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 Westside Oaks Rehabilitation & Nursing Center are:
F-0835 · April 1, 2026 · Grade L — Immediate jeopardy
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date April 23, 2026
F-0867 · April 1, 2026 · Grade L — Immediate jeopardy
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date April 23, 2026
F-0600 · April 1, 2026 · Grade K — Immediate jeopardy
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 April 23, 2026
F-0689 · April 1, 2026 · Grade K — Immediate jeopardy
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 April 23, 2026
F-0600 · July 2, 2025 · Grade J — Immediate jeopardy
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 August 18, 2025
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 Westside Oaks Rehabilitation & Nursing Center, 13 subject areas appear across health and fire-safety inspections.
Administration and leadership
5 citations between July 2, 2025 and April 1, 2026. The most serious was graded L — immediate jeopardy, affecting widespread across the facility. Surveyors found a situation that caused — or was likely to cause — serious injury, harm, impairment, or death, and that needed immediate correction. 4 of these citations came out of complaint investigations. Correction record: 5 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0835 · April 1, 2026 · Grade L — Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F-0867 · April 1, 2026 · Grade L — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-0835 · July 2, 2025 · Grade J — Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Quality of life and daily care
5 citations between June 9, 2022 and April 1, 2026. The most serious was graded K (immediate jeopardy). 1 of these citations came out of complaint investigations. Correction record: 5 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 · April 1, 2026 · Grade K — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0677 · March 5, 2026 · Grade E — Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0695 · March 5, 2026 · Grade D — Provide safe and appropriate respiratory care for a resident when needed.
Freedom from abuse, neglect, and exploitation
4 citations between July 2, 2025 and April 1, 2026. The most serious was graded K (immediate jeopardy). 4 of these citations came out of complaint investigations. Correction record: 4 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 · April 1, 2026 · Grade K — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0600 · July 2, 2025 · Grade J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0610 · July 2, 2025 · Grade J — Respond appropriately to all alleged violations.
Food, nutrition, and hydration
1 citation between April 18, 2024 and April 18, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Nutrition failures connect directly to weight loss, dehydration, and slow wound healing. Ask for weight records, intake logs, and whether a dietitian reviewed the resident after any decline.
F-0812 · April 18, 2024 · Grade F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems
5 citations between April 18, 2024 and March 5, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 5 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-0920 · March 5, 2026 · Grade E — Ensure proper usage of power strips and extension cords.
K-0920 · April 18, 2024 · Grade E — Ensure proper usage of power strips and extension cords.
K-0918 · March 5, 2026 · Grade D — Have generator or other power source capable of supplying service within 10 seconds.
Physical environment and safety
4 citations between April 18, 2024 and March 5, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 4 citations show a recorded correction date.
Environmental citations cover the building itself — safe water temperatures, clean and working equipment, hazard-free spaces. Ask what was repaired, when, and what checks are in place now.
F-0921 · April 18, 2024 · Grade E — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0914 · March 5, 2026 · Grade D — Provide bedrooms that don't allow residents to see each other when privacy is needed.
F-0919 · March 5, 2026 · Grade D — Make sure that a working call system is available in each resident's bathroom and bathing area.
Fire, smoke, and emergency safety
4 citations between April 18, 2024 and April 18, 2024. The most serious was graded E (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 · April 18, 2024 · Grade E — Have approved installation, maintenance and testing program for fire alarm systems.
K-0353 · April 18, 2024 · Grade E — Inspect, test, and maintain automatic sprinkler systems.
K-0363 · April 18, 2024 · Grade E — Install corridor and hallway doors that block smoke.
Assessments and care planning
3 citations between July 2, 2025 and March 5, 2026. The most serious was graded E (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 3 citations show 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-0645 · March 5, 2026 · Grade E — PASARR screening for Mental disorders or Intellectual Disabilities
F-0656 · July 2, 2025 · Grade D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0842 · July 2, 2025 · Grade D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Services
1 citation between April 18, 2024 and April 18, 2024. The most serious was graded E (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-0521 · April 18, 2024 · Grade E — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous
4 citations between April 18, 2024 and March 5, 2026. The most serious was graded D (potential for more than minimal harm). Correction record: 4 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-0700 · March 5, 2026 · Grade D — Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
K-0711 · March 5, 2026 · Grade D — Provide a written emergency evacuation plan.
K-0761 · March 5, 2026 · Grade D — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident rights
2 citations between April 18, 2024 and March 5, 2026. The most serious was graded D (potential for more than minimal harm). Correction record: 2 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-0584 · March 5, 2026 · Grade D — 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.
F-0580 · April 18, 2024 · Grade D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Egress
2 citations between June 9, 2022 and April 18, 2024. The most serious was graded D (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-0211 · April 18, 2024 · Grade D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0222 · June 9, 2022 · Grade D — 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.
Construction
1 citation between April 18, 2024 and April 18, 2024. The most serious was graded D (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-0161 · April 18, 2024 · Grade D — Use approved construction type or materials.
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
Westside Oaks Rehabilitation & Nursing Center appears in CMS data on 8 survey dates between June 9, 2022 and April 1, 2026. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
April 1, 2026
Complaint health survey — 5 citations, worst grade L (immediate jeopardy)
March 5, 2026
Standard health survey — 8 citations, worst grade E (potential for more than minimal harm)
March 5, 2026
Fire-safety survey — 6 citations, worst grade E (potential for more than minimal harm)
July 2, 2025
Complaint health survey — 6 citations, worst grade J (immediate jeopardy)
April 18, 2024
Standard health survey — 4 citations, worst grade F (potential for more than minimal harm)
April 18, 2024
Fire-safety survey — 10 citations, worst grade E (potential for more than minimal harm)
June 9, 2022
Standard health survey — 1 citation, worst grade D (potential for more than minimal harm)
June 9, 2022
Fire-safety survey — 1 citation, worst grade D (potential for more than minimal harm)
Penalties imposed
July 2, 2025 — Fine of $96,892
How Westside Oaks Rehabilitation & Nursing Center compares with peer homes
Raw citation counts mean more in context. The table below compares Westside Oaks Rehabilitation & Nursing Center with the median reviewed facility in Duval County (2 homes in this research set) and across Florida (156 homes), using the same CMS data. On health citations alone, Westside Oaks Rehabilitation & Nursing Center sits above 100% of its reviewed county peers — near the top of the county for citation volume.
Measure
This home
Duval Co. median
Florida median
Health citations on record
24
19
30
Citations from complaint investigations
11
9
7
Citations at actual-harm level or worse
8
6
3
Immediate-jeopardy citations
8
6
2
Total fines in CMS penalty records
$96,892
$120,464
$59,961
Penalty records (fines + payment denials)
1
1
2
What families should ask Westside Oaks Rehabilitation & Nursing Center
- Ask why CMS flags Westside Oaks Rehabilitation & Nursing Center 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 administration and leadership citations — most recently F-0835 on April 1, 2026 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the quality of life and daily care citations — most recently F-0689 on April 1, 2026 — 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 April 1, 2026 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the food, nutrition, and hydration citations — most recently F-0812 on April 18, 2024 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 1 totalling $96,892, the most recent dated July 2, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Westside Oaks Rehabilitation & Nursing Center first document the change?
- Were recent complaint-related citations at Westside Oaks Rehabilitation & Nursing Center 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
Weight loss
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
105287
Legal business name
JACKSONVILLE REHABILITATION AND NURSING CENTER LLC
Ownership type
For profit - Limited Liability company
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
January 1, 1979
Chain name
BENJAMIN LANDA
Certified beds
180
Average residents per day
169.6
Overall CMS rating
1 star
Health inspection rating
1 star
Staffing rating
4 star
Reported nurse staffing hours per resident day
3.47190
Total nursing staff turnover
42.8%
Public records are a starting point, not a conclusion
This profile of Westside Oaks Rehabilitation & Nursing Center uses official CMS provider data as a research starting point. It does not state that Westside Oaks Rehabilitation & Nursing Center 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 lawyer 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 Westside Oaks Rehabilitation & Nursing Center
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.