Fernandina Beach Rehabilitation and Nursing Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 249 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (12 vs median 6.0)
- High staff turnover (67%)
- High RN turnover (64%)
Bottom 25% in FL · Critically understaffed (RN) · $31,051 in fines · Abuse citation
What this means for your family
This facility features a highly regarded rehabilitation therapy team that many families find beneficial for recovery. However, the facility has a documented history of severe hygiene issues and staffing shortages; we strongly recommend visiting unannounced and specifically inspecting the cleanliness of the room and the responsiveness of the call-light system before committing.
Google Reviews
Google Reviews
249 reviews on Google“Fernandina Beach Rehabilitation and Nursing Center receives highly polarized feedback, with many families praising the dedicated therapy team and specific staff members, while others report severe neglect and unsanitary conditions. While some visitors note a clean environment and professional care, a recurring pattern of complaints highlights issues with understaffing, poor communication, and hygiene concerns like pest infestations. Families considering this facility should be aware that experiences appear to vary significantly based on the specific staff on duty.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy team
- Specific staff members noted for going above and beyond
- Generally clean facility environment reported by many visitors
- Helpful admissions and administrative support
Concerns
- Pest infestations (roaches and mice) (mentioned by 6 reviewers)
- Severe understaffing and slow response times (mentioned by 9 reviewers)
- Poor communication and difficulty reaching staff by phone (mentioned by 5 reviewers)
- Unsanitary conditions and strong odors (mentioned by 5 reviewers)
- Inconsistent quality of care depending on the shift or specific nurse (mentioned by 6 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 224 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; what processes do you have in place to ensure that same level of responsiveness when we need to reach a nurse or administrator by phone?
- 2Given the recent focus on facility maintenance, what is your current protocol for pest control and ensuring a consistently sanitary environment in resident rooms?
- 3Many families have praised your physical and occupational therapy team; how do you ensure that same high level of dedicated care carries over into daily nursing support and medication management?
- 4With staffing levels being a common concern in the industry, how do you manage call-light response times and ensure residents receive consistent attention across all shifts?
- 5Could you walk me through how you handle medical emergencies or urgent health changes during the evening and weekend hours?
- 6What does a typical day look like for residents in terms of social engagement and dining, and how do you ensure the quality of care remains consistent for those who need extra help during meals?
Personalized based on this facility's data
Key Review Excerpts
“The clinical rehabilitation team is a group of talented, dedicated and caring professionals, led by an experienced and knowledgeable Director of Rehab Services, Julieann Drake.”
“WORST PLACE TO HAVE YOUR LOVED ONE AT. took them 12 hours to bring my great granny a water. ROACHES AND FLIES EVERYWHERE. 3 daysssssss for asking for some tissue.”
“The nurses are drugging my brother to ease their own workload, but that prevents him from having any effective therapy. If you have a loved one in this facility, you must advocate for them aggressively.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
2
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents whose walking got worse
Residents with pressure sores (bedsores)
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Fernandina Beach Rehabilitation has concerning deficiencies including protection from abuse and neglect, with families filing complaints about care environment, building safety, wound care, and billing practices. The facility shows recurring issues across resident rights, infection control, and care quality areas. While all deficiencies have reported correction dates, the pattern of 22 violations across multiple surveys, including 5 complaint-triggered issues, suggests ongoing operational challenges that warrant careful evaluation during visits.
Sep 18, 2024Complaint2
Construction Deficiencies
Meet other general requirements.
Construction Deficiencies
Have a combustible roofing system that meets safety standards.
Jun 27, 2024Routine12
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Jun 27, 2024Complaint2
Resident Rights Deficiencies
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
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Feb 27, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nov 9, 2022Routine3
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Quality of Life and Care Deficiencies
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.
Nursing and Physician Services Deficiencies
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.
Apr 1, 2021Routine2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Federal Penalties
Fine
Jun 27, 2024
$5,358
Fine
Jun 27, 2024
$10,538
Fine
Jun 27, 2024
$15,155
Ownership & Operations
Who Operates This Facility
Fernandina Beach Rehabilitation and Nursing Center
for profit
Chain Affiliation
Aston Health
38 facilities nationwide
Chain avg rating: 2.5/5 · Rank 15 of 30
Ownership & Management
Owners
Fb Rehab Holdings, LLC
Owner · Organization
Quality Rehab Partners LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
249 reviews from families & visitors
Official Website
Visit fernandinabeachrehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.