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 22 of 22 citations

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).
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).
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).
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).
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).
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).
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).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Isolated (one or a few residents). CMS level D.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 9, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 28, 2024).
No harm, with potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Isolated (one or a few residents). CMS level D.
Health citation F-0552, Resident Rights Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 13, 2022).
No harm, with potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Isolated (one or a few residents). CMS level D.
Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2022).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Isolated (one or a few residents). CMS level D.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 22, 2022).
No harm, with potential for more than minimal harm
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Isolated (one or a few residents). CMS level D.
Health citation F-0836, Administration Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 12, 2022).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 9, 2022).
No harm, with potential for more than minimal harm
Install proper backup exit lighting.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0281, Egress Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 13, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0291, Egress Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2022).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 13, 2022).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 14, 2022).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0363, 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).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 18, 2022).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0521, Services Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 14, 2022).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 13, 2022).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 13, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.