Nursing homeActive

Fountains Rehabilitation At Mill Cove

9960 Atrium Way, Jacksonville, FL 32225904724400184 certified beds · 83 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
15
0150
Penalties · 3 yrs
none on file
Last survey
2026-02-12
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Agency for Health Care Administration (AHCA) · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-12Standard080CMS-2567 (Care Compare)
2024-04-11Standard020CMS-2567 (Care Compare)
2022-04-28Standard050CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Agency for Health Care Administration (AHCA) publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-12Standard survey · 8 deficienciesOfficial report
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 105927-20260212-F582
F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 105927-20260212-F620
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 105927-20260212-F656
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 105927-20260212-F685
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 105927-20260212-F732
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 105927-20260212-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 105927-20260212-F880
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 105927-20260212-F908
2024-04-11Standard survey · 2 deficienciesOfficial report
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-08Record 105927-20240411-F645
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-08Record 105927-20240411-F677
2022-04-28Standard survey · 5 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-27Record 105927-20220428-F550
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-27Record 105927-20220428-F684
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-27Record 105927-20220428-F693
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-27Record 105927-20220428-F695
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-27Record 105927-20220428-F759

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.63
Facility
Florida
National
Florida 0.73 · National 0.69
Total nurse hours per resident day3.74
Facility
Florida
National
Florida 3.82 · National 3.86
Weekend total nurse hours3.33
Facility
Florida
National
Florida 3.49 · National 3.42
Total nursing staff turnover42%
Facility
Florida
National
Florida 41% · National 46%
Registered nurse turnover39%
Facility
Florida
National
Florida 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityFloridaNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.5%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.7%2.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
7.2%8.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%0.7%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
6.0%8.7%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
10.3%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
23.1%14.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Atrium SNF Holdings LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Atrium Master Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Bhp Services
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Sofia, Lisa
Individual
CORPORATE OFFICERNOT APPLICABLE
Wierzba, Kyle
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Florida.

No county cost figures on file for Duval.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Fleet Landing
Atlantic Beach
2.2 mi2025-07-24020
First Coast Health And Rehabilitation Center
Jacksonville
2.2 mi2026-01-23080
Dolphin Pointe Health Care Center
Jacksonville
2.3 mi2026-01-300140
University Crossing
Jacksonville
4.3 mi2024-12-19020
Vivo Healthcare University
Jacksonville
4.6 mi2024-11-07070
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01