Fernandina Beach Rehabilitation and Nursing Center

1625 Lime Street · Fernandina Beach, FL · 32034 · 9042610771

120 certified beds For profit - Limited Liability company Chain: Aston Health

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 42
Serious harm & abuse 20% 64
Staffing 20% 47
Federal penalties 15% 46
Trend 10% 20
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.213.48 min · 4.1 strong
RN hours / resident-day0.230.55–0.75
Weekend hours / resident-day3.06≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)3 · $31,051

Inspection citations (18 in the current record)

  • Actual harm · G June 27, 2024

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 29, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 27, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected July 29, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F June 27, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected September 11, 2024 · Resident Rights

  • Potential for harm · D June 27, 2024

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected July 29, 2024 · Resident Rights

  • Potential for harm · E June 27, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected July 29, 2024 · Quality of Life and Care

  • Potential for harm · E June 27, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected July 29, 2024 · Quality of Life and Care

  • Potential for harm · D June 27, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected July 29, 2024 · Pharmacy Service

  • Potential for harm · D June 27, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected July 29, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 27, 2024

    Provide and implement an infection prevention and control program.

    Corrected July 29, 2024 · Infection Control

  • Potential for harm · D June 27, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected July 29, 2024 · Infection Control

  • Potential for harm · D June 27, 2024 · found via complaint

    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.

    Corrected July 29, 2024 · Resident Rights

  • No harm found · B June 27, 2024 · found via complaint

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected July 29, 2024 · Resident Rights

  • Potential for harm · E February 27, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 27, 2024 · Quality of Life and Care

  • Potential for harm · D November 9, 2022

    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.

    Corrected December 23, 2022 · Quality of Life and Care

  • Potential for harm · D November 9, 2022

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected December 23, 2022 · Nursing and Physician Services

  • Potential for harm · F November 9, 2022

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected December 23, 2022 · Administration

  • Potential for harm · D April 1, 2021

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected April 23, 2021 · Resident Rights

  • Potential for harm · E April 1, 2021

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 23, 2021 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
June 27, 2024Fine$5,358
June 27, 2024Fine$10,538
June 27, 2024Fine$15,155

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105470 · certified since September 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.