Cycle 1
Health 2026-02-12 · Fire 2026-02-12
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Jacksonville, FL
Shands Jacksonville Medical Center
5-star overall rating with 5-star inspections
580 W 8th Street, Jacksonville, FL
(904) 244-1812
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
56
Certified beds
Average residents
56
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-07-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
3.22
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.35
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.66
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
6.23
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
3.57
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
5.55
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
2.80
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.34
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
2.83
CMS adjusted RN staffing hours
Adjusted total hours
5.49
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
16%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
106
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
85.10
Composite VBP score used to determine payment impact.
Payment multiplier
1.0267
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
10
Baseline 20.37% · Performance 16.98% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
7.02
Baseline 6.62 hours · Performance 5.08 hours · Measure score 7.02 · Achievement 7.02 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.77 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.88% |
95.27%
1.6 pts better
|
Numerator 31 · Denominator 32 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 32 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 13 · Denominator 26 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 13 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 32 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 156 |
| Staff flu vaccination coverage | 91.8% |
42%
49.8 pts better
|
Numerator 56 · Denominator 61 |
| Discharge function score | 61.54% |
56.45%
5.1 pts better
|
Numerator 16 · Denominator 26 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 38.1% |
25.2%
12.9 pts better
|
Numerator 8 · Denominator 21 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.6%
2.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
3.7%
3.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 8.3% |
5.9%
2.4 pts worse
|
5.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% |
15.7%
2.2 pts worse
|
19.6%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.9% |
| 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.8% |
9.8%
2 pts worse
|
14.9%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.7% |
0.4%
5.3 pts worse
|
1.0%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.7% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.5% |
12.5%
5 pts worse
|
19.8%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.5% |
| Percentage of long-stay residents with pressure ulcers | 12.0% |
5.1%
6.9 pts worse
|
5.1%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% |
94.3%
1.8 pts better
|
81.7%
14.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 83.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 96.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.7% |
9.3%
6.6 pts better
|
12.0%
9.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.7% · Observed 2.9% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.6% |
94.7%
1.9 pts better
|
79.7%
16.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.5% |
26.2%
11.7 pts better
|
23.9%
9.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 14.7% · Expected 24.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-24 · Fire 2024-04-24
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-05-05 · Fire 2022-05-05
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-05-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-27
Inspection history
Recent health citations
Penalties and ownership
What sits behind the stars
Ownership
Shands Jacksonville Healthcare Inc
5% Or Greater Indirect Ownership Interest · Organization
Shands Jacksonville Medical Center Inc
5% Or Greater Direct Ownership Interest · Organization
Bank Of America, Na
5% Or Greater Security Interest · Organization
Beebe, Edmund
Corporate Director · Individual
Byrd, Andrea
Operational/Managerial Control · Individual
Cocchi, Dean
Corporate Officer · Individual
Da Cruz, Kerin
Operational/Managerial Control · Individual
Fuchs, Kent
Corporate Director · Individual
Fuller, Ryan
Corporate Director · Individual
Gagadam, Vinay
Operational/Managerial Control · Individual
Green, Patrick
Corporate Officer · Individual
Gunderson, Cheney
Operational/Managerial Control · Individual
Hunt, Jennifer
Corporate Director · Individual
Johnson, Brittany
Operational/Managerial Control · Individual
Lachiusa, Andrea
Operational/Managerial Control · Individual
Lee, Tyika
Operational/Managerial Control · Individual
Lewis, Gregory
Corporate Director · Individual
Mann, David
Corporate Director · Individual
Mead, Betsy
Operational/Managerial Control · Individual
Motew, Stephen
Corporate Director · Individual
Neville, Todd
Corporate Director · Individual
Powers, Marsha
Corporate Director · Individual
Richmond, Vanessa
Operational/Managerial Control · Individual
Rosario, Maya
Operational/Managerial Control · Individual
Stilley, Robert
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
North Bank Center For Rehabilitation And Healing
Jacksonville, FL
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Jacksonville Nursing And Rehabilation
Jacksonville, FL
3-star overall rating with 2-star inspections with 10 recent health deficiencies with 25 fire-safety deficiencies in the latest cycle
#3
Park Ridge Nursing Center
Jacksonville, FL
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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