Spring Gardens of Fleming Island
Nursing Home & Assisted Living · Florida, FL
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Spring Gardens of Fleming Island

Nursing Home & Assisted Living · Florida, FL
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Spring Gardens of Fleming Island accepts Insurance and/or HMO, Veteran Affairs Benefits, Medicare, Medicaid, and private pay.

Overview of Spring Gardens of Fleming Island

Spring Gardens of Fleming Island is a classic senior living community in Fleming Island, FL, offering compassionate assisted living services. Residents are provided with private and semi-private accommodations for a comfortable living space with convenient access to an array of services. A well-trained and certified team is available to provide 24-hour supervision, personal care assistance, and medication management services to ensure residents are well-cared for and thriving.

Dedicated to providing residents with an abundance of opportunities for living a full and meaningful life, the community conducts an array of social, religious, and indoor/outdoor activities. Conveniences such as housekeeping, laundry service, and transportation services are also available to make residents’ lives easier and more convenient. With no chores to worry about, residents can freely dedicate their time to more meaningful pursuits.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 72.7% Below FL avg. ▼ 72.7% Below FL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 68.5% Below FL avg. ▼ 68.5% Below FL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 7.2% Above FL avg. ▲ 7.2% Above FL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 29.7% Below FL avg. ▼ 29.7% Below FL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Florida state averages

Total nursing care / resident Info This home is ranked 174th out of 252 homes in Florida. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 43m per day
Rank #174 / 252Nurse hours — State benchmarkedThis home is ranked 174th out of 252 homes in Florida. Shows adjusted nurse hours per resident per day benchmarked to the Florida average, with a ranking across 252 Florida SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Florida avg (4h 25m per day)
vs Florida avg
-16%

1 of 1 metrics below state avg

Staff typeHours / Day / Residentvs state avg
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 6m per day ▼ 12% State avg: 3h 31m per day · National avg: 3h 25m per day

Types of Care at Spring Gardens of Fleming Island

Assisted Living

Capacity and availability

This home usually has limited availability

Higher occupancy than the Florida average: 84.3%
Occupancy rate
90% Rank #113 / 255Occupancy rate — State benchmarkedThis home is ranked 113th out of 255 homes in Florida. Shows this facility's occupancy rate versus the Florida average, with its Statewide rank out of 255. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
56 days
Bed community size
8-bed community Rank #916 / 1072Bed count — State benchmarkedThis home is ranked 916th out of 1072 homes in Florida. Shows this facility's certified or reported bed count compared to other Florida SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score
Walk Score: 12 / 100 Rank #1223 / 1485Walk Score — State benchmarkedThis home is ranked 1223rd out of 1485 homes in Florida. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Florida SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

License Details

Facility TypeAssisted Living Facility
StatusLicensed
IssuanceFebruary 7, 2026
ExpirationFebruary 6, 2028
CountyClay
License Number12759

Ownership & Operating Entity

Spring Gardens of Fleming Island is legally operated by Spring Gardens Of Fleming Island, Llc, and administrated by Michelle L Wilger.

Profit StatusFor-Profit

Type Of Units

Private
8 units
Total beds
8 units

Staffing

Key information about the people who lead and staff this community.

Contact Spring Gardens of Fleming Island

Inspection History

In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.

Since 2015 · 11 years of data 6 citations 6 inspections
Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Florida state average. See the nursing homes benchmark below for the typical Florida score; higher is better.

Well above the Florida average for nursing homes.

Florida nursing homes benchmark: C+ 77/100

Inspection score: 96 out of 100. Letter grade A. Well above the Florida average for nursing homes.

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Florida state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2015 vs. Florida state average
Overall vs. FL average 0 Worse No metrics in this bucket. 4 Better Metrics better than Florida average:
• Total citations (82% below)
• Citations per year (83% below)
• Citations per inspection (23% below)
• Total inspections (77% below)
Latest Inspection April 23, 2025 Other

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityFL Averagevs. FL Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 633 This facility has 82% fewer total citations than a typical Florida nursing home (6 vs. FL avg 33).↓ 82% better
Citations per year Info Average citations per year since 2015. 0.53 This facility has 83% fewer citations per year than a typical Florida nursing home (0.5 vs. FL avg 3).↓ 83% better
Citations per inspection Info Average citations per inspection. 11.3 This facility has 23% fewer citations per inspection than a typical Florida nursing home (1 vs. FL avg 1.3).↓ 23% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityFL Averagevs. FL Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 626 This facility has 77% fewer total inspections than a typical Florida nursing home (6 vs. FL avg 26).↓ 77% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Spring Gardens of Fleming Island LLC's most recent inspection, conducted on April 23, 2025, reported no deficiencies. During this reporting period from November 5, 2015, to April 23, 2025, the facility underwent a total of six inspections, with all but one resulting in cited deficiencies. The six deficiencies identified across these inspections comprised multiple line items. Notably, common themes were not specified in inspection reports. As no corrections or improvements are mentioned, it appears that the facility has successfully addressed any previous issues without further oversight.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Health Inspection History

Inspections since 2021
Total health inspections 3

Florida average 4.3


Last Health inspection on Jun 2025

Total health citations
11 Rank #54 / 251Health citations — State benchmarkedThis home is ranked 54th out of 251 homes in Florida. Shows this facility's total health deficiency citations benchmarked to the Florida State average, with a ranking across all 251 FL SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Florida average 19.7

Citations per inspection
3.67 Rank #94 / 251Citations per inspection — State benchmarkedThis home is ranked 94th out of 251 homes in Florida. Shows average deficiency citations per CMS inspection for this facility versus the Florida mean across 251 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Florida average 4.48


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

7 of 11 citations resulted from standard inspections; and 4 of 11 resulted from complaint investigations.

Breakdown of citation severity (last 5 years)
Critical health citations
3
275% worse than Florida average

Florida average: 0.8


Serious health citations
0
100% better than Florida average

Florida average: 0.4

3 critical citations Florida average: 0.8

0 serious citations Florida average: 0.4

8 moderate citations Florida average: 18.4

0 minor citations Florida average: 0.2
Citations history (last 5 years)
Abuse/Neglect moderate citation Jun 13, 2025
Corrected

Administration critical citation Jun 13, 2025
Corrected

Quality of Care critical citation Jun 13, 2025
Corrected

Resident Rights critical citation Jun 13, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 106
Employees 92
Contractors 14
Staff to resident ratio 1.15:1
22% worse than Florida average
Florida average ratio: 1.47:1 Florida average ratio: 1.47:1See full Florida ranking
Avg staff/day 49
Average shift 8.1 hours
0% compared with Florida average
Florida average: 7.9 hours Florida average shift: 7.9 hoursSee full Florida ranking
Total staff hours (quarter) 36,411

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 51
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

No contractors work on this role.

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

8.1%

2,953 contractor hours this quarter

Speech Language Pathologist: 4 Respiratory Therapy Technician: 3 Physical Therapy Aide: 3 Physical Therapy Assistant: 2 Qualified Social Worker: 2

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant5105117,52892100%7.7
Licensed Practical Nurse170175,90592100%9.2
Registered Nurse130135,57492100%9.5
Clinical Nurse Specialist5051,9427683%7.9
Respiratory Therapy Technician0339166874%6.6
Speech Language Pathologist0447406975%6.4
Physical Therapy Aide0337167278%5.8
Dental Services Staff1015507076%7.9
Dietitian1015196571%8
Physical Therapy Assistant0225176975%7.2
Administrator1014645863%8
Nurse Practitioner1014645863%8
Mental Health Service Worker1014416065%7.4
Occupational Therapy Assistant101721112%6.5
Qualified Social Worker022652224%3
51 Certified Nursing Assistant
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
13 Registered Nurse
% of Days 100%
5 Clinical Nurse Specialist
% of Days 83%
3 Respiratory Therapy Technician
% of Days 74%
4 Speech Language Pathologist
% of Days 75%
3 Physical Therapy Aide
% of Days 78%
1 Dental Services Staff
% of Days 76%
1 Dietitian
% of Days 71%
2 Physical Therapy Assistant
% of Days 75%
1 Administrator
% of Days 63%
1 Nurse Practitioner
% of Days 63%
1 Mental Health Service Worker
% of Days 65%
1 Occupational Therapy Assistant
% of Days 12%
2 Qualified Social Worker
% of Days 24%

Penalties and fines

Includes penalties issued in 2025

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $25K Rank #1 / 257Federal fines — State benchmarkedThis home is ranked 1st out of 257 homes in Florida. Shows this facility's cumulative CMS federal fine dollars versus the Florida average among facilities with fines, and where it ranks among 257 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
66% lower than Florida average

Florida average: $72K

Number of fines 3
14% more fines than Florida average

Florida average: 2.6

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Florida average

Florida average: 0.1

Fines amount comparison
Fines amount comparison
This facility $25K
Florida average $72K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 13, 2025
$8K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 13, 2025
$8K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 13, 2025
$8K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.3
80% worse than Florida average

Florida average: 7.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.1
94% worse than Florida average

Florida average: 12.4

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.3%
103% worse than Florida average

Florida average: 10.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.4%
111% worse than Florida average

Florida average: 12.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 23.5%
74% worse than Florida average

Florida average: 13.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.4%
218% worse than Florida average

Florida average: 2.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.9%
8% better than Florida average

Florida average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.8%
107% worse than Florida average

Florida average: 0.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.7%
21% better than Florida average

Florida average: 6.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 12.2%
264% worse than Florida average

Florida average: 3.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.4%
55% worse than Florida average

Florida average: 8.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
In line with Florida average

Florida average: 97.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.7%
In line with Florida average

Florida average: 99.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.3%
In line with Florida average

Florida average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.2%
23% better than Florida average

Florida average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 91.9%
In line with Florida average

Florida average: 94.7%

Breakdown by payment type

Medicare

54% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

45% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 9 - 10 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 92
Medicare
40
43.5% of residents
Medicaid
46
50% of residents
Private pay or other
6
6.5% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Privately-owned community
Home revenue
$14.5M
Operating loss
-$2.0M
Privately-owned community
Home revenue
$14.5M Rank #175 / 256Revenue — State benchmarkedThis home is ranked 175th out of 256 homes in Florida. Shows this facility's annual revenue compared to the Florida SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$2.0M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #195 / 256Payroll — State benchmarkedThis home is ranked 195th out of 256 homes in Florida. Shows total annual staff payroll benchmarked to the Florida average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.0M
41.6% of revenue Rank #154 / 256Payroll % — State benchmarkedThis home is ranked 154th out of 256 homes in Florida. Shows payroll as a percentage of revenue versus the Florida average. Well-run Florida SNFs typically land around 49–56% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.5M
Total costs $16.5M

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Engaging Activities icon

Engaging Activities

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Activities in this home

Places of interest near Spring Gardens of Fleming Island

Address 2.1 miles from city center Info Estimated distance in miles from Fleming Island's city center to Spring Gardens of Fleming Island's address, calculated via Google Maps.

Calculate Travel Distance to Spring Gardens of Fleming Island

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Address

Financial Assistance for
Nursing Home in Florida

Spring Gardens of Fleming Island is located in Fleming Island, Florida.
Here are the financial assistance programs available to residents in Florida.

Get Financial aid guidance

Long-Term Care Waiver

Florida Medicaid LTC Waiver

Age 65+ or 21+ disabled
General Florida resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
FL

High demand; waitlists common.

Benefits
In-home care (6-8 hours/day) Assisted living Respite (240 hours/year) Case management

Community Care for the Elderly (CCE)

Florida CCE

Age 60+
General Florida resident, at risk of nursing home.
Income Limits ~$2,000/month varies
Asset Limits $5,000 individual
FL

Limited funding; regional variation.

Benefits
Homemaker services (3-5 hours/week) Adult day care (~$60/day) Respite (up to 10 days/year)

Home Care for the Elderly (HCE)

Florida Home Care for the Elderly

Age 60+
General Florida resident, at risk of nursing home placement; caregiver must be approved.
Income Limits (2025) ~$2,829/month individual, aligned with Medicaid thresholds
Asset Limits ~$2,000 (individual); varies by case manager discretion.
FL

Limited funding (~3,500 served annually); prioritizes low-income frail seniors.

Benefits
Basic subsidy (~$160/month) for housing/medical costs; special subsidies for supplies/services (e.g., incontinence supplies, ~$50-$200/month)

Program of All-Inclusive Care for the Elderly (PACE)

Florida Medicaid PACE

Age 55+
General Florida resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
FL

Limited to specific counties (e.g., Hillsborough, Miami-Dade); ~10 sites statewide.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy

Optional State Supplementation (OSS)

Florida Optional State Supplementation

Age 65+ or disabled
General Florida resident, living in approved facility, receiving SSI or low-income.
Income Limits (2025) ~$1,004/month individual, including SSI
Asset Limits $2,000 (individual), $3,000 (couple).
FL

Limited to specific facility types; ~$78.40/month max supplement.

Benefits
Cash payment (~$78.40/month) for room/board or personal needs in facilities

Frequently Asked Questions about Spring Gardens of Fleming Island

What neighborhood is Spring Gardens of Fleming Island in?

Spring Gardens of Fleming Island is in the Fleming Island neighborhood of Fleming Island.

What languages are spoken at Spring Gardens of Fleming Island?

The team at Spring Gardens of Fleming Island speaks English.

Is Spring Gardens of Fleming Island in a walkable area?

Spring Gardens of Fleming Island has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Spring Gardens of Fleming Island?

According to FL state health department records, Spring Gardens of Fleming Island's license number is 12759.

When does Spring Gardens of Fleming Island's license expire?

According to FL state health department records, Spring Gardens of Fleming Island's license expires on February 6, 2028.

What payment types does Spring Gardens of Fleming Island accept?

Spring Gardens of Fleming Island accepts Insurance and/or HMO, Other, and VA.

Does Spring Gardens of Fleming Island operate as a for-profit or non-profit?

Spring Gardens of Fleming Island is registered as a for-profit in FL.

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