All citations for Complete Care at Orange Park

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Complete Care at Orange Park

Last standard health inspection on record

September 24, 2025

Showing 1 to 25 of 46 citations

  1. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  2. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  3. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  4. No harm, with potential for more than minimal harm

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  5. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  6. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  7. No harm, with potential for more than minimal harm

    Have elevators that firefighters can control in the event of a fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0531, Services Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  8. No harm, with potential for more than minimal harm

    Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0908, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2025).

  9. No harm, with potential for more than minimal harm

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

  10. No harm, with potential for more than minimal harm

    Install properly constructed and protected linen or trash chutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0541, Services Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Widespread (many residents). CMS level F.

    Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2022).

  12. No harm, with potential for more than minimal harm

    Provide at least two remote exits on each floor or fire section of the building.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0252, Egress Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    A waiver was granted (May 12, 2022).

  13. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2022).

  14. No harm, with potential for more than minimal harm

    Have elevators that firefighters can control in the event of a fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0531, Services Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2022).

  15. No harm, with potential for more than minimal harm

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of September 24, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  16. No harm, with potential for more than minimal harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0919, Environmental Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  17. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 20, 2025).

  18. No harm, with potential for more than minimal harm

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

  19. No harm, with potential for more than minimal harm

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

  20. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2022).

  21. No harm, with potential for more than minimal harm

    Keep all essential equipment working safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0908, Environmental Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2022).

  22. No harm, with potential for more than minimal harm

    Put firmly secured handrails on each side of hallways.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0924, Environmental Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2022).

  23. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  24. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  25. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.