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Fouraker Hills Rehab and Nursing Center
1650 Fouraker Rd, Jacksonville, FL 32221 (opens Google Maps) · Duval County · (904) 786-8668· 120 certified beds · avg 117 residents/day · certified since Aug 10, 1990 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ASTON HEALTH (38 facilities, chain avg rating 2.7★)
3/5
Health inspection rating (on-site)
inspected Jan 16, 2025
2
Serious findings on record
most recent Jul 16, 2021
$0
Fines, last 3 years
4.23
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · 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.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 27, 2021 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · 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.
▲ Immediate jeopardy, isolated · 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.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Sep 1, 2021 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. F-0925
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
View all 20 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 16, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jan 16, 2025 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Jan 16, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jan 16, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0676 |
| Jan 16, 2025 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| Jul 16, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0760 |
| Jan 12, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583 |
| Jan 12, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0880 |
| Jan 12, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Jan 12, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Jan 12, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0755 |
| Feb 16, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Feb 16, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Feb 16, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0676 |
| Feb 16, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Feb 16, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide routine dental care and 24-hour emergency dental care for residents. · F-0790 |
| Jul 16, 2021 | ▲ J · Immediate jeopardy, isolated | 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. · F-0607 |
| Jul 16, 2021 | ▲ J · Immediate jeopardy, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 16, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0645 |
| Jul 16, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
All citationsSerious citations (G–L)
2021
All citations: 4
Serious citations (G–L): 2
2023
All citations: 5
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityFlorida averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.23
Florida average: 4.03
U.S. average: 3.95
Registered Nurse hours
This facility: 0.48
Florida average: 0.76
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.83
Florida average: 3.68
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 41.4 | 45.8 | — |
| RN turnover (%) | — | 46.0 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.42 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Fouraker Hills Rehab and Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 12 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Aston Health — 38 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Haines City Rehabilitation and Nursing Center — Haines City, FL · overall 2/5
- Highlands Lake Center — Lakeland, FL · overall 2/5
- Hillside Health and Rehabilitation Center — Zephyrhills, FL · overall 3/5
- Indian River Center — West Melbourne, FL · overall 2/5
- Island Lake Center — Longwood, FL · overall 4/5
- Kensington Gardens Rehab and Nursing Center — Clearwater, FL · overall 1/5
- Meadowpark Health and Rehabilitation Center — Dunedin, FL · overall 4/5
- North Port Rehabilitation and Nursing Center — North Port, FL · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 37 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 44 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 | |
| Pavilion at Jacksonville, the | 8.6 mi | Jacksonville, FL | ★★★★☆ | 3/5 | |
| Orange Park Rehabilitation and Nursing Center | 8.9 mi | Orange Park, FL | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Duval, FL — 34 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Jacksonville Nursing and Rehab Center — Jacksonville, FL · overall 5/5
- Lakeside Center for Rehabilitation and Healing — Jacksonville, FL · overall 4/5
- Lanier Rehabilitation Center — Jacksonville, FL · overall 3/5
- Life Care Center of Jacksonville — Jacksonville, FL · overall 5/5
- Palm Garden of Jacksonville — Jacksonville, FL · overall 3/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 105707.
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