01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-17 | 0 | 2025-04-17 | 8 |
| Cycle 2 | 2023-05-25 | 2 | 2023-05-25 | 1 |
| Cycle 3 | 2021-09-10 | 5 | 2021-09-10 | 0 |
CMS CCN 1057452026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Cypress Village
4600 Middleton Park Cir E · Jacksonville, FL 32224 · Duval County
Certified beds100CMS provider file
Recent citation rows16current CMS citation release
Penalty rows1current 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.
02 / CITATION DETAIL
16 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.
2025-04-17 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-05-172025-04-17 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-05-172025-04-17 · 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 · 2025-05-172025-04-17 · FIREK0761Severity E · pattern; 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 · 2025-05-172025-04-17 · FIREK0914Severity E · pattern; 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 · 2025-05-172025-04-17 · 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 · 2025-05-172025-04-17 · 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 · 2025-05-172025-04-17 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-05-172023-08-23 · HEALTHF0661Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Correction field: Deficient, Provider has date of correction · 2023-09-23 · complaint2023-05-25 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2023-06-252023-05-25 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-06-252023-05-25 · FIREK0919Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Correction field: Deficient, Provider has date of correction · 2023-06-252021-09-10 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2021-10-152021-09-10 · 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 · 2021-10-152021-09-10 · HEALTHF0732Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2021-10-152021-09-10 · HEALTHF0908Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2021-10-1503 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-10-10 | Fine | $9,527 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- JANUS LIVING TRS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- OCEAN ACQUISITION I LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- CCRC OPCO - CYPRESS VILLAGE, LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 02/01/2020
- CHENG, PATRICKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/31/2022
- RUSSO, FRANKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/31/2022
- LIFE CARE SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2020
- BROWNING, ARTHURIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/24/2025
- MARKOSKI, STEPHANIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/20/2016
- MORGAN, TYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2008
- HCP MA3, LPOrganization · LIMITED PARTNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP PARTNERS LPOrganization · LIMITED PARTNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- BLACKROCK INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
- CCRC OPCO - CYPRESS VILLAGE, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/01/2020
- CCRC PROPCO VENTURES, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/01/2020
- HCP MA3, LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
- HCP PARTNERS LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
- HCP S-H 2014 MEMBER LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
- HCP VENTURES II PARTNER LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/19/2026
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 hours5.07per resident day
RN hours1.24per resident day
Weekend nurse hours4.51per resident day
Staff turnover43.9%CMS reported field
06 / LOCAL RECORDS
Open the Jacksonville ledger →Other published facilities nearby
Aviata At Harts Harbor180 beds · CMS overall 4/552 citation rowsAviata At Jacksonville116 beds · CMS overall 3/527 citation rowsAviata At San Jose120 beds · CMS overall 3/523 citation rowsBartram Crossing100 beds · CMS overall 2/514 citation rowsCedar Hill Nursing And Rehab Center120 beds · CMS overall 2/527 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