Isle Healthcare & Rehabilitation Center
1125 Fleming Plantation Blvd, Orange Park, FL 32003 · Clay County · 108 certified beds · avg 96 residents/day · certified since Mar 11, 2005
Part of chain: GOLD FL TRUST II (36 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 · Mar 14, 2025 · F-0578 · triggered by a complaint
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.
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: Apr 4, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (10)
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 |
|---|---|---|
| May 22, 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 14, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
| Mar 14, 2025 | F · Potential for harm, facility-wide | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · from a complaint |
| Jun 29, 2023 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Jun 29, 2023 | D · Potential for harm, one-off | 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. |
| Oct 14, 2021 | 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. |
| Oct 14, 2021 | 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. |
| Oct 14, 2021 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Oct 14, 2021 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 0 | F |
| 2023 | 2 | 0 | D |
| 2025 | 4 | 1 | J ▲ |
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)
1 fine totaling $43,664.
| Date | Type | Amount / length |
|---|---|---|
| Mar 14, 2025 | Fine | $43,664 |
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) | 3.99 | 4.03 | 3.95 | top 39% in Florida; top 40% in the U.S. |
| Registered Nurse hours | 0.57 | 0.76 | 0.69 | bottom 32% in Florida; bottom 48% in the U.S. |
| Weekend total nurse staffing | 3.65 | 3.68 | 3.50 | top 39% in Florida; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.53 | 0.48 | bottom 35% in Florida; bottom 47% in the U.S. |
| Total nursing staff turnover (%) | 38.9 | 41.4 | 45.8 | top 42% in Florida; top 34% in the U.S. |
| RN turnover (%) | 50.0 | 46.0 | 42.9 | bottom 44% in Florida; bottom 39% 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 3.64, RN 0.52, weekend 3.33. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| FL Master Opco Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 07/27/2022 |
| Isle SNF Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/23/2022 |
| Fuentes, Jose | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/27/2022 |
| Shelby, Jack | Individual | Corporate Officer | NOT APPLICABLE | 07/27/2022 |
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 record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you manage residents' personal funds, and how often do families receive an accounting?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| Pruitthealth - Fleming Island | 1.1 mi | Fleming Island, FL | ★★☆☆☆ | 2/5 | |
| Aviata at Green Cove Springs | 5.8 mi | Green Cove Springs, FL | ★★☆☆☆ | 2/5 | |
| Westminster Woods on Julington Creek | 6.0 mi | Jacksonville, FL | ★★★★★ | 5/5 | |
| Middleburg Rehabilitation and Nursing Center | 6.3 mi | Middleburg, FL | ★★★★☆ | 4/5 | |
| Oak View Health and Rehabilitation Center | 6.7 mi | Orange Park, FL | ★★★★★ | 5/5 | |
| Aviata at Orange Park | 6.7 mi | Orange Park, FL | ★★★★☆ | 4/5 | |
| Life Care Center of Orange Park | 6.9 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| Moosehaven | 7.1 mi | Orange Park, FL | ★★★★★ | 5/5 | |
| Orange Park Rehabilitation and Nursing Center | 7.1 mi | Orange Park, FL | ★★★★☆ | 4/5 | |
| Life Care Center at Wells Crossing | 8.1 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| Vivo Healthcare Orange Park | 8.2 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| Pavilion for Health Care, the | 8.8 mi | Penney Farms, FL | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 106065.