Ocala Health and Rehabilitation Center
1201 SE 24th Rd, Ocala, FL 34471 · Marion County · 180 certified beds · avg 169 residents/day · certified since Nov 21, 1977
Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.11
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: 4/5
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.
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 |
|---|---|---|
| Sep 18, 2025 | 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. |
| Sep 18, 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. |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Sep 18, 2025 | 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. |
| Sep 18, 2025 | 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. |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Sep 18, 2025 | 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. |
| Sep 18, 2025 | 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. |
| Jun 27, 2024 | 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. |
| Jun 27, 2024 | 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. |
| Jun 27, 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. |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Jun 27, 2024 | 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. |
| Jun 27, 2024 | 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. |
| Jun 27, 2024 | 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. |
| 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 | E · Potential for harm, repeated | 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 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 16, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2024 | 7 | 0 | D |
| 2025 | 9 | 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) | 4.11 | 4.03 | 3.95 | top 32% in Florida; top 35% in the U.S. |
| Registered Nurse hours | 0.41 | 0.76 | 0.69 | bottom 10% in Florida; bottom 24% in the U.S. |
| Weekend total nurse staffing | 3.81 | 3.68 | 3.50 | top 28% in Florida; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.53 | 0.48 | bottom 7% in Florida; bottom 16% in the U.S. |
| Total nursing staff turnover (%) | 37.8 | 41.4 | 45.8 | top 39% in Florida; top 31% in the U.S. |
| RN turnover (%) | 29.4 | 46.0 | 42.9 | top 20% in Florida; top 28% 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 3.82, RN 0.38, weekend 3.55. 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: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Direct Ownership Interest | 68% | 02/19/1999 |
| James N Estes Jr Family Dynasty Tr No 2 | Organization | 5% or Greater Direct Ownership Interest | 10% | 09/30/2019 |
| James Norman Estes Jr Tr | Organization | 5% or Greater Direct Ownership Interest | 6% | 06/30/2013 |
| Jennifer E Agee Family Dynasty Tr No 2 | Organization | 5% or Greater Direct Ownership Interest | 10% | 09/30/2019 |
| Jennifer Lee Estes Tr 031093 | Organization | 5% or Greater Direct Ownership Interest | 6% | 06/30/2013 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 02/19/1999 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| McVea, Cheri | Individual | Corporate Director | NOT APPLICABLE | 09/27/2021 |
| McVea, Cheri | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/27/2021 |
| Page, Richard | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/04/2021 |
| Page, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/04/2021 |
| Rasco, Lynn | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Rasco, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Regions Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/26/2014 |
| Schneider, Julie | Individual | Corporate Director | NOT APPLICABLE | 04/21/2023 |
| Schneider, Julie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/21/2023 |
| Toney, Darin | Individual | Corporate Director | NOT APPLICABLE | 04/15/2024 |
| Toney, Darin | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/15/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "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 |
|---|---|---|---|---|---|
| Aviata at Arbor Springs | 0.2 mi | Ocala, FL | ★★☆☆☆ | 1/5 | |
| The Lodge Healthcare and Rehabilitation Center | 0.7 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Avante at Ocala, INC | 0.9 mi | Ocala, FL | ★☆☆☆☆ | 1/5 | |
| Palm Garden of Ocala | 2.9 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Life Care Center of Ocala | 3.1 mi | Ocala, FL | ★★★★★ | 4/5 | |
| Hawthorne Center for Rehabilitation and Healing of | 3.3 mi | Ocala, FL | ★☆☆☆☆ | 1/5 | |
| Ocala Oaks Rehabilitation Center | 3.6 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Timberridge Nursing & Rehabilitation Center | 11.9 mi | Ocala, FL | ★★★☆☆ | 2/5 | |
| Bridgewater Park Health & Rehabilitation Center | 12.8 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Club Healthcare and Rehabilitation Center at the V | 14.7 mi | The Villages, FL | ★★★☆☆ | 3/5 | |
| Buffalo Crossings Healthcare & Rehabilitation Cen | 17.3 mi | The Villages, FL | ★★★★★ | 4/5 | |
| Freedom Pointe Health Center | 17.8 mi | The Villages, FL | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105321.