SNF

DOUGLAS JACOBSON STATE VETERANS NURSING HOME

CCN: 106059 · PORT CHARLOTTE, FL 33954 · Charlotte County

⚠ Abuse citation flag

Overview

Address
21281 GRAYTON TERRACE, PORT CHARLOTTE, FL 33954
Phone
9416130919
Certified beds
120
Avg daily residents
113 (94% of beds filled)
Ownership
Government (state)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2004-06-07
Setting
Urban
3 /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.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 5/5
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 ★★★★★ 3/5
Short-Stay Quality Measures — Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.62 3.13 5.70 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.99 0.55 1.23 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.88 0.69 1.09 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.74 1.89 3.38 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.88 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.05 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
4.09
hrs / resident / day
RN (weekend)
0.59
hrs / resident / day
Total nurse (adjusted, weekend)
5.04
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
54.9%
annual
RN turnover
45.5%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.11
near national average
Case-Mix Index Ratio
0.81
facility / state ratio

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) 2024-09-06 9 5 5 68 1 68
Cycle 2/3 (prior) 2023-06-02 9 4 6 104 1 104
Total weighted health score
77.0
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).

15 D/E/F Actual harm — potential for minor
5 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2025-08-21 2025-09-21
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-07-16 2025-08-16
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-06-25 2025-08-16
0602 Protect each resident from the wrongful use of the resident's belongings or money. E 2025-06-25 2025-08-16
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-02-11 2025-03-11
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2024-10-29 2024-11-25
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-10-29 2024-11-25
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2024-09-06 2024-11-06
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2024-09-06 2024-11-06
0679 Provide activities to meet all resident's needs. E 2024-09-06 2024-11-06
0680 Ensure the activities program is directed by a qualified professional. E 2024-09-06 2024-11-06
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. G 2024-09-06 2024-11-06
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2024-09-06 2024-11-06
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. D 2024-09-06 2024-11-06
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. D 2023-06-02 2023-07-02
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2023-06-02 2023-07-02
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2023-06-02 2023-07-02
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-06-02 2023-07-02
0700 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. D 2021-10-07 2021-11-07
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. D 2021-10-07 2021-11-07

Penalties (10)

Fines issued
8
last 3 years
Total fines
$135,938
Payment denials
2
Date Type Fine amount
2024-09-06 Fine $5,346
2023-06-02 Fine $7,027
2025-06-25 Fine $7,660
2023-06-02 Fine $7,901
2025-06-25 Fine $8,490
2024-09-06 Fine $11,333
2024-09-06 Fine $15,971
2025-02-11 Fine $72,210
2024-09-06 Payment Denial —
2023-06-02 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 0.9% Medicaid 22.9% Other 76.2%

Operating performance

Operating Margin
-18.5%
Total Margin
-6.7%
Occupancy Rate
91.0%
Cost per Resident Day
$46

Revenue & costs

Net Patient Revenue
$16.2M
Total Costs
$1.8M
Net Income
-$1.2M

Balance sheet

Total Assets
$13.4M
Total Liabilities
$975K
Fund Balance
$12.5M
Current Ratio
7.31

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: FLORIDA DEPARTMENT OF VETERANS' AFFAIRS

Chain ID
739
Facilities in chain
8
Legal business name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Chain-average star ratings (for peer context)
Overall
3.3
Health
3.4
Staffing
4.3
QM
2.0

Owner / manager organizations (1)

Organization Role Association
FLORIDA DEPARTMENT OF VETERANS AFFAIRS 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/01/2004

Owner / manager individuals (4)

Name Role Association
GAYLORD, BRANDY OPERATIONAL/MANAGERIAL CONTROL since 04/01/2023
MALLARD, LINDSAY OPERATIONAL/MANAGERIAL CONTROL since 10/18/2016
WURSTER, JOCEYLYN OPERATIONAL/MANAGERIAL CONTROL since 11/18/2022
CARTER, ALFRED CORPORATE DIRECTOR since 11/28/2011

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
Yes — last 2 cycles
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 ($) $46 metrics.cost_per_resident_day
Cost Report Current Ratio 7.31 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 22.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 0.9% metrics.medicare_day_share
Cost Report Net Income ($) $-1,201,962 metrics.net_income
Cost Report Net Patient Revenue ($) $16,235,472 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 91.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -18.5% metrics.operating_margin
Cost Report Total Assets ($) $13,430,765 metrics.total_assets
Cost Report Total Costs ($) $1,823,476 metrics.total_costs
Cost Report Total Fund Balances ($) $12,455,581 metrics.fund_balance
Cost Report Total Liabilities ($) $975,184 metrics.total_liabilities
Cost Report Total Margin (%) -6.7% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.09014 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.37915 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.22634 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 5.69563 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 5.03802 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 112.8 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 0.69493 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.88866 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.54776 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.13135 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.75995 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.4 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.0 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.3 Chain Average Staffing Rating
Provider Information Chain ID 739 Chain ID
Provider Information Chain Name FLORIDA DEPARTMENT OF VETERANS' AFFAIRS Chain Name
Provider Information City/Town PORT CHARLOTTE City/Town
Provider Information CMS Certification Number (CCN) 106059 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Charlotte County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2004-06-07 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 27.0278 Latitude
Provider Information Legal Business Name FLORIDA DEPARTMENT OF VETERANS AFFAIRS Legal Business Name
Provider Information Location 21281 GRAYTON TERRACE,PORT CHARLOTTE,FL,33954 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -82.099 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 0 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 8 Number of Facilities in Chain
Provider Information Number of Fines 8 Number of Fines
Provider Information Number of Payment Denials 2 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.10930 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.80521 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Government - State Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 21281 GRAYTON TERRACE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name DOUGLAS JACOBSON STATE VETERANS NURSING HOME Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 070 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 68 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 5 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 2024-09-06 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 68 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 9 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 4 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-06-02 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 104 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 104 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 9 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.59490 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 45.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.87875 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.88414 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.74061 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04630 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.99460 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.61935 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 5 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 9416130919 Telephone Number
Provider Information Total Amount of Fines in Dollars 135938.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.08601 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 10 Total Number of Penalties
Provider Information Total nursing staff turnover 54.9 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 77.000 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 33954 ZIP Code