01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-01-30 | 0 | 2025-01-30 | 2 |
| Cycle 2 | 2023-03-16 | 3 | 2023-03-16 | 2 |
| Cycle 3 | 2021-07-22 | 2 | 2021-07-22 | 0 |
CMS CCN 1060582026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Woodland Grove Healthcare & Rehabilitation Center
4325 Southpoint Boulevard · Jacksonville, FL 32216 · Duval County
Certified beds120CMS provider file
Recent citation rows9current 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.
02 / CITATION DETAIL
9 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-01-30 · FIREK0345Severity E · pattern; 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 · 2025-03-262025-01-30 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-03-262023-03-16 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2023-04-262023-03-16 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-04-162023-03-16 · 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 · 2023-04-162023-03-16 · FIREK0100Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2023-04-262023-03-16 · 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 · 2023-04-262021-07-22 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2021-08-202021-07-22 · HEALTHF0842Severity D · isolated; 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 · 2021-08-2003 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- WOODLAND GROVE SNF HOLDCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/23/2022
- FL MASTER OPCO HOLDCO LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 07/27/2022
- STOVER, PATRICIAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/27/2022
- SHELBY, JACKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/27/2022
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 hours3.60per resident day
RN hours0.65per resident day
Weekend nurse hours3.21per resident day
Staff turnover47.9%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 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 rows