Free Florida public-record evidence · Nursing home / skilled nursing
PAVILION AT JACKSONVILLE, THE
1771 EDGEWOOD AVE W · JACKSONVILLE · DUVAL County · 32208
Inspection and deficiency evidence for families and professionals. No paid placement position or proprietary CRP quality score.
Provider metadata as of 2026-10-07; retrieved 2026-10-07. These dates do not establish current inspection coverage.
Agency identity and evidence coverage
Observed CMS certification status: Certified. This is the published metadata observation, not a new certification determination.
Observed state license status: LICENSED. Confirm the current status with the agency.
Official provider data source
- rules: Provider-specific reference links are provided. Effective-date rule evaluation and staffing compliance remain unqualified.
- quality: CMS ratings are shown below; these are not CRP ratings. Underlying measure periods are not established by this import.
- branches: Branch and parent/site relationships have not been independently established. A directory address or served ZIP does not establish a branch.
- identity: CMS and AHCA identity records linked with retained evidence. Historical periods before an observed link are not inferred.
- staffing: CMS-published reported staffing is shown below with source context. No staffing compliance determination is made.
- financial: See source-qualified reported fines and payment adjustments below. Actual payments, revenue losses and current restrictions are not established.
- ownership: CMS ownership records are retained as reported. A current release is not a complete ownership or change-of-ownership history.
- inspections: Qualified CMS citation releases only; state findings and inspector narratives are not yet integrated.
Retained citation report window: 2024-10-07 through 2026-10-07. Individual sources may have earlier coverage.
Published inspection and deficiency records
18 retained citation records in this published report; showing the first 18 below. This is not a count of unresolved problems, inspections or a facility score.
The descriptions identify cited requirements, not the inspector’s facility-specific narrative.
CMS:NH:E E0025 · Inspection 2026-03-12
Create arrangements with other facilities to receive patients.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:E E0037 · Inspection 2026-03-12
Establish staff and initial training requirements.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:E E0039 · Inspection 2026-03-12
Conduct testing and exercise requirements.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:E E0042 · Inspection 2026-03-12
Meet the requirements of an integrated health system.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:F F0803 · Inspection 2026-03-12
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.
Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS health citation CSV is unavailable at its former URL. Download cited CMS health CSV in ZIP archive (ZIP; contains r5ix-sfxw_2026-08-01_NH_HealthCitations_Aug2026.csv; cited CSV SHA-256 54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741).
CMS:NH:F F0812 · Inspection 2026-03-12
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS health citation CSV is unavailable at its former URL. Download cited CMS health CSV in ZIP archive (ZIP; contains r5ix-sfxw_2026-08-01_NH_HealthCitations_Aug2026.csv; cited CSV SHA-256 54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741).
CMS:NH:F F0842 · Inspection 2026-03-12
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS health citation CSV is unavailable at its former URL. Download cited CMS health CSV in ZIP archive (ZIP; contains r5ix-sfxw_2026-08-01_NH_HealthCitations_Aug2026.csv; cited CSV SHA-256 54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741).
CMS:NH:F F0880 · Inspection 2026-03-12
Provide and implement an infection prevention and control program.
Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS health citation CSV is unavailable at its former URL. Download cited CMS health CSV in ZIP archive (ZIP; contains r5ix-sfxw_2026-08-01_NH_HealthCitations_Aug2026.csv; cited CSV SHA-256 54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741).
CMS:NH:K K0222 · Inspection 2026-03-12
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.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:K K0324 · Inspection 2026-03-12
Provide properly protected cooking facilities.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:K K0345 · Inspection 2026-03-12
Have approved installation, maintenance and testing program for fire alarm systems.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:K K0353 · Inspection 2026-03-12
Inspect, test, and maintain automatic sprinkler systems.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:K K0372 · Inspection 2026-03-12
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:K K0521 · Inspection 2026-03-12
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:K K0741 · Inspection 2026-03-12
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:K K0914 · Inspection 2026-03-12
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:K K0916 · Inspection 2026-03-12
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS:NH:K K0918 · Inspection 2026-03-12
Have generator or other power source capable of supplying service within 10 seconds.
Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.
Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-07. A recorded correction does not independently verify the present condition.
Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).
CMS-published staffing and other measures
These are agency-published observations. CMS ratings remain CMS ratings; CRP creates no quality score. Reported staffing does not establish actual attendance, adequacy or legal compliance. Source release and processing dates are not the underlying measurement periods.
Daily staffing source coverage
Provider-reported CMS PBJ records are retained for these periods. Counts do not establish adequate staffing, complete attendance or compliance.
- NON_NURSE: 86 reported days, 2024-10-07 through 2024-12-31. Published 2025-04-30. CMS staffing source
- NURSE: 86 reported days, 2024-10-07 through 2024-12-31. Published 2025-04-30. CMS staffing source
- NON_NURSE: 90 reported days, 2025-01-01 through 2025-03-31. Published 2025-09-11. CMS staffing source
- NURSE: 90 reported days, 2025-01-01 through 2025-03-31. Published 2025-09-11. CMS staffing source
- NON_NURSE: 91 reported days, 2025-04-01 through 2025-06-30. Published 2025-11-20. CMS staffing source
- NURSE: 91 reported days, 2025-04-01 through 2025-06-30. Published 2025-11-20. CMS staffing source
- NON_NURSE: 92 reported days, 2025-07-01 through 2025-09-30. Published 2026-02-05. CMS staffing source
- NURSE: 92 reported days, 2025-07-01 through 2025-09-30. Published 2026-02-05. CMS staffing source
- NON_NURSE: 92 reported days, 2025-10-01 through 2025-12-31. Published 2026-04-29. CMS staffing source
- NURSE: 92 reported days, 2025-10-01 through 2025-12-31. Published 2026-04-29. CMS staffing source
- NON_NURSE: 90 reported days, 2026-01-01 through 2026-03-31. Published 2026-07-29. CMS staffing source
- NURSE: 90 reported days, 2026-01-01 through 2026-03-31. Published 2026-07-29. CMS staffing source
Reported ownership evidence
Source-reported records do not establish a complete portfolio, branch network or ownership history.
- role
- DIRECT OWNERSHIP INTEREST
- ownerName
- PAVILION HOLDINGS LLC
- ownerType
- Organization
- associationDateReported
- since 03/03/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- INDIRECT OWNERSHIP INTEREST
- ownerName
- FTK CAPITAL LLC
- ownerType
- Organization
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- INDIRECT OWNERSHIP INTEREST
- ownerName
- NPNH1 LLC
- ownerType
- Organization
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- INDIRECT OWNERSHIP INTEREST
- ownerName
- SHS KEREN LLC
- ownerType
- Organization
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- INDIRECT OWNERSHIP INTEREST
- ownerName
- BIRNBAUM, EZRA
- ownerType
- Individual
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- INDIRECT OWNERSHIP INTEREST
- ownerName
- HIRSCH, SHAYE
- ownerType
- Individual
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- INDIRECT OWNERSHIP INTEREST
- ownerName
- INZELBUCH, AZRIEL
- ownerType
- Individual
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- INDIRECT OWNERSHIP INTEREST
- ownerName
- MOERMAN, RAFAEL
- ownerType
- Individual
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- INDIRECT OWNERSHIP INTEREST
- ownerName
- SINGER, SIMON
- ownerType
- Individual
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- OPERATIONAL/MANAGERIAL CONTROL
- ownerName
- KRIESER, AKIVA
- ownerType
- Individual
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- OPERATIONAL/MANAGERIAL CONTROL
- ownerName
- LEWIS, JOSEPH
- ownerType
- Individual
- associationDateReported
- since 02/26/2024
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- OPERATIONAL/MANAGERIAL CONTROL
- ownerName
- MOERMAN, RAFAEL
- ownerType
- Individual
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- FASTEN HALBERSTAM LLP
- ownerType
- Organization
- associationDateReported
- since 05/28/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- FTK CAPITAL LLC
- ownerType
- Organization
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- NPNH1 LLC
- ownerType
- Organization
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- PAVILION HOLDINGS LLC
- ownerType
- Organization
- associationDateReported
- since 03/03/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- PAVILION MANAGEMENT GROUP LLC
- ownerType
- Organization
- associationDateReported
- since 05/28/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- POWERBACK REHABILITATION LLC
- ownerType
- Organization
- associationDateReported
- since 05/28/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- RICHARDS MITCHELL & CROSS PA
- ownerType
- Organization
- associationDateReported
- since 05/28/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- SHS KEREN LLC
- ownerType
- Organization
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- INZELBUCH, AZRIEL
- ownerType
- Individual
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- LEWIS, JOSEPH
- ownerType
- Individual
- associationDateReported
- since 02/26/2024
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- MOERMAN, RAFAEL
- ownerType
- Individual
- associationDateReported
- since 05/01/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
- role
- ADP OF THE SNF
- ownerName
- YU, ZHI
- ownerType
- Individual
- associationDateReported
- since 05/28/2021
- ownershipPercentageReported
- NOT APPLICABLE
Source published 2026-08-26. Ownership source
Agency source documents
A document reference is not a count of deficiencies, inspections or fines. Document-only values remain unknown when not qualified.
- Statement of Deficiencies — Listed visit date: 2026-05-12. Agency document.
- Statement of Deficiencies — Listed visit date: 2026-05-12. Agency document.
- Statement of Deficiencies — Listed visit date: 2026-05-12. Agency document.
- Statement of Deficiencies — Listed visit date: 2026-05-12. Agency document.
- Statement of Deficiencies — Listed visit date: 2026-03-12. Agency document.
- Statement of Deficiencies — Listed visit date: 2026-03-12. Agency document.
- Statement of Deficiencies — Listed visit date: 2026-03-12. Agency document.
- Statement of Deficiencies — Listed visit date: 2026-03-12. Agency document.
- Statement of Deficiencies — Listed visit date: 2025-01-21. Agency document.
- Statement of Deficiencies — Listed visit date: 2024-11-20. Agency document.
For families: what happened, and what should I ask?
Ask for the current inspection report, the response to relevant findings and evidence that corrective steps were completed. Historical findings do not prove current unsafe care. Missing findings do not prove quality or suitability.
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Publication reference: 6353b7c6-7a35-4edd-813e-987c75e6ada5. Source coverage and unavailable facts remain provider-specific.