CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1055312026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Aviata At San Jose

9355 San Jose Blvd · Jacksonville, FL 32257 · Duval County

CMS OVERALL RATING★★★☆☆3/5CMS field—not our score or recommendation
Certified beds120CMS provider file
Recent citation rows23current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-04-2482025-04-249
Cycle 22023-06-1502023-06-154
Cycle 32021-09-3022021-09-300
02 / CITATION DETAIL

23 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-02-05 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2026-03-05 · complaint
2025-04-24 · FIREE0025Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · FIREE0037Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · FIREE0039Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · FIREE0042Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Meet the requirements of an integrated health system.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · HEALTHF0585Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · HEALTHF0645Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · HEALTHF0725Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · HEALTHF0756Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · FIREK0372Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · FIREK0711Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · FIREK0761Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · FIREK0914Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2025-04-24 · FIREK0918Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2025-05-30
2023-06-15 · FIREE0004Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2023-07-11
2023-06-15 · FIREK0345Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2023-07-11
2023-06-15 · FIREK0353Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2023-07-11
2023-06-15 · FIREK0921Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2023-07-11
2021-09-30 · HEALTHF0726Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2021-11-16
2021-09-30 · HEALTHF0842Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2021-11-16
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • SAN JOSE PARENT LLCOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 09/01/2023
  • JACKSONVILLE HEALTH HOLDCO LLCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 09/01/2023
  • FREUND, NOCHUMIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 09/01/2023
  • FREUND, NOCHUMIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/01/2023
  • ROJAS, EDWINIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/07/2025
  • YAZJI, GEORGEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/01/2024
  • DAGAN, AMITAIIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/09/2025
  • GOLDBERGER, ABRAHAMIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/09/2025
  • GOLDBERGER, FAIGYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/09/2025
  • HERSKOWITZ, ELIEZERIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/09/2025
  • HERSKOWITZ, YAAKOVIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/09/2025
  • TRAVITSKY, AARONIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/09/2025
  • ASPIRE MGT LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 09/01/2023
  • BRAND SONNENSCHINE LLPOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 09/01/2023
  • ROJAS, EDWINIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 07/07/2025
  • YAZJI, GEORGEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/01/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.21per resident day
RN hours0.57per resident day
Weekend nurse hours3.06per resident day
Staff turnover55.8%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Jacksonville ledger →
Aviata At Harts Harbor180 beds · CMS overall 4/552 citation rowsAviata At Jacksonville116 beds · CMS overall 3/527 citation rowsBartram Crossing100 beds · CMS overall 2/514 citation rowsCedar Hill Nursing And Rehab Center120 beds · CMS overall 2/527 citation rowsCypress Village100 beds · CMS overall 5/516 citation rowsDolphin Pointe Health Care Center146 beds · CMS overall 3/532 citation rowsFirst Coast Health And Rehabilitation Center100 beds · CMS overall 4/533 citation rowsFountains Rehabilitation At Mill Cove84 beds · CMS overall 3/533 citation rows
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.