Cycle 1
Health 2024-03-14 · Fire 2024-03-14
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Middleburg, FL
Middleburg Rehabilitation And Nursing Center
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
1280 Henley Rd, Middleburg, FL
(502) 568-7800
Overall
5 / 5
CMS overall stars
Health inspections
5 / 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
117
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Benjamin Landa
Operator or chain grouping
Approved since
2020-09-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
54 facilities
Chain averages 3 overall / 3 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
0.90
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.17
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.82
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.66
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.47
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.87
CMS adjusted RN staffing hours
Adjusted total hours
3.68
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
45%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,199
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.06
Composite VBP score used to determine payment impact.
Payment multiplier
1.0053
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.55
Baseline 22.95% · Performance 17.59% · Measure score 8.55 · Achievement 8.29 · Improvement 8.55
Healthcare-associated infections
5.85
Baseline 8.35% · Performance 6.22% · Measure score 5.85 · Achievement 5.41 · Improvement 5.85
Total nurse turnover
4.09
Baseline 53.12% · Performance 46.97% · Measure score 4.09 · Achievement 4.09 · Improvement 1.68
Adjusted total nurse staffing
1.93
Baseline 4.23 hours · Performance 3.63 hours · Measure score 1.93 · Achievement 1.93 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.23% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 514 · Observed rate 13.81% · Lower 95% interval 10.03% |
| Discharge to community | 54.03% |
50.57%
3.5 pts better
|
No Different than the National Rate · Eligible stays 542 · Observed rate 47.05% · Lower 95% interval 50.55% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 92.92% |
95.27%
2.3 pts worse
|
Numerator 446 · Denominator 480 |
| Falls with major injury | 0.42% |
0.77%
0.4 pts better
|
Numerator 2 · Denominator 480 |
| Discharge self-care score | 54.02% |
53.69%
0.3 pts better
|
Numerator 141 · Denominator 261 |
| Discharge mobility score | 49.43% |
50.94%
1.5 pts worse
|
Numerator 129 · Denominator 261 |
| Pressure ulcers or injuries, new or worsened | 3.97% |
2.29%
1.7 pts worse
|
Numerator 19 · Denominator 478 · Adjusted rate 3.46% |
| Healthcare-associated infections requiring hospitalization | 6.22% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 357 · Observed rate 6.16% · Lower 95% interval 4.71% |
| Staff COVID-19 vaccination coverage | 0.98% |
8.2%
7.2 pts worse
|
Numerator 2 · Denominator 205 |
| Staff flu vaccination coverage | 10.23% |
42%
31.8 pts worse
|
Numerator 22 · Denominator 215 |
| Discharge function score | 57.85% |
56.45%
1.4 pts better
|
Numerator 151 · Denominator 261 |
| Transfer of health information to provider | 97.35% |
95.95%
1.4 pts better
|
Numerator 294 · Denominator 302 |
| Transfer of health information to patient | 93.7% |
96.28%
2.6 pts worse
|
Numerator 119 · Denominator 127 |
| Resident COVID-19 vaccinations up to date | 6.23% |
25.2%
19 pts worse
|
Numerator 17 · Denominator 273 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
2.1
1.1 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.2 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.2
About the same
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
97.8%
1.7 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.1% · 4Q avg 99.5% |
| 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 | 1.8% |
2.6%
0.8 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 50.5% |
3.7%
46.8 pts worse
|
11.4%
39.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 38.5% · Q3 63.6% · Q4 82.7% · 4Q avg 50.5% |
| Percentage of long-stay residents who lose too much weight | 2.0% |
5.9%
3.9 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 0.0% · Q3 0.0% · Q4 4.1% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.5% |
15.7%
11.2 pts better
|
19.6%
15.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 5.9% · Q3 1.9% · Q4 6.1% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.3% |
9.8%
6.5 pts better
|
16.7%
13.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.3% · Q3 4.2% · Q4 4.5% · 4Q avg 3.3% · 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 | 15.9% |
11.7%
4.2 pts worse
|
16.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.3% |
9.8%
2.5 pts worse
|
14.9%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 12.5% · Q3 14.9% · Q4 10.9% · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.4%
0.8 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.5% · Q4 1.5% · 4Q avg 1.2% · 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 | 36.8% |
12.5%
24.3 pts worse
|
19.8%
17 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.6% · Q2 34.2% · Q3 42.7% · Q4 33.4% · 4Q avg 36.8% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
5.1%
0.2 pts worse
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 4.8% · Q3 3.4% · Q4 7.7% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% |
94.3%
1.9 pts better
|
81.7%
14.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 98.4% · Q3 95.1% · Q4 94.1% · 4Q avg 96.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% |
9.3%
1 pts better
|
12.0%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 8.7% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.5%
1.1 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.6% · Q3 0.0% · Q4 0.3% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.3% |
94.7%
1.6 pts better
|
79.7%
16.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.4% |
26.2%
2.8 pts better
|
23.9%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 24.2% · Expected 24.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-03-31 · Fire 2022-03-31
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2020-08-03 · Fire 2020-08-03
0 health deficiencies
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-03-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-10
F · Potential for more than minimal harm
2020-08-03
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2020-08-19
F · Potential for more than minimal harm
2020-08-03
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2020-08-19
F · Potential for more than minimal harm
2020-08-03
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-08-19
F · Potential for more than minimal harm
2020-08-03
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2020-08-19
F · Potential for more than minimal harm
2020-08-03
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-08-19
Inspection history
Recent health citations
E · Potential for more than minimal harm
2022-03-31
F839 · Administration Deficiencies
Health
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2022-05-02
D · Potential for more than minimal harm
2022-03-31
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 2022-05-02
D · Potential for more than minimal harm
2022-03-31
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2022-05-02
Penalties and ownership
What sits behind the stars
Ownership
Middleburg Rehabilitation And Nursing Member, LLC
5% Or Greater Direct Ownership Interest · Organization
Apja Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Brecher, Hal
Corporate Officer · Individual
Flnho Capital Group LLC
5% Or Greater Indirect Ownership Interest · Organization
Gpja Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Henderson, Erica
W-2 Managing Employee · Individual
Jacksonville 4 Member Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Jacksonville 4 Opco Partners LLC
5% Or Greater Indirect Ownership Interest · Organization
Jflnho Capital Group, LLC
5% Or Greater Indirect Ownership Interest · Organization
Kelman, Moshe
5% Or Greater Indirect Ownership Interest · Individual
Landa, Benjamin
5% Or Greater Indirect Ownership Interest · Individual
Landa, Judy
5% Or Greater Indirect Ownership Interest · Individual
Lowy, Shlomo
5% Or Greater Indirect Ownership Interest · Individual
Mkja Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Platschek, Alexander
5% Or Greater Indirect Ownership Interest · Individual
Platschek, Goldie
5% Or Greater Indirect Ownership Interest · Individual
Platschek, Richard
5% Or Greater Indirect Ownership Interest · Individual
Rpja Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Slja Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
Zbl-18 LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
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Pruitthealth - Fleming Island
Fleming Island, FL
1-star overall rating with 1-star inspections with $16,153 in total fines with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
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5-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
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Orange Park, FL
3-star overall rating with 2-star inspections with $43,664 in total fines with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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