Pavilion for Health Care, the
3465 Caroline Blvd, Penney Farms, FL 32079 · Clay County · 50 certified beds · avg 45 residents/day · certified since Dec 27, 2012
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · 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.
All citations in the current public record (3)
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 |
|---|---|---|
| Jun 20, 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. |
| Sep 15, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 15, 2022 | 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
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2024 | 1 | 0 | D |
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) | 6.18 | 4.03 | 3.95 | top 2% in Florida; top 3% in the U.S. |
| Registered Nurse hours | 0.81 | 0.76 | 0.69 | top 33% in Florida; top 27% in the U.S. |
| Weekend total nurse staffing | 5.23 | 3.68 | 3.50 | top 4% in Florida; top 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.53 | 0.48 | bottom 38% in Florida; bottom 49% in the U.S. |
| Total nursing staff turnover (%) | 34.4 | 41.4 | 45.8 | top 32% in Florida; top 23% in the U.S. |
| RN turnover (%) | 37.5 | 46.0 | 42.9 | top 33% in Florida; top 42% 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 4.91, RN 0.64, weekend 4.15. Staffing rating: 5/5.
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
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Agresti, Gerald | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Barton, Teresa | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Bridgman, Mary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Costin, Richard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Deckerhoff, Kip | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Irvine, Frances | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Issa, Hani | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Issa, Hani | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Keating, Nancy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Knoff, Richard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Loper, Harry | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Lovelace, Jimmy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| McGurer, Christie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| McGurer, Christie | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Meernik, Gary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Pierce, Rebecca | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Renninger, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Scott, Teresa | Individual | Corporate Director | NOT APPLICABLE | 04/01/2014 |
| Scott, Teresa | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2014 |
| Scott, Teresa | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2014 |
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 keep residents' medical records accurate, complete, and secure?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 |
|---|---|---|---|---|---|
| Aviata at Green Cove Springs | 7.8 mi | Green Cove Springs, FL | ★★☆☆☆ | 2/5 | |
| Middleburg Rehabilitation and Nursing Center | 8.2 mi | Middleburg, FL | ★★★★☆ | 4/5 | |
| Isle Healthcare & Rehabilitation Center | 8.8 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| Pruitthealth - Fleming Island | 9.2 mi | Fleming Island, FL | ★★☆☆☆ | 2/5 | |
| Life Care Center of Orange Park | 13.6 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| Orange Park Rehabilitation and Nursing Center | 13.8 mi | Orange Park, FL | ★★★★☆ | 4/5 | |
| Aviata at Orange Park | 14.2 mi | Orange Park, FL | ★★★★☆ | 4/5 | |
| Oak View Health and Rehabilitation Center | 14.4 mi | Orange Park, FL | ★★★★★ | 5/5 | |
| Westminster Woods on Julington Creek | 14.8 mi | Jacksonville, FL | ★★★★★ | 5/5 | |
| Moosehaven | 14.9 mi | Orange Park, FL | ★★★★★ | 5/5 | |
| Life Care Center at Wells Crossing | 15.4 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| Vivo Healthcare Orange Park | 15.8 mi | Orange Park, FL | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 106096.