Fouraker Hills Rehab and Nursing Center

Name: Fouraker Hills Rehab and Nursing Center
Address: 1650 FOURAKER RD, Jacksonville, FL, 32221, US
Telephone: 9047868668

1650 Fouraker Rd, Jacksonville, FL 32221 · Duval County · 120 certified beds · avg 117 residents/day · certified since Aug 10, 1990

Part of chain: ASTON HEALTH (38 facilities, chain avg rating 2.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.23

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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)

▲ Immediate jeopardy, one-off · Jul 16, 2021 · F-0607

The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.

Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Aug 27, 2021 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Jul 16, 2021 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Sep 1, 2021 (Deficient, Provider has date of correction)

All citations in the current public record (20)

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
Jan 16, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 16, 2025	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 16, 2025	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jul 16, 2024	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jan 12, 2024	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Jan 12, 2024	E · Potential for harm, repeated	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. · from a complaint
Jan 12, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 12, 2024	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. · from a complaint
Jan 12, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Feb 16, 2023	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 16, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Feb 16, 2023	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Feb 16, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 16, 2023	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Jul 16, 2021	▲ J · Immediate jeopardy, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jul 16, 2021	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 16, 2021	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jul 16, 2021	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2021	4	2	J ▲
2023	5	0	F
2024	6	0	E
2025	5	0	E

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)	4.23	4.03	3.95	top 25% in Florida; top 31% in the U.S.
Registered Nurse hours	0.48	0.76	0.69	bottom 20% in Florida; bottom 35% in the U.S.
Weekend total nurse staffing	3.83	3.68	3.50	top 27% in Florida; top 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.53	0.48	bottom 22% in Florida; bottom 32% in the U.S.
Total nursing staff turnover (%)	0.0	41.4	45.8	—
RN turnover (%)	0.0	46.0	42.9	—

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 0.39, weekend 3.09. Staffing rating: 2/5.

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: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Gutman, Samuel	Individual	Indirect Ownership Interest	NOT APPLICABLE	05/07/2018
WJ Care Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/07/2018
Aston Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Blatt, Marc	Individual	Operational/Managerial Control	NOT APPLICABLE	02/19/2025
Blatt, Marc	Individual	ADP of the SNF	NOT APPLICABLE	08/22/2025
Burkes, Sonya	Individual	Operational/Managerial Control	NOT APPLICABLE	02/15/2024
Fenaes, Emilee	Individual	Operational/Managerial Control	NOT APPLICABLE	11/23/2024
Fenaes, Emilee	Individual	ADP of the SNF	NOT APPLICABLE	11/25/2025
Lacy, Susie	Individual	Operational/Managerial Control	NOT APPLICABLE	04/03/2023
Wildes, Donna	Individual	Corporate Officer	NOT APPLICABLE	08/28/2025
Wildes, Donna	Individual	Operational/Managerial Control	NOT APPLICABLE	08/28/2025
Wildes, Donna	Individual	ADP of the SNF	NOT APPLICABLE	08/28/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How is pest control handled here, and when was the last treatment or inspection?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"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
Vivo Healthcare Normandy	0.7 mi	Jacksonville, FL	★★★★☆	3/5
Westside Oaks Rehabilitation & Nursing Center	2.2 mi	Jacksonville, FL	★★☆☆☆	1/5	abuseSFF
Cedar Hill Nursing and Rehab Center	4.1 mi	Jacksonville, FL	★★☆☆☆	2/5
Riverside Post Acute	5.7 mi	Jacksonville, FL	★★★☆☆	3/5
Park Ridge Nursing Center	6.2 mi	Jacksonville, FL	★★★★★	5/5
Jacksonville Rehabilitation and Nursing	7.9 mi	Jacksonville, FL	★★☆☆☆	2/5
Shands Jacksonville Medical Center	8.0 mi	Jacksonville, FL	★★★★★	5/5
North Bank Center for Rehabilitation and Healing	8.1 mi	Jacksonville, FL	★★★★★	4/5
Life Care Center at Wells Crossing	8.2 mi	Orange Park, FL	★★★★★	4/5
Vivo Healthcare Orange Park	8.5 mi	Orange Park, FL	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Jacksonville →

Facility data as of CMS processing date 2026-08-01. CCN 105707.

The Care File

Visit checklist — Fouraker Hills Rehab and Nursing Center

1650 Fouraker Rd, Jacksonville, FL 32221 · 9047868668

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Most serious findings on record:

▲ Jul 16, 2021 (F-0607, Immediate jeopardy, one-off): The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
▲ Jul 16, 2021 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 105707 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)