Cycle 1
Health 2025-07-30 · Fire 2025-07-30
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Ponte Vedra Beach, FL
Vicar's Landing Nursing Home
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1003 York Road, Ponte Vedra Beach, FL
(904) 285-1055
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
30
Certified beds
Average residents
26
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-12-06
CMS approved date
Coverage
Medicare
Participation flags
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
1.55
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.43
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
3.80
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
5.79
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.98
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
5.03
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.02
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.86
CMS adjusted RN staffing hours
Adjusted total hours
6.95
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
27%
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
2,596
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.83
Composite VBP score used to determine payment impact.
Payment multiplier
1.0027
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.47
Baseline 18.25% · Performance 19.36% · Measure score 4.47 · Achievement 4.47 · Improvement 0
Healthcare-associated infections
5.61
Baseline 6.56% · Performance 6.16% · Measure score 5.61 · Achievement 5.61 · Improvement 2.08
Total nurse turnover
4.57
Baseline 35.90% · Performance 45.00% · Measure score 4.57 · Achievement 4.57 · Improvement 0
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.67% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 110 · Observed rate 9.09% · Lower 95% interval 7.72% |
| Discharge to community | 53.64% |
50.57%
3.1 pts better
|
No Different than the National Rate · Eligible stays 109 · Observed rate 51.38% · Lower 95% interval 46.52% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.65% |
95.27%
3.4 pts better
|
Numerator 73 · Denominator 74 |
| Falls with major injury | 2.7% |
0.77%
1.9 pts worse
|
Numerator 2 · Denominator 74 |
| Discharge self-care score | 71.67% |
53.69%
18 pts better
|
Numerator 43 · Denominator 60 |
| Discharge mobility score | 58.33% |
50.94%
7.4 pts better
|
Numerator 35 · Denominator 60 |
| Pressure ulcers or injuries, new or worsened | 2.7% |
2.29%
0.4 pts worse
|
Numerator 2 · Denominator 74 · Adjusted rate 3.4% |
| Healthcare-associated infections requiring hospitalization | 6.16% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 69 · Observed rate 2.9% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 10.57% |
8.2%
2.4 pts better
|
Numerator 26 · Denominator 246 |
| Staff flu vaccination coverage | 28.25% |
42%
13.8 pts worse
|
Numerator 76 · Denominator 269 |
| Discharge function score | 73.33% |
56.45%
16.9 pts better
|
Numerator 44 · Denominator 60 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 31 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 40% |
25.2%
14.8 pts better
|
Numerator 14 · Denominator 35 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.1 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
1.2
1 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.4 · Expected 1.8 · 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 · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
2.6%
3.4 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 5.0% · 4Q avg 6.0% · 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 | 7.1% |
5.9%
1.2 pts worse
|
5.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.6% |
15.7%
3.9 pts worse
|
19.6%
About the same
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.1% |
9.8%
1.7 pts better
|
16.7%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.1% · 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 · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.2% |
11.7%
6.5 pts better
|
16.3%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.4% |
9.8%
5.4 pts better
|
14.9%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.4% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.8% |
0.8%
4 pts worse
|
1.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 5.0% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.8% |
12.5%
7.3 pts worse
|
19.8%
About the same
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.8% |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
5.1%
5.1 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
94.3%
4.6 pts better
|
81.7%
17.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.8% · Q3 97.5% · Q4 100.0% · 4Q avg 98.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.7% |
9.3%
5.4 pts worse
|
12.0%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 12.0% · Expected 9.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.0% |
94.7%
11.7 pts worse
|
79.7%
3.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.6% |
26.2%
4.6 pts better
|
23.9%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.6% · Observed 14.0% · Expected 15.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-20 · Fire 2023-09-20
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2021-11-24 · Fire 2021-11-24
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-07-30
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-10-13
D · Potential for more than minimal harm
2025-07-30
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-10-13
D · Potential for more than minimal harm
2025-07-30
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-10-13
D · Potential for more than minimal harm
2023-09-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-20
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-07-30
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-09
D · Potential for more than minimal harm
2025-07-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-15
Penalties and ownership
What sits behind the stars
Ownership
Life Care Pastoral Services, Inc.
5% Or Greater Direct Ownership Interest · Organization
Bryan, Kendall
Corporate Director · Individual
Crosby, Stephen
Corporate Director · Individual
Dekay, Melissa
Corporate Director · Individual
Diaz, Kris
Operational/Managerial Control · Individual
Elramady, Dalia
Operational/Managerial Control · Individual
Farrell, Shannon
Operational/Managerial Control · Individual
Forvis Mazars Llp
Operational/Managerial Control · Organization
Gabala, Stephanie
Operational/Managerial Control · Individual
Gonzales, Arlexis
Operational/Managerial Control · Individual
Jackson, Sakinah
Operational/Managerial Control · Individual
Jones, Donald
Corporate Director · Individual
Kapidzic, Enver
Operational/Managerial Control · Individual
Lucks, Sharon
Operational/Managerial Control · Individual
Mills, Hannah
Operational/Managerial Control · Individual
Mulgrew, Allison
Corporate Director · Individual
New, Kent
Corporate Director · Individual
Ng, Christine
Corporate Director · Individual
Patel, Payal
Corporate Officer · Individual
Shepherd, Michael
Corporate Officer · Individual
Slater, Amy
Corporate Director · Individual
Smith, Sherie
Operational/Managerial Control · Individual
Stiffler, Todd
Corporate Officer · Individual
Taylor, Robert
Operational/Managerial Control · Individual
Turner, Melissa
Corporate Director · Individual
Whitney Bank
5% Or Greater Mortgage Interest · Organization
Nearby options
Other facilities in reach
#1
Avante Villa At Jacksonville Beach Inc
Jacksonville Beach, FL
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Cypress Village
Jacksonville, FL
5-star overall rating with 5-star inspections with $18,324 in total fines with 8 fire-safety deficiencies in the latest cycle
#3
Bartram Crossing
Jacksonville, FL
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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