Pruitthealth - Fleming Island
Nursing Home · 2040 Town Center Blvd, Fleming Island, FL 32003 · 9042931311
C
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 | 1.0 / 5 | high |
| Staffing | 3.1 / 5 | high |
| Clinical outcomes | 3.4 / 5 | high |
| Enforcement | 3.7 / 5 | high |
| Financial stability | 3.5 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 97 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Pruitthealth - Fleming Island, Llc |
| Chain size | 99 facilities |
| Certified since | 2019-05-09 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$ of 5 · ~$479/day reported charge (within FL) |
Inspection & enforcement record
- Health-inspection citations: 3 immediate jeopardy · 0 actual harm · 8 potential for harm · 0 minor
- Federal fines: $16,153 · payment denials: 0 · penalty actions: 3
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 |
|---|---|---|---|
| 2025-06-13 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Resident Rights Deficiencies, tag 0578) | J · immediate jeopardy | corrected 2025-07-17 |
| 2025-06-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0609) | D | corrected 2025-07-10 |
| 2025-06-13 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. (Quality of Life and Care Deficiencies, tag 0678) | J · immediate jeopardy | corrected 2025-07-10 |
| 2025-06-13 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Administration Deficiencies, tag 0835) | J · immediate jeopardy | corrected 2025-07-17 |
| 2024-10-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. (Quality of Life and Care Deficiencies, tag 0677) | D | corrected 2024-11-08 |
| 2021-05-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Quality of Life and Care Deficiencies, tag 0684) | D | corrected 2021-06-13 |
| 2021-05-13 | 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 2021-06-13 |
| 2021-05-13 | Ensure each resident’s drug regimen must be free from unnecessary drugs. (Pharmacy Service Deficiencies, tag 0757) | D | corrected 2021-06-13 |
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: 3.79 hrs/resident/day (expected 3.95 for this facility's resident acuity — below expected) (US median 3.69 · FL 3.66)
- Registered-nurse staffing: 0.96 hrs/resident/day (expected 0.69 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 2.11 · LPN 0.71 hrs/resident/day
- Weekend total staffing: 3.20 hrs/resident/day (expected 3.50 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 39.8% · RN turnover 52.2% (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 experiencing one or more falls with major injury (long stay) | 4.1% | 7.3 → 5.7 → 3.7 → 0 | worse than 69% of US homes · FL median 2.3% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 1.8% | 3.6 → 1.9 → 1.9 → 0 | worse than 68% of US homes · FL median 0.2% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 1.4% | 2.2 → 0.6 → 1.1 → 1.7 | worse than 61% of US homes · FL median 1% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 13% | 10.9 → 20 → 12.5 → 8.7 | better than 51% of US homes · FL median 7.7% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 10.7% | 10 → 13.3 → 8 → 10.8 | better than 62% of US homes · FL median 7.1% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 3.1% | 2.1 → 3.4 → 3.5 → 3.4 | better than 69% of US homes · FL median 4.4% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 4.6% | not reported | better than 89% of US homes · FL median 8.7% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · FL median 0% |
What this costs
- This facility's reported avg daily charge: $479/day · $$$$ (price tier 4 of 5 among Florida nursing homes) — from its own federal cost report, FY ending 2025-06. 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): 45% Medicaid · 23% Medicare · 32% other/private · 88% 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 |
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- 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.