Nursing HomeMedicaid Investigative

Pruitthealth - Fleming Island

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2040 Town Center Blvd, Fleming Island, FL 32003|97 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

4.1/5

based on 210 Google reviews

(904) 293-1311 Directions Website

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2/ 10

low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (1/5 stars)

Bottom 25% in FL · Meets national RN staffing standard · Worst in PRUITTHEALTH chain · $16,153 in fines

Source: Medicare data

What this means for your family

While the facility is physically beautiful and offers excellent activities, the recurring reports of slow call-light responses and medication delays are significant red flags. If you choose this facility, ensure you have a plan for frequent family visits to monitor care and be prepared to be highly proactive in communicating with the nursing staff, especially on weekends.

Google Reviews

210 reviews on Google

“PruittHealth - Fleming Island is a modern, visually appealing facility that receives high praise for its cleanliness, amenities, and specific staff members like the Activities Director. However, many families report significant concerns regarding inconsistent nursing care, slow response times to call buttons, and poor communication, particularly on weekends. Families should be aware that while the environment is resort-like, the quality of care can be inconsistent depending on staffing levels.”

Quality Themes

Tap a score for details

Strengths

Clean, modern, and well-maintained facility
Engaging and creative activities program
Professional and compassionate therapy team
Welcoming and resort-like atmosphere

Concerns

Slow or non-existent response to call buttons (mentioned by 12 reviewers)
Poor communication with families regarding medical updates (mentioned by 9 reviewers)
Inconsistent medication management and delays (mentioned by 7 reviewers)
Understaffing, especially on weekends (mentioned by 6 reviewers)
Inadequate assistance with feeding and hygiene (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 213 analyzed

152

⚡21 reviews posted between Sep 9, 2025 – Sep 19, 2025 · 20 were 5-star

⚡12 reviews posted between Feb 6, 2024 – Feb 9, 2024 · 12 were 5-star

⚡11 reviews posted between Sep 14, 2025 – Sep 19, 2025 · 10 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed the facility has a very active calendar; could you walk me through a typical day for a resident and how you encourage participation in these activities?
2Given the importance of timely care, what is your current process for monitoring and responding to call buttons, especially during evening and weekend shifts?
3How do you ensure consistent communication with families regarding medical updates or changes in a resident's condition so we stay well-informed?
4With the recent focus on medication management, what steps are in place to ensure that medications are administered accurately and on schedule?
5I appreciate that you actively engage with feedback online; how do you use that family input to make tangible improvements to the daily care experience here?
6Could you explain how your team coordinates to ensure that residents receive consistent support with daily needs like feeding and hygiene throughout the week?

Personalized based on this facility's data

Key Review Excerpts

“Cathy Hester is the Activities Director and does an absolutely PHENOMENAL job with the residents! She is creative, engaging and seems to always have something fun to do!”

Family member · 2026★★★★★

“The facility is beautiful and kept very clean, they are clearly lacking in communication skills with their patients as well as with the family of their patients.”

Family member · 2024★★★★★

“My father was at your facility for only 4 hours before he fell and was found by a staff member. I received call and was sent to wrong hospital. Also could not get contact for hours to see if he was given any medications.”

Family member · 2025★☆☆☆☆

Source: 210 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.96hrs

Registered nurses for medical care

Total Nursing

3.79hrs

92%

All nurses + aides combined

Staff Turnover

40%

Lower is better (< 30% = good)

RN Turnover

52%

Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility29.3%

Worse than Avg

Here

29.3%

19.5%

15.0%

Clay

19.6%

😔

Residents with depression symptoms

↓ Lower is better

This Facility15.4%

Worse than Avg

Here

15.4%

12.1%

4.1%

Clay

11.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better

This Facility4.6%

Better than Avg

Here

4.6%

15.3%

10.6%

Clay

14.7%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility10.7%

Mixed vs Avgs

Here

10.7%

15.5%

8.7%

Clay

18.0%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility18.6%

Mixed vs Avgs

Here

18.6%

19.4%

11.5%

Clay

18.9%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility99.5%

Better than Avg

Here

99.5%

93.4%

98.1%

Clay

96.4%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility96.2%

Better than Avg

Here

96.2%

81.8%

94.8%

Clay

85.4%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility91.9%

Mixed vs Avgs

Here

91.9%

79.8%

94.7%

Clay

81.0%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.4%

Better than Avg

Here

1.4%

1.6%

1.5%

Clay

2.7%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies

3penalties

Near state avg (7.3)

4 complaint-triggered

$16,153 in fines

Families have filed complaints leading to recent deficiencies in June 2025 regarding resident rights, emergency response, abuse reporting, and facility management. The facility shows recurring issues with emergency preparedness, medication management, and resident care quality across multiple surveys from 2021 to 2025. While all deficiencies appear corrected by the provider, the pattern of ongoing problems in critical care areas warrants careful consideration during your visit.

Jun 13, 2025Complaint4 findings

0578Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0678Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0835Immediate jeopardy · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Oct 8, 2024Routine3 findings

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

May 13, 2021Routine10 findings

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0908Potential for harm · WidespreadCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0024Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Federal Penalties

Fine

Jun 13, 2025

$5,384

Fine

Jun 13, 2025

$5,384

Fine

Jun 13, 2025

$5,385

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pruitthealth - Fleming Island

Organization Type

for profit

Chain Affiliation

Chain Name

Pruitthealth

Chain Size

99 facilities nationwide

Chain avg rating: 2.8/5 · Rank 83 of 94 (Worst)

Ownership & Management

Owners

United Health Services of Florida, INC

Owner · Organization

Pruitt, Neil

Owner

Clay Healthcare Properties, INC