First Coast Health and Rehabilitation Center
Strong Medicare quality ratings; families often praise engaging activities and events. Still worth an in-person visit.
based on 46 Google reviews

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What this means for your family
While this facility has dedicated staff members and an excellent activities program, the recurring reports of poor hygiene and communication failures are significant red flags. If you choose this facility, ensure you have a clear, direct line of communication with a specific unit manager and visit frequently to monitor your loved one's care and room cleanliness.
Google Reviews
Google Reviews
46 reviews on Google“First Coast Health and Rehabilitation Center receives highly polarized feedback, with some families praising individual staff members and the activities department, while others report severe neglect and unsanitary conditions. Multiple reviewers have documented serious concerns regarding hygiene, including reports of roaches and fecal matter, as well as significant lapses in medication administration and communication. Prospective families should be aware of the stark contrast between positive experiences with specific staff and recurring reports of understaffing and poor facility maintenance.”
Quality Themes
Tap a score for detailsStrengths
- Engaging activities and events
- Dedicated individual staff members
- Effective rehabilitation therapy team
- Helpful business and social work office staff
Concerns
- Poor hygiene and sanitation (roaches, fecal matter, odors) (mentioned by 7 reviewers)
- Unresponsive or difficult-to-reach staff/social workers (mentioned by 6 reviewers)
- Medication administration errors or delays (mentioned by 4 reviewers)
- Understaffing leading to slow call-light response times (mentioned by 5 reviewers)
- Broken or poorly maintained equipment (beds, wheelchairs) (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 46 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that some families have noted concerns regarding facility hygiene, what is your current daily housekeeping and deep-cleaning schedule to ensure a sanitary environment for residents?
- 2With the rehabilitation team being a noted strength, how do you coordinate their therapy plans with the nursing staff to ensure consistent care throughout the day?
- 3Can you walk me through the protocol for medication administration and how you track and prevent potential errors or delays in delivery?
- 4What is your current system for managing call-light response times, and how do you ensure that residents receive timely assistance when the facility is at full capacity?
- 5Since communication is a priority for us, what is the best way for family members to reach the social work team or nursing staff to get timely updates on our loved one's care?
- 6What specific steps are you taking to address the maintenance of resident equipment, such as beds and wheelchairs, to ensure everything is in safe, working order?
Personalized based on this facility's data
Key Review Excerpts
“The activities director Debra White goes above and beyond for the residents. The activities and parties they all love.”
“The only good in there was therapists (PTs and OTs) and Beatrice the CNP. Meds would come 3 hours late. It was just a horrible place.”
“The living conditions are inhumane and disgusting. My patient was sitting in her own feces until we were able to bring that to someone’s attention.”
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
13
measures
4
measures
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for pneumonia
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
This facility shows concerning patterns with families filing complaints about safety hazards and facility cleanliness in recent years. The most recurring issues involve fire safety and building maintenance, nursing staff adequacy and training, and medication management oversight. While all deficiencies show correction dates, the facility has accumulated 24 violations across multiple surveys, suggesting ongoing operational challenges that required regulatory intervention to address.
Jan 23, 2026Routine12
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Smoke Deficiencies
Construct fire resistant interior walls.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies
Meet the requirements of an integrated health system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Nov 6, 2024Complaint1
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Feb 29, 2024Routine15
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Meet other general requirements that are deficient.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Miscellaneous Deficiencies
Meet fire sprinkler requirement for tall buildings.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Dec 4, 2023Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 17, 2022Routine4
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Ownership & Operations
Who Operates This Facility
First Coast Health and Rehabilitation Center
nonprofit
Chain Affiliation
Senior Health South
8 facilities nationwide
Chain avg rating: 2.0/5 · Rank 2 of 8
Ownership & Management
Owners
Senior Health Properties South, INC
Owner · Organization
Senior Health South Ex 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
46 reviews from families & visitors
Official Website
Visit firstcoasthealthandrehab.com
Medicare data downloads
Original nursing home datasets
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