Federal inspection record · CMS data as of October 1, 2026

Macclenny Nursing And Rehab Center

755 S 5th St, Macclenny, FL · (904) 259-4873

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
120
Residents per day
102
Ownership
For-Profit
Chain
Sovereign Healthcare Holdings
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 11, 1991

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 5)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Florida homes

Macclenny Nursing And Rehab Center carries 0 inspection points, the cleanest record possible.

5★4★3★2★1★+21 homes above 238.505102550100200inspection points → fewer is better on the leftThis home · 0 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–8 pts
  • 4★ 8–25 pts
  • 3★ 25–46 pts
  • 2★ 46–85 pts
  • 1★ over 85 pts

Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

6 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 5 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care4D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 21, 2021 · Standard · F684 · Corrected November 26, 2021

  2. D

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

    October 21, 2021 · Standard · F690 · Corrected November 26, 2021

  3. D

    Provide safe, appropriate pain management for a resident who requires such services.

    October 21, 2021 · Standard · F697 · Corrected November 26, 2021

  4. D

    Provide routine and 24-hour emergency dental care for each resident.

    October 21, 2021 · Standard · F790 · Corrected November 26, 2021

Resident Rights2E
  1. E

    Keep residents' personal and medical records private and confidential.

    October 21, 2021 · Standard · F583 · Corrected November 26, 2021

  2. D

    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.

    October 21, 2021 · Standard · F584 · Corrected November 26, 2021

Inspection history

  1. 2025-06-19

    0 health deficiencies · 5 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2023-08-17

    0 health deficiencies · 2 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  3. 2021-10-21

    6 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 35 min of nursing staff time a day, 40 min of it from a registered nurse.

This home

3 h 35 min

Florida average

3 h 51 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 41% of nursing staff and 23% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1 pts worse3.02.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days2.6 pts worse3.71.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better100.0%98.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better100.0%99.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better1.4%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms1.6 pts better3.8%5.4%13.5%
Percentage of long-stay residents who lose too much weight5.5 pts better0.0%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12 pts better1.9%13.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.2 pts worse9.9%8.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.7 pts better6.7%8.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts better2.6%8.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts better0.0%0.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts better4.5%9.5%18.3%
Percentage of long-stay residents with pressure ulcers1.9 pts better2.5%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better100.0%95.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts worse9.4%8.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better1.2%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.7 pts better100.0%96.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts worse27.6%25.8%23.4%

·

Who owns and runs it

33 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Berkadia Commercial Mortgage LLC5% Or Greater Security Interest · Organization0%28 facilities
Brown, FateManaging Control - Governing Body · Individual0%9 facilities
Brown, FateAdp Of The SNF · Individual0%9 facilities
Chery, DawnManaging Control - Governing Body · Individual0%39 facilities
Chery, DawnAdp Of The SNF · Individual0%39 facilities
Cronquist 2015 Family TrIndirect Ownership Interest · Organization0%36 facilities
Cronquist, RoyceOperational/Managerial Control · Individual0%43 facilities
Cronquist, RoyceAdp Of The SNF · Individual0%43 facilities
Fl Macclenny Holdings LLC5% Or Greater Security Interest · Organization0%1 facilities
Fl Macclenny Holdings LLCAdp Of The SNF · Organization0%1 facilities
Forvis Mazars LlpAdp Of The SNF · Organization0%295 facilities
Health Services Properties LLC5% Or Greater Security Interest · Organization0%27 facilities
Health Services Properties LLCAdp Of The SNF · Organization0%27 facilities
John J Notermann Business TrIndirect Ownership Interest · Organization0%34 facilities
Kaar, SusanManaging Control - Governing Body · Individual0%38 facilities
Kaar, SusanAdp Of The SNF · Individual0%38 facilities
Kalmus, GregoryOperational/Managerial Control · Individual0%2 facilities
Kalmus, GregoryAdp Of The SNF · Individual0%2 facilities
Kelly, MichelleAdp Of The SNF · Individual0%43 facilities
Mangine, JohnIndirect Ownership Interest · Individual0%39 facilities
Mangine, JohnOperational/Managerial Control · Individual0%39 facilities
Mangine, JohnAdp Of The SNF · Individual0%39 facilities
Melton, DonaldOperational/Managerial Control · Individual0%43 facilities
Melton, DonaldAdp Of The SNF · Individual0%43 facilities
Notermann, BrendaIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%43 facilities
Notermann, WilliamOperational/Managerial Control · Individual0%37 facilities
Notermann, WilliamAdp Of The SNF · Individual0%37 facilities
Sharpe, MichaelOperational/Managerial Control · Individual0%4 facilities
Sharpe, MichaelAdp Of The SNF · Individual0%4 facilities
Southern Healthcare Management LLCOperational/Managerial Control · Organization0%43 facilities
Southern Healthcare Management LLCAdp Of The SNF · Organization0%43 facilities
Sovereign Healthcare Disbursements LLCAdp Of The SNF · Organization0%33 facilities
Sovereign Healthcare Holdings LLCDirect Ownership Interest · Organization0%27 facilities

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Miscellaneous2E
  1. E

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

    June 19, 2025 · K761 · Corrected July 19, 2025

  2. D

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

    August 17, 2023 · K761 · Corrected September 1, 2023

Gas, Vacuum, and Electrical Systems2D
  1. D

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

    June 19, 2025 · K914 · Corrected July 19, 2025

  2. D

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

    June 19, 2025 · K918 · Corrected July 19, 2025

Smoke1E
  1. E

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

    June 19, 2025 · K345 · Corrected July 19, 2025

Services1E
  1. E

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    June 19, 2025 · K521 · Corrected July 19, 2025

Emergency Preparedness1D
  1. D

    Develop and maintain an Emergency Preparedness Program (EP).

    August 17, 2023 · E4 · Corrected September 1, 2023

·

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