SNF

FOURAKER HILLS REHAB AND NURSING CENTER

CCN: 105707 · JACKSONVILLE, FL 32221 · Duval County

Overview

Address
1650 FOURAKER RD, JACKSONVILLE, FL 32221
Phone
9047868668
Certified beds
120
Avg daily residents
115 (96% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1990-08-10
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Resident count too small for reliable rating.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 1/5

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-01-16 5 5 0 28 1 28
Cycle 2/3 (prior) 2023-02-16 11 5 6 68 1 68
Total weighted health score
38.0
lower is better

Deficiencies (20)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

18 D/E/F Actual harm — potential for minor
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2025-01-16 2025-02-07
0641 Ensure each resident receives an accurate assessment. D 2025-01-16 2025-02-07
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2025-01-16 2025-02-07
0685 Assist a resident in gaining access to vision and hearing services. D 2025-01-16 2025-02-07
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2025-01-16 2025-02-07
0760 Ensure that residents are free from significant medication errors. E 2024-07-16 2024-08-15
0583 Keep residents' personal and medical records private and confidential. E 2024-01-12 2024-02-12
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-01-12 2024-02-12
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-01-12 2024-02-12
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-01-12 2024-02-12
0880 Provide and implement an infection prevention and control program. E 2024-01-12 2024-02-12
0583 Keep residents' personal and medical records private and confidential. D 2023-02-16 2023-03-15
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2023-02-16 2023-03-15
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-02-16 2023-03-15
0790 Provide routine and 24-hour emergency dental care for each resident. D 2023-02-16 2023-03-15
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-02-16 2023-03-15
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. J 2021-07-16 2021-08-27
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2021-07-16 2021-09-01
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2021-07-16 2021-09-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2021-07-16 2021-09-01

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 10.6% Medicaid 59.2% Other 30.2%

Operating performance

Operating Margin
-8.9%
Total Margin
-8.0%
Occupancy Rate
91.0%
Cost per Resident Day
$34

Revenue & costs

Net Patient Revenue
$12.3M
Total Costs
$1.4M
Net Income
-$983K

Balance sheet

Total Assets
$3.2M
Total Liabilities
$11.6M
Fund Balance
-$8.3M
Current Ratio
0.35

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: ASTON HEALTH

Chain ID
800
Facilities in chain
30
Legal business name
WEST JACKSONVILLE CARE ACQUISITION, LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.5
Staffing
1.8
QM
3.9

Owner / manager organizations (1)

Organization Role Association
WJ CARE HOLDINGS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 05/07/2018

Owner / manager individuals (6)

Name Role Association
FRIEDMAN, LEOPOLD 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/07/2018
BLATT, MARC OPERATIONAL/MANAGERIAL CONTROL since 02/19/2025
BURKES, SONYA OPERATIONAL/MANAGERIAL CONTROL since 02/15/2024
FENAES, EMILEE OPERATIONAL/MANAGERIAL CONTROL since 11/23/2024
LACY, SUSIE OPERATIONAL/MANAGERIAL CONTROL since 04/03/2023
THACKER, TRICIA CORPORATE OFFICER since 04/04/2022

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $34 metrics.cost_per_resident_day
Cost Report Current Ratio 0.35 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 59.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 10.6% metrics.medicare_day_share
Cost Report Net Income ($) $-982,803 metrics.net_income
Cost Report Net Patient Revenue ($) $12,251,082 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 91.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -8.9% metrics.operating_margin
Cost Report Total Assets ($) $3,245,977 metrics.total_assets
Cost Report Total Costs ($) $1,356,316 metrics.total_costs
Cost Report Total Fund Balances ($) $-8,342,850 metrics.fund_balance
Cost Report Total Liabilities ($) $11,588,827 metrics.total_liabilities
Cost Report Total Margin (%) -8.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day — Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day — Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day — Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day — Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day — Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 115.4 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day — Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day — Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day — Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day — Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day — Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.8 Chain Average Staffing Rating
Provider Information Chain ID 800 Chain ID
Provider Information Chain Name ASTON HEALTH Chain Name
Provider Information City/Town JACKSONVILLE City/Town
Provider Information CMS Certification Number (CCN) 105707 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Duval County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1990-08-10 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 30.2914 Latitude
Provider Information Legal Business Name WEST JACKSONVILLE CARE ACQUISITION, LLC Legal Business Name
Provider Information Location 1650 FOURAKER RD,JACKSONVILLE,FL,32221 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -81.781 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 120 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 30 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index — Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio — Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote 6 Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1650 FOURAKER RD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name FOURAKER HILLS REHAB AND NURSING CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 150 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 28 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-16 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 28 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 5 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 5 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-02-16 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 68 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 6 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 68 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 11 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend — Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover — Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 26 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day — Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day — Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day — Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day — Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day — Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote 25 Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day — Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote 25 Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 9047868668 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend — Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover — Total nursing staff turnover
Provider Information Total nursing staff turnover footnote 26 Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 38.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 32221 ZIP Code