ElderGrade
C

59/100

Average

Pruitthealth - Fleming Island

2040 Town Center Blvd, Fleming Island, FL 32003

CMS 2/5 stars #12 of 12 in Clay County (904) 293-1311
Certified beds
97
Occupancy
94%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $16,153 in federal fines

    CMS has fined this facility across 3 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

10/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years

Staffing

17/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.68 total nurse hours per resident per day (national median 3.77)
  • 0.98 RN hours per resident per day
  • Weekend staffing drops 15% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 40% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $16,153 in federal fines across 3 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.72 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.98 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.17 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 39.50%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: April 15, 2026 (4 months ago).

F Apr 15, 2026 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

E Apr 15, 2026 F0940

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

No actual harm, potential for more than minimal harm

J Jun 13, 2025 F0578 From a complaint

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.

Immediate jeopardy to resident health or safety

J Jun 13, 2025 F0678 From a complaint

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.

Immediate jeopardy to resident health or safety

J Jun 13, 2025 F0835 From a complaint

Administration Deficiencies

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

Immediate jeopardy to resident health or safety

D Jun 13, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Oct 8, 2024 F0677

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PRUITTHEALTH, which operates 99 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
UNITED HEALTH SERVICES OF FLORIDA, INC Organization DIRECT OWNERSHIP INTEREST
PRUITT, NEIL Individual DIRECT OWNERSHIP INTEREST
J PAIGE PRUITT TRUST Organization INDIRECT OWNERSHIP INTEREST
LISA P HAMBY TRUST Organization INDIRECT OWNERSHIP INTEREST
NEIL L PRUITT JR TRUST Organization INDIRECT OWNERSHIP INTEREST
NWP 2020 CHILD TR FBO J PAIGE PRUITT Organization INDIRECT OWNERSHIP INTEREST
NWP 2020 CHILD TR FBO NEIL L PRUITT JR Organization INDIRECT OWNERSHIP INTEREST
PRUITTHEALTH-NORTHEAST FLORIDA, LLC Organization INDIRECT OWNERSHIP INTEREST
UNITED HEALTH SERVICES INC Organization INDIRECT OWNERSHIP INTEREST
SMALL, PHILIP Individual CORPORATE DIRECTOR
PRUITT, NANCY Individual CORPORATE OFFICER
PRUITT, NEIL Individual CORPORATE OFFICER

What families say

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Common questions about Pruitthealth - Fleming Island

What is the ElderGrade for Pruitthealth - Fleming Island? +

Pruitthealth - Fleming Island holds an ElderGrade of C (59 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Pruitthealth - Fleming Island? +

Residents receive an average of 3.72 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Pruitthealth - Fleming Island been cited for harming residents? +

Yes. 3 of the 7 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Pruitthealth - Fleming Island accept Medicaid? +

Yes, Pruitthealth - Fleming Island is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.