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 26 to 46 of 46 citations

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of May 9, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2024).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

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

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

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

  6. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

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

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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.