Pruitthealth - Fleming Island
2040 Town Center Blvd, Fleming Island, FL 32003 · Clay County · 97 certified beds · avg 91 residents/day · certified since May 9, 2019
Part of chain: PRUITTHEALTH (95 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 · Jun 13, 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: Jul 17, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 13, 2025 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
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: Jul 10, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 13, 2025 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
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: Jul 17, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (7)
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 |
|---|---|---|
| Apr 15, 2026 | 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. |
| Apr 15, 2026 | E · Potential for harm, repeated | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. |
| Jun 13, 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 |
| Jun 13, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Jun 13, 2025 | ▲ J · Immediate jeopardy, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Jun 13, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 8, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 0 | D |
| 2025 | 4 | 3 | J ▲ |
| 2026 | 2 | 0 | F |
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)
3 fines totaling $16,153.
| Date | Type | Amount / length |
|---|---|---|
| Jun 13, 2025 | Fine | $5,384 |
| Jun 13, 2025 | Fine | $5,384 |
| Jun 13, 2025 | Fine | $5,385 |
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) | 3.68 | 4.03 | 3.95 | bottom 30% in Florida; bottom 45% in the U.S. |
| Registered Nurse hours | 0.97 | 0.76 | 0.69 | top 21% in Florida; top 17% in the U.S. |
| Weekend total nurse staffing | 3.13 | 3.68 | 3.50 | bottom 8% in Florida; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.70 | 0.53 | 0.48 | top 21% in Florida; top 16% in the U.S. |
| Total nursing staff turnover (%) | 39.5 | 41.4 | 45.8 | top 43% in Florida; top 35% in the U.S. |
| RN turnover (%) | 35.3 | 46.0 | 42.9 | top 29% in Florida; top 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 3.72, RN 0.98, weekend 3.17. Staffing rating: 4/5.
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: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Clay Healthcare Properties, INC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 04/20/2017 |
| J Paige Pruitt Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/22/2021 |
| Lisa P Hamby Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/22/2021 |
| Neil L Pruitt Jr Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/22/2021 |
| NWP 2020 Child Tr Fbo J Paige Pruitt | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/12/2020 |
| NWP 2020 Child Tr Fbo Neil L Pruitt Jr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/12/2020 |
| Pruitt, Neil | Individual | Direct Ownership Interest | NOT APPLICABLE | 11/27/2013 |
| Pruitthealth-Northeast Florida, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/16/2014 |
| United Health Services INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/27/2013 |
| United Health Services of Florida, INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/16/2014 |
| Clay Healthcare Properties, INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/05/2018 |
| J Paige Pruitt Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/22/2021 |
| Lisa P Hamby Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/22/2021 |
| Neil L Pruitt Jr Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/22/2021 |
| Odonnell, Connie | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/20/2023 |
| Odonnell, Connie | Individual | ADP of the SNF | NOT APPLICABLE | 04/03/2025 |
| Pruitt, Nancy | Individual | Corporate Officer | NOT APPLICABLE | 11/27/2013 |
| Pruitt, Neil | Individual | Corporate Officer | NOT APPLICABLE | 10/16/2014 |
| Pruitthealth Consulting Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/26/2013 |
| Samara, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2018 |
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?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "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 |
|---|---|---|---|---|---|
| Isle Healthcare & Rehabilitation Center | 1.1 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| Middleburg Rehabilitation and Nursing Center | 5.5 mi | Middleburg, FL | ★★★★☆ | 4/5 | |
| Aviata at Orange Park | 5.7 mi | Orange Park, FL | ★★★★☆ | 4/5 | |
| Oak View Health and Rehabilitation Center | 5.8 mi | Orange Park, FL | ★★★★★ | 5/5 | |
| Life Care Center of Orange Park | 5.8 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| Orange Park Rehabilitation and Nursing Center | 6.0 mi | Orange Park, FL | ★★★★☆ | 4/5 | |
| Westminster Woods on Julington Creek | 6.1 mi | Jacksonville, FL | ★★★★★ | 5/5 | |
| Moosehaven | 6.2 mi | Orange Park, FL | ★★★★★ | 5/5 | |
| Aviata at Green Cove Springs | 6.9 mi | Green Cove Springs, FL | ★★☆☆☆ | 2/5 | |
| Life Care Center at Wells Crossing | 7.1 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| Vivo Healthcare Orange Park | 7.3 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| River Garden Hebrew Home for the Aged | 9.1 mi | Jacksonville, FL | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 106124.