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MOOSEHAVEN

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MOOSEHAVEN is a non profit - corporation facility in ORANGE PARK, FL with 72 certified beds and a 5-star overall CMS rating. The facility has 5 deficiency records on file.

1701 PARK AVENUE, ORANGE PARK, FL 32073

Phone: 9042781200

Overall Rating

5/5

Health Inspection

5/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
106077
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
72
Residents
29
In Hospital
No
County
Clay
Last Inspection
Aug 29, 2024

Staffing Data

RN Hours
1.04 (nat'l avg: 0.68)
LPN Hours
1.08
CNA Hours
3.80
Total Nursing Hours
5.92 (nat'l avg: 3.89)
PT Hours
0.11

What the CMS Record Reveals About MOOSEHAVEN

MOOSEHAVEN operates 72 certified beds in ORANGE PARK, FL with approximately 29 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (4★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 5 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 5.92 total nursing hours per resident day (national average 3.89), with RN coverage at 1.04 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, MOOSEHAVEN falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (5 most recent)

D — Isolated - Minimal harm Sep 1, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 1, 2022

D — Isolated - Minimal harm Feb 25, 2021 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 25, 2021

D — Isolated - Minimal harm Feb 25, 2021 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Mar 25, 2021

D — Isolated - Minimal harm Feb 25, 2021 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 25, 2021

F — Widespread - Minimal harm Feb 25, 2021 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Mar 25, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 11.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.2% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 76.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 17.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 74.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 7.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.6% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for MOOSEHAVEN?
MOOSEHAVEN has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at MOOSEHAVEN?
MOOSEHAVEN reports 5.92 total nursing hours per resident day (national average: 3.89). RN hours are 1.04 per resident day (national average: 0.68).
How many beds does MOOSEHAVEN have?
MOOSEHAVEN has 72 certified beds with approximately 29 residents. The facility is located at 1701 PARK AVENUE, ORANGE PARK, FL 32073.
Does MOOSEHAVEN have any deficiencies on record?
Yes, MOOSEHAVEN has 5 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has MOOSEHAVEN received any fines or penalties?
No, MOOSEHAVEN has no fines or penalties on record.
Who owns MOOSEHAVEN?
MOOSEHAVEN is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was MOOSEHAVEN last inspected?
The most recent health inspection for MOOSEHAVEN was on Aug 29, 2024. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for MOOSEHAVEN?
MOOSEHAVEN is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial