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Pavilion at Jacksonville, the
1771 Edgewood Ave W, Jacksonville, FL 32218 · CMS Certification Number (CCN) 105826
At a glance
- CMS overall rating
- ★★★★☆ 4 of 5
- Health inspection citations
- 11 in the last 3 inspection cycles (0 immediate jeopardy, 0 actual harm, 1 from complaints)
- Fire safety citations
- 19
- Fines (last 3 years)
- 0 fines, total $0
- Payment denials
- 0
- Most recent standard inspection
- March 12, 2026
- Official record
- Medicare Care Compare page for this facility
Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
CMS star ratings
CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide
| Rating | This facility | Florida average | U.S. average |
|---|---|---|---|
| Overall | ★★★★☆ 4 of 5 | 3.3 | 3 |
| Health inspections | ★★★☆☆ 3 of 5 | 2.9 | 2.8 |
| Staffing | ★★★☆☆ 3 of 5 | 3.3 | 2.9 |
| Quality measures | ★★★★★ 5 of 5 | 4.2 | 3.6 |
| Long-stay quality | ★★★★★ 5 of 5 | Not published | Not published |
| Short-stay quality | ★★★★☆ 4 of 5 | Not published | Not published |
Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Health inspections
| Inspection cycle | Standard survey date | Health citations | From standard survey | From complaints |
|---|---|---|---|---|
| Cycle 1 (most recent) | March 12, 2026 | 4 | 4 | 0 |
| Cycle 2 | May 2, 2024 | 4 | 3 | 1 |
CMS weighted health inspection score: 37 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations
11 health citations across 3 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.
March 12, 2026: 4 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/07/2026 |
| D | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/07/2026 |
| F | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/07/2026 |
| F | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/07/2026 |
May 2, 2024: 4 citations (Standard + Complaint)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| F | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/31/2024 |
| D | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/31/2024 |
| D | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies | Complaint | Deficient, Provider has date of correction Corrected 05/31/2024 |
| D | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/31/2024 |
May 12, 2022: 3 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| F | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 06/05/2022 |
| D | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Standard | Deficient, Provider has date of correction Corrected 06/05/2022 |
| D | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies | Standard | Deficient, Provider has date of correction Corrected 06/05/2022 |
Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Fire safety inspections
19 fire safety citations across 2 inspection dates
| Date | Severity | Tag | What was cited | Status |
|---|---|---|---|---|
| 03/12/2026 | E | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | E | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | E | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | D | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | F | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | D | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | D | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | E | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | D | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | D | K-0222 | 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. Egress Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | D | E-0042 | Meet the requirements of an integrated health system. Emergency Preparedness Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | D | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | D | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 03/12/2026 | D | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies | Deficient, Provider has date of correction Corrected 05/07/2026 |
| 05/02/2024 | E | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 05/31/2024 |
| 05/02/2024 | D | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies | Deficient, Provider has date of correction Corrected 05/31/2024 |
| 05/02/2024 | E | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies | Deficient, Provider has date of correction Corrected 05/31/2024 |
| 05/02/2024 | D | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies | Deficient, Provider has date of correction Corrected 05/31/2024 |
| 05/02/2024 | E | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 05/31/2024 |
Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.
Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Penalties
No fines or payment denials published for this facility in the CMS Penalties file (last 3 years).
Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Staffing
| Measure | This facility | Florida average | U.S. average |
|---|---|---|---|
| Total nurse staff hours per resident per day | 3.35 | 3.82 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.51 | 0.73 | 0.69 |
| LPN/LVN hours per resident per day | 0.73 | Not published | Not published |
| Nurse aide hours per resident per day | 2.11 | Not published | Not published |
| Total nurse staff hours per resident per day, weekends | 3.18 | Not published | Not published |
| RN hours per resident per day, weekends | 0.36 | Not published | Not published |
| Total nursing staff turnover (%) | 55.4 | 41.4 | 45.8 |
| Registered nurse turnover (%) | 50 | Not published | Not published |
| Administrators who have left | 0 | Not published | Not published |
Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.
Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Facility details
- Legal business name
- The Pavilion at Jacksonville for Nursing and Rehabilitation LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- The Pavilion Group (6 facilities)
- Ownership changed in last 12 months
- No
- Certified beds
- 60
- Average residents per day
- 57.3
- Participates in
- Medicare and Medicaid
- Located inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- First approved for Medicare/Medicaid
- August 1, 1993
- County/parish
- Duval
Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Owners and managers reported to CMS
24 ownership and management records
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PAVILION HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| FTK CAPITAL LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| NPNH1 LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| SHS KEREN LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BIRNBAUM, EZRA | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HIRSCH, SHAYE | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| INZELBUCH, AZRIEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MOERMAN, RAFAEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SINGER, SIMON | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KRIESER, AKIVA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LEWIS, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MOERMAN, RAFAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| FASTEN HALBERSTAM LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| FTK CAPITAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| NPNH1 LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| PAVILION HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| PAVILION MANAGEMENT GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| POWERBACK REHABILITATION LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| RICHARDS MITCHELL & CROSS PA | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| SHS KEREN LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| INZELBUCH, AZRIEL | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LEWIS, JOSEPH | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MOERMAN, RAFAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| YU, ZHI | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Check it yourself
- Medicare Care Compare: Pavilion at Jacksonville, the. Full inspection reports, quality measures and staffing.
- AHCA licensed health care facility complaint form. The state agency also takes nursing home complaints.
- Ask the facility to show you its most recent inspection report and plan of correction.
Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.