Middleburg Rehabilitation And Nursing Center
Nursing Home · 1280 Henley Rd, Middleburg, FL 32068 · 5025687800
B+
graded on 75% of our rubric
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 4.0 / 5 | high |
| Staffing | 3.1 / 5 | high |
| Clinical outcomes | 3.4 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 3.7 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 120 |
| Ownership | For Profit - Corporation |
| Operator | Middleburg Rehabilitation And Nursing Center Llc |
| Chain size | 49 facilities |
| Certified since | 2020-09-02 |
| CMS overall star | 5 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$$ of 5 · ~$600/day reported charge (within FL) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 8 potential for harm · 0 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-15 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Resident Rights Deficiencies, tag 0561) | D | corrected 2026-02-23 |
| 2026-01-15 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Resident Rights Deficiencies, tag 0582) | D | corrected 2026-02-23 |
| 2026-01-15 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (Resident Rights Deficiencies, tag 0628) | E | corrected 2026-02-23 |
| 2026-01-15 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Quality of Life and Care Deficiencies, tag 0688) | D | corrected 2026-02-23 |
| 2026-01-15 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | D | corrected 2026-02-23 |
| 2022-03-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | D | corrected 2022-05-02 |
| 2022-03-31 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Quality of Life and Care Deficiencies, tag 0694) | D | corrected 2022-05-02 |
| 2022-03-31 | Employ staff that are licensed, certified, or registered in accordance with state laws. (Administration Deficiencies, tag 0839) | E | corrected 2022-05-02 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.74 hrs/resident/day (expected 3.96 for this facility's resident acuity — below expected) (US median 3.69 · FL 3.66)
- Registered-nurse staffing: 0.97 hrs/resident/day (expected 0.70 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 2.14 · LPN 0.63 hrs/resident/day
- Weekend total staffing: 3.37 hrs/resident/day (expected 3.51 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 46.6% · RN turnover 44.8% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.42 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the FL state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 1.5% | 1.7 → 1.5 → 1.5 → 1.3 | worse than 81% of US homes · FL median 0% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 19.8% | not reported | worse than 72% of US homes · FL median 8.7% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 5.7% | 4.8 → 3.4 → 7.7 → 6.8 | worse than 67% of US homes · FL median 4.4% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 12.2% | 12.5 → 14.9 → 10.9 → 10.4 | better than 54% of US homes · FL median 7.7% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0.3% | 0.6 → 0 → 0.3 → 0.3 | better than 70% of US homes · FL median 1% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 1.4% | 3.6 → 0 → 0 → 1.8 | better than 78% of US homes · FL median 2.3% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 4.2% | 2.6 → 4.5 → 5 → 4.4 | better than 90% of US homes · FL median 7.1% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · FL median 0.2% |
What this costs
- This facility's reported avg daily charge: $600/day · $$$$$ (price tier 5 of 5 among Florida nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 36% Medicaid · 29% Medicare · 35% other/private · 96% occupancy
- Florida median (quoted rates): $340/day semi-private · $400/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Clay County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Ascension St Vincent's Clay County | Middleburg | Yes | 3★ | Acute care |
| HCA Florida Orange Park Hospital | Orange Park | Yes | 3★ | Acute care |
Compare nearby
- A Moosehaven · Orange Park
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- A Oak View Health And Rehabilitation Center · Orange Park
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- B+ Vivo Healthcare Orange Park · Orange Park
- B+ Orange Park Rehabilitation And Nursing Center · Orange Park
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Clay County nursing homes coverage. Spot an error? Tell us.