Aviata at Green Cove Springs
803 Oak St, Green Cove Springs, FL 32043 · Clay County · 120 certified beds · avg 112 residents/day · certified since Jul 1, 1989
Part of chain: AVIATA HEALTH GROUP (50 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 30, 2023 · F-0693
The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Why it matters: Unnecessary or poorly managed feeding tubes can cause serious complications like lung infections and take away the ability to eat normally.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 10, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 13, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 13, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 13, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 30, 2023 | ▲ G · Actual harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Mar 30, 2023 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Mar 30, 2023 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Aug 19, 2021 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 19, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 19, 2021 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Aug 19, 2021 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Aug 19, 2021 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 0 | D |
| 2023 | 10 | 1 | G ▲ |
| 2025 | 3 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.15 | 4.03 | 3.95 | top 29% in Florida; top 34% in the U.S. |
| Registered Nurse hours | 0.45 | 0.76 | 0.69 | bottom 15% in Florida; bottom 30% in the U.S. |
| Weekend total nurse staffing | 3.85 | 3.68 | 3.50 | top 26% in Florida; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.53 | 0.48 | bottom 6% in Florida; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 48.0 | 41.4 | 45.8 | bottom 33% in Florida; bottom 42% in the U.S. |
| RN turnover (%) | 63.6 | 46.0 | 42.9 | bottom 20% in Florida; bottom 17% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.42, RN 0.37, weekend 3.17. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aih Holdings 10 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2023 |
| Altranais Care Centers LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2023 |
| Aspire Investors Holdings II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2023 |
| Aspire Investors Holdings III LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2023 |
| Aspire Investors Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2023 |
| Green Cove Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2023 |
| Hautco Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2023 |
| Hautco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2023 |
| Leinen LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2023 |
| Oak Parent LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2023 |
| Aspire Mgt LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Crumb, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 12/02/2024 |
| Dagan, Amitai | Individual | ADP of the SNF | NOT APPLICABLE | 02/17/2026 |
| Freund, Nochum | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2023 |
| Freund, Nochum | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Goldberger, Faigy | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 02/02/2026 |
| Khazravan, Samira | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Can I see where garbage is stored and how often it's removed?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Isle Healthcare & Rehabilitation Center | 5.8 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| Pruitthealth - Fleming Island | 6.9 mi | Fleming Island, FL | ★★☆☆☆ | 2/5 | |
| Pavilion for Health Care, the | 7.8 mi | Penney Farms, FL | ★★★★★ | 5/5 | |
| Westminster Woods on Julington Creek | 9.6 mi | Jacksonville, FL | ★★★★★ | 5/5 | |
| Middleburg Rehabilitation and Nursing Center | 10.7 mi | Middleburg, FL | ★★★★☆ | 4/5 | |
| Westminster St Augustine | 12.1 mi | Saint Augustine, FL | ★★★★★ | 5/5 | |
| Oak View Health and Rehabilitation Center | 12.4 mi | Orange Park, FL | ★★★★★ | 5/5 | |
| Aviata at Orange Park | 12.4 mi | Orange Park, FL | ★★★★☆ | 4/5 | |
| Moosehaven | 12.6 mi | Orange Park, FL | ★★★★★ | 5/5 | |
| Life Care Center of Orange Park | 12.7 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| Orange Park Rehabilitation and Nursing Center | 12.9 mi | Orange Park, FL | ★★★★☆ | 4/5 | |
| Clyde E Lassen State Veterans Nursing Home | 13.0 mi | Saint Augustine, FL | ★★★★☆ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105663.