Federal inspection record · CMS data as of October 1, 2026
Pavilion For Health Care, The
3465 Caroline Blvd, Penney Farms, FL · (904) 297-9700
- CMS high-performer trophy
- Certified beds
- 50
- Residents per day
- 43
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 27, 2012
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.
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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.
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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.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Pavilion For Health Care, The carries 1 inspection point. That is fewer than 98% of Florida's 691 rated homes.
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
3 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning1D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspection history
2026-03-26
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-06-20
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2022-09-15
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 18 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
5 h 18 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 67% of registered nurses left in the past year, along with 1 administrator.
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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 1.4 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 100.0% | 98.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 100.0% | 99.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse | 2.8% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.6 pts better | 0.8% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.5 pts better | 0.0% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.9 pts better | 5.0% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.6 pts better | 4.1% | 8.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.2 pts better | 8.2% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts better | 8.0% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts worse | 2.3% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better | 9.2% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better | 98.8% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.3 pts worse | 12.2% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 100.0% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.1 pts worse | 31.9% | 25.8% | 23.4% |
·
Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Agresti, Gerald | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Barton, Teresa | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Bridgman, Mary | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Costin, Richard | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Deckerhoff, Kip | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Irvine, Frances | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Issa, Hani | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Issa, Hani | Adp Of The SNF · Individual | 0% | 1 facilities |
| Keating, Nancy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Knoff, Richard | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Loper, Harry | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Lovelace, Jimmy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mcgurer, Christie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcgurer, Christie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Meernik, Gary | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Pierce, Rebecca | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Renninger, James | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Scott, Teresa | Corporate Director · Individual | 0% | 1 facilities |
| Scott, Teresa | Corporate Officer · Individual | 0% | 1 facilities |
| Scott, Teresa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Scott, Teresa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Standley, Jamie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Standley, Jamie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Vanderkamp, Stephen | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Westberry, Rannel | Managing Control - Governing Body · Individual | 0% | 1 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1D
- D
Provide properly protected cooking facilities.
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Other homes nearby
-
Aviata At Green Cove Springs
Green Cove Springs, FL · Aviata Health Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0
-
Middleburg Rehabilitation And Nursing Center
Middleburg, FL · Benjamin Landa
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 48 min
- Fines
- $0
-
Isle Healthcare & Rehabilitation Center
Orange Park, FL · Gold Fl Trust Ii
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 33 min
- Fines
- $43,664