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Pavilion for Health Care, TheCMS ratings, inspections and fines

Address
3465 Caroline Blvd, Penney Farms, FL 32079
CCN
106096
Ownership type
Non-profit, corporation
Certified beds
50
Chain
None in the CMS record
Residents per day
45
CMS flags
None in the CMS record
CMS star ratings
Overall rating5 of 5
Health inspection rating5 of 5
Staffing rating5 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Pavilion for Health Care, The an overall rating of 5 of 5 stars. The last standard survey was on 26 Mar 2026. The latest survey cycle has 0 health citations. The median for nursing homes in Florida is 6. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Pavilion for Health Care, The, with medians
Rating (1 to 5 stars)This homeClay County medianFlorida medianUS average (CMS)
Overall rating55.03.03.0
Health inspection rating54.03.02.8
Staffing rating53.03.02.9
Quality measure rating44.04.03.6

A median is the middle value of the homes in the group: 12 homes in the county, 694 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Pavilion for Health Care, The in the last three survey cycles
Survey cycleStandard surveyCitationsFlorida median
Cycle 1 (latest)26 Mar 202606
Cycle 220 Jun 202416
Cycle 3No date25

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 3 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harmE0F0
No actual harm, potential for minimal harmA0B0C0

Survey cycle 2: 1 citation

Standard survey of this cycle: .

Health citations of Pavilion for Health Care, The in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
20 Jun 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey10 Jul 2024

Survey cycle 3: 2 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Pavilion for Health Care, The in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
15 Sep 2022F0759Ensure medication error rates are not 5 percent or greater.DStandard survey1 Oct 2022
15 Sep 2022F0760Ensure that residents are free from significant medication errors.DStandard survey1 Oct 2022

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Pavilion for Health Care, The
StaffThis homeFlorida medianFlorida average (CMS)
All nurse staff4.913.603.82
Registered nurses (RN)0.640.600.73
Licensed practical nurses (LPN)1.100.78
Nurse aides3.172.31
All nurse staff, weekends4.153.303.49
Nurse staff turnover in a year
34.4%
Nurse staff turnover, Florida median
41.8%
RN turnover in a year
37.5%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Pavilion for Health Care, The, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeFlorida medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay7.4%7.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.6%0.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.8%2.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay9.8%7.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.6%4.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.9%7.0%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
Non-profit, corporation
Setting
Continuing care retirement community
Legal business name
Penney Retirement Community, Inc.

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons.

Other homes in Clay County

The 11 nearest other nursing homes in Clay County, Florida
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Aviata at Green Cove SpringsGreen Cove Springs2 of 53$013 Feb 2025
Middleburg Rehabilitation and Nursing CenterMiddleburg4 of 55$015 Jan 2026
Isle Healthcare & Rehabilitation CenterOrange Park5 of 51$43,66422 May 2025
Pruitthealth - Fleming IslandFleming Island2 of 52$16,15315 Apr 2026
Life Care Center of Orange ParkOrange Park5 of 53$06 Feb 2025
Orange Park Rehabilitation and Nursing CenterOrange Park4 of 55$015 May 2025
Aviata at Orange ParkOrange Park4 of 52$020 Nov 2025
Oak View Health and Rehabilitation CenterOrange Park5 of 51$027 Feb 2025
MoosehavenOrange Park5 of 51$05 Jun 2026
Life Care Center at Wells CrossingOrange Park5 of 53$011 Sep 2025
Vivo Healthcare Orange ParkOrange Park5 of 51$021 Nov 2024

All 12 nursing homes in Clay County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Pavilion for Health Care, The (CCN 106096). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/pavilion-for-health-care-the-penney-farms-fl-106096/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Pavilion for Health Care, The last inspected?
The latest inspection with a citation in the CMS record was on 20 Jun 2024. It was a standard survey. It gave 1 citation. The standard survey before the last one was on 20 Jun 2024.
Who operates Pavilion for Health Care, The?
The CMS record gives the ownership type as non-profit, corporation. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
Is Pavilion for Health Care, The a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Florida as Special Focus Facilities and 15 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.