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1650 FOURAKER RD
JACKSONVILLE, FL 32221
Phone: (904) 786-8668
County: Duval

Mailing Address

1650 FOURAKER ROAD
JACKSONVILLE, FL 32221
County: Duval

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: JOHN C SIMMONS
Financial Officer: JOHN C SIMMONS
Owner/Licensee: WEST JACKSONVILLE CARE ACQUISITION, LLC
Owner/Licensee Since: 6/27/2018
NamePositionOwnership
WJ CARE HOLDINGS, LLC 100%
Profit Status: For-Profit
Licensed Beds: 120
Bed Types:
Community Beds : 120
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 12
2-Bed Rooms : 54
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 41627
AHCA Field Office: 04
License Number: 1087096
Current License Effective: 6/27/2018
Expires: 6/26/2020
License Status: LICENSED
Name changes (past 24 months):
NameLast Used
WEST JACKSONVILLE HEALTH AND REHABILITATION CENTER10/31/2017

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $240.00
Occupancy/Occupancy Rate :  109 / 91.04%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Filipino, French, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Dialysis, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy, Weight Training

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Life Safety Systems, Lights, LAUNDRY, Refrigeration
Plan Approval :  Jan 19, 2018
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Spot Coolers
Areas Cooled :  Dining Room, THERAPY ROOM
Areas Cooled Location :  Within Facility
Square Footage Cooled :  3,500
Number of People to use Cooled Space :  116

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
Change of ownership occurred 7/24/2018
10/18/2017 2017012528 Rule Variance/WaiverAdministrative Rule N/A 01/03/2018
03/09/2017 2017002636 FineSurvey $1,000.00 05/15/2018
03/30/2016 2016003303 Conditional LicenseSurvey N/A 05/15/2018
03/30/2016 2016003303 FineSurvey $1,000.00 05/15/2018
Change of ownership occurred 2/2/2016
10/02/2012 2012010710 FineSurvey $2,500.00 04/01/2013
10/02/2012 2012010710 Conditional LicenseSurvey N/A 04/01/2013
02/03/2009 2009001131 FineApplication $500.00 05/28/2009
04/11/2007 2007005152 FineSurvey $1,875.00 09/11/2007
04/11/2007 2007005153 Conditional LicenseSurvey N/A 03/30/2007
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.

Consumer Guides:



Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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