1% · Q4 5.9% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.4% 0.4 pts better	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% · 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	16.3%	12.5% 3.8 pts worse	19.8% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 15.9% · Q3 11.1% · Q4 15.9% · 4Q avg 16.3%
Percentage of long-stay residents with pressure ulcers	4.8%	5.1% 0.3 pts better	5.1% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 5.5% · Q3 3.9% · Q4 5.2% · 4Q avg 4.8% · 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	5.3%	9.3% 4 pts better	12.0% 6.7 pts better	Short Stay · 20240701-20250630 · Adjusted 5.3% · Observed 5.1% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	1.5% 1.3 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · 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	24.9%	26.2% 1.3 pts better	23.9% 1 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 22.3% · Expected 21.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-06 · Fire 2025-02-06

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-03-23 · Fire 2023-03-23

1 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 2021-07-29 · Fire 2021-07-29

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

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 2025-02-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-02-06

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-02-06

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-28

D · Potential for more than minimal harm 2023-03-23

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-13

E · Potential for more than minimal harm 2021-07-29

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 2021-08-29

D · Potential for more than minimal harm 2021-07-29

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2021-08-29

D · Potential for more than minimal harm 2021-07-29

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2021-08-29

D · Potential for more than minimal harm 2021-07-29

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2021-08-29

Penalties and ownership

What sits behind the stars

Ownership

Life Care Centers Of America, Inc.

5% Or Greater Direct Ownership Interest · Organization

100% 194 facilities 2004-09-30

Preston, Forrest

5% Or Greater Indirect Ownership Interest · Individual

100% 188 facilities 2004-09-30

Anez, Luis