The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Douglas Jacobson State Veterans Nursing Home are:
F-0600 · February 11, 2025 · Grade G — Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date March 11, 2025
F-0600 · October 29, 2024 · Grade G — Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date November 25, 2024
F-0689 · October 29, 2024 · Grade G — Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date November 25, 2024
F-0580 · September 6, 2024 · Grade G — Actual harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date November 6, 2024
F-0689 · June 2, 2023 · Grade G — Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Status: Deficient, Provider has date of correction · correction date July 2, 2023
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Douglas Jacobson State Veterans Nursing Home, 10 subject areas appear across health and fire-safety inspections.
Quality of life and daily care
8 citations between October 7, 2021 and October 29, 2024. The most serious was graded G — actual harm, affecting one or a very small number of residents. Surveyors found that a resident was actually harmed by the failure, though it was not classed as immediate jeopardy. 2 of these citations came out of complaint investigations. Correction record: 8 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0689 · October 29, 2024 · Grade G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0689 · June 2, 2023 · Grade G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0679 · September 6, 2024 · Grade E — Provide activities to meet all resident's needs.
Freedom from abuse, neglect, and exploitation
5 citations between October 29, 2024 and July 16, 2025. The most serious was graded G (actual harm). 5 of these citations came out of complaint investigations. Correction record: 5 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0600 · February 11, 2025 · Grade G — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0600 · October 29, 2024 · Grade G — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0602 · June 25, 2025 · Grade E — Protect each resident from the wrongful use of the resident's belongings or money.
Resident rights
4 citations between June 2, 2023 and August 21, 2025. The most serious was graded G (actual harm). 2 of these citations came out of complaint investigations. Correction record: 4 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0580 · September 6, 2024 · Grade G — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F-0557 · August 21, 2025 · Grade D — Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F-0582 · September 6, 2024 · Grade D — Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Fire, smoke, and emergency safety
4 citations between October 7, 2021 and September 6, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 4 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0345 · June 2, 2023 · Grade F — Have approved installation, maintenance and testing program for fire alarm systems.
K-0324 · September 6, 2024 · Grade E — Provide properly protected cooking facilities.
K-0353 · October 7, 2021 · Grade D — Inspect, test, and maintain automatic sprinkler systems.
Fire, smoke, and emergency safety
3 citations between June 2, 2023 and June 2, 2023. The most serious was graded F (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
E-0004 · June 2, 2023 · Grade F — Develop and maintain an Emergency Preparedness Program (EP).
E-0030 · June 2, 2023 · Grade D — List the names and contact information of those in the facility.
E-0031 · June 2, 2023 · Grade D — Provide emergency officials' contact information.
Gas, Vacuum, and Electrical Systems
3 citations between October 7, 2021 and June 2, 2023. The most serious was graded F (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0918 · June 2, 2023 · Grade F — Have generator or other power source capable of supplying service within 10 seconds.
K-0920 · June 2, 2023 · Grade F — Ensure proper usage of power strips and extension cords.
K-0923 · October 7, 2021 · Grade F — Have proper medical gas storage and administration areas.
Miscellaneous
2 citations between June 2, 2023 and September 6, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0761 · September 6, 2024 · Grade F — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K-0761 · June 2, 2023 · Grade F — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress
1 citation between September 6, 2024 and September 6, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0291 · September 6, 2024 · Grade F — Install emergency lighting that can last at least 1 1/2 hours.
Assessments and care planning
1 citation between September 6, 2024 and September 6, 2024. The most serious was graded E (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0657 · September 6, 2024 · Grade E — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services
2 citations between June 2, 2023 and September 6, 2024. The most serious was graded D (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0726 · September 6, 2024 · Grade D — Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F-0725 · June 2, 2023 · Grade D — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Douglas Jacobson State Veterans Nursing Home appears in CMS data on 11 survey dates between October 7, 2021 and August 21, 2025. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
August 21, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
July 16, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
June 25, 2025
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
February 11, 2025
Complaint health survey — 1 citation, worst grade G (actual harm)
October 29, 2024
Complaint health survey — 2 citations, worst grade G (actual harm)
September 6, 2024
Health survey including complaint investigations — 7 citations, worst grade G (actual harm)
September 6, 2024
Fire-safety survey — 3 citations, worst grade F (potential for more than minimal harm)
June 2, 2023
Standard health survey — 4 citations, worst grade G (actual harm)
June 2, 2023
Fire-safety survey — 7 citations, worst grade F (potential for more than minimal harm)
October 7, 2021
Standard health survey — 2 citations, worst grade D (potential for more than minimal harm)
October 7, 2021
Fire-safety survey — 3 citations, worst grade F (potential for more than minimal harm)
Penalties imposed
June 25, 2025 — Fine of $7,660
June 25, 2025 — Fine of $8,490
June 25, 2025 — Fine of $18,425
February 11, 2025 — Fine of $46,937
September 6, 2024 — Fine of $5,346
September 6, 2024 — Fine of $11,333
September 6, 2024 — Fine of $15,971
September 6, 2024 — Payment denial · Medicare/Medicaid payments denied for 34 days from October 22, 2024
Payment denials are the stronger federal sanction: CMS stops paying for new admissions until the home corrects the problems. Douglas Jacobson State Veterans Nursing Home has 1 denial period on record totalling 34 days.
How Douglas Jacobson State Veterans Nursing Home compares with peer homes
Raw citation counts mean more in context. The table below compares Douglas Jacobson State Veterans Nursing Home with the median reviewed facility in Charlotte County (4 homes in this research set) and across Florida (156 homes), using the same CMS data. On health citations alone, Douglas Jacobson State Veterans Nursing Home sits above 33% of its reviewed county peers — below the county middle, though its most serious grades still matter more than the count.
Measure
This home
Charlotte Co. median
Florida median
Health citations on record
20
24
30
Citations from complaint investigations
10
9
7
Citations at actual-harm level or worse
5
5
3
Immediate-jeopardy citations
0
2
2
Total fines in CMS penalty records
$114,162
$194,108
$59,961
Penalty records (fines + payment denials)
8
2
2
What families should ask Douglas Jacobson State Veterans Nursing Home
- Ask why CMS flags Douglas Jacobson State Veterans Nursing Home with its abuse icon, which citations produced the flag, and what staffing or supervision changes followed.
- Ask for the plan of correction and follow-up monitoring for the quality of life and daily care citations — most recently F-0689 on June 2, 2023 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the freedom from abuse, neglect, and exploitation citations — most recently F-0600 on October 29, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the resident rights citations — most recently F-0580 on September 6, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the assessments and care planning citations — most recently F-0657 on September 6, 2024 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 7 totalling $114,162, the most recent dated June 25, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Douglas Jacobson State Veterans Nursing Home first document the change?
- Were recent complaint-related citations at Douglas Jacobson State Veterans Nursing Home connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Fear or withdrawal
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
106059
Legal business name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Ownership type
Government - State
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
June 7, 2004
Chain name
FLORIDA DEPARTMENT OF VETERANS' AFFAIRS
Certified beds
120
Average residents per day
112.8
Overall CMS rating
3 star
Health inspection rating
2 star
Staffing rating
5 star
Reported nurse staffing hours per resident day
4.79661
Total nursing staff turnover
53.3%
Public records are a starting point, not a conclusion
This profile of Douglas Jacobson State Veterans Nursing Home uses official CMS provider data as a research starting point. It does not state that Douglas Jacobson State Veterans Nursing Home abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Legal help resource
Suspect nursing home abuse or neglect?
Public records are only part of the picture. If your family believes a Florida nursing home harmed your loved one, you can speak with a Florida nursing home abuse attorneys about what happened and what options your family may have. Senior Justice Help is not a law firm and is not affiliated with any law firm; this link is provided as a resource only.
Injury and neglect guides
When a Florida care injury may involve negligence
Inspection records show what regulators found; they do not by themselves prove a legal claim. If your family is looking back at a serious injury or death in a Florida nursing home or care facility, these guides explain the deadlines, procedures, records, and questions that apply in Florida:
- Stroke misdiagnosis lawyer information in Florida
- Falls and fractures in Florida care facilities: legal information
- Pressure injuries and bedsores: Florida legal information
- Sepsis from infection in Florida care facilities: legal information
- Medication errors in Florida care facilities: legal information
- Wrongful death in a Florida care facility: legal information
Sources for Douglas Jacobson State Veterans Nursing Home
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.