nursing home in Jacksonville, FL
Fouraker Hills Rehab and Nursing Center
1650 Fouraker Rd, Jacksonville, FL 32221 · (904) 786-8668
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Fouraker Hills Rehab and Nursing Center at a glance
Fouraker Hills Rehab and Nursing Center is a 120-bed for-profit nursing home in Jacksonville, Florida (Duval County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Florida average of 3.3.
Residents receive about 3.4 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (January 16, 2025) found 5 health citations. The Florida average is 7.1.
It has not received a federal fine in the past three years.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Aston Health
- Medicare-certified since
- August 10, 1990
- Resident/family council
- Both
- County
- Duval County
- CMS Certification Number
- 105707
Ratings
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.2 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.42 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.39 hrs | 0.73 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.06 hrs | 2.31 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.09 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 38 | 63 | 80.6 | Better |
Penalties
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $24,361 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 122 | 107 | |
| Average residents per day | 117 | 109 | 86 | |
| Occupancy | 97.2% | 88.9% | 80.9% |
Long-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.1% | 2.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.6% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 13% | 8.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12.7% | 8.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.7% | 9.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 8.3% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.3% | 4.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 12.4% | 14.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22.7% | 10.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 99.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.2% | 98.2% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 89.2% | 94.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.5% | 95.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 16, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected February 11, 2025 |
| January 16, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 16, 2025 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected February 7, 2025 |
| January 16, 2025 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected February 7, 2025 |
| January 16, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 16, 2025 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 16, 2025 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected February 7, 2025 |
| July 16, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected August 15, 2024 |
| January 12, 2024 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected February 12, 2024 |
| January 12, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 12, 2024 |
| January 12, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 12, 2024 |
| January 12, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected February 12, 2024 |
| January 12, 2024 Complaint | 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 F0689 | D Potential harm, isolated | Corrected February 12, 2024 |
| February 16, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected March 20, 2023 |
| February 16, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 15, 2023 |
| February 16, 2023 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected March 15, 2023 |
| February 16, 2023 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected March 15, 2023 |
| February 16, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 15, 2023 |
| February 16, 2023 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected March 15, 2023 |
| July 16, 2021 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected September 3, 2021 |
| July 16, 2021 Standard | 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 F0689 | J Immediate jeopardy, isolated | Corrected September 1, 2021 |
| July 16, 2021 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Corrected August 27, 2021 |
| July 16, 2021 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 16, 2021 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected September 1, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| WJ CARE HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 05/07/2018 |
| ASTON HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| BLATT, MARC Individual | adp of the snf | NOT APPLICABLE | 08/22/2025 |
| FENAES, EMILEE Individual | adp of the snf | NOT APPLICABLE | 11/25/2025 |
| WILDES, DONNA Individual | adp of the snf | NOT APPLICABLE | 08/28/2025 |
| WILDES, DONNA Individual | corporate officer | NOT APPLICABLE | 08/28/2025 |
| GUTMAN, SAMUEL Individual | indirect ownership interest | NOT APPLICABLE | 05/07/2018 |
| BLATT, MARC Individual | operational/managerial control | NOT APPLICABLE | 02/19/2025 |
| BURKES, SONYA Individual | operational/managerial control | NOT APPLICABLE | 02/15/2024 |
| FENAES, EMILEE Individual | operational/managerial control | NOT APPLICABLE | 11/23/2024 |
| LACY, SUSIE Individual | operational/managerial control | NOT APPLICABLE | 04/03/2023 |
| WILDES, DONNA Individual | operational/managerial control | NOT APPLICABLE | 08/28/2025 |
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Frequently asked questions
What is Fouraker Hills Rehab and Nursing Center's rating?
Fouraker Hills Rehab and Nursing Center has 3 out of 5 stars on the CMS overall star rating. The average for Florida nursing homes is 3.3 stars.
How many inspection citations did Fouraker Hills Rehab and Nursing Center receive?
Its most recent standard health inspection found 5 citations, compared with a Florida average of 7.1. Every citation is listed on this page with its severity.
Does Fouraker Hills Rehab and Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Fouraker Hills Rehab and Nursing Center?
It is for profit - limited liability company and part of Aston Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Fouraker Hills Rehab and Nursing Center and how do I contact it?
Fouraker Hills Rehab and Nursing Center is at 1650 Fouraker Rd, Jacksonville, FL 32221. Phone: (904) 786-8668.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.