Spring Gardens of Fleming Island

Nursing Home, Assisted Living & Respite Care · Florida, FL

CMS overall rating

670 Hibernia Rd, Fleming Island, FL 32003 View map

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Spring Gardens of Fleming Island accepts Insurance and/or HMO, Veteran Affairs Benefits, Medicare, Medicaid, and private pay.

Calculator: See prices in your area

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)

Staffing hours breakdown

Hours per resident per day — compared to Florida state averages

Total nursing care / resident

3h 43m per day

This facility Florida avg (4h 2m per day)

vs Florida avg

-8%

3 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +31% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	58m per day	▲ 31% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	43m per day	▼ 10% State avg: 47m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 7m per day	▼ 10% State avg: 2h 20m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 12m per day	▼ 9% State avg: 3h 32m per day · National avg: 3h 27m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	7m per day	▲ 16% State avg: 6m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	40m per day	▲ 24% State avg: 32m per day · National avg: 29m per day

Capacity and availability

56 days

8-bed community

A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.

Walk Score: 12 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

90%

Higher than the Florida average: 84.3%

Occupied beds

7 / 8

Average occupied beds in Florida homes 108 beds

Facility TypeAssisted Living Facility

StatusLicensed

IssuanceFebruary 7, 2026

ExpirationFebruary 6, 2028

CountyClay

License Number12759

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

Profit StatusFor-Profit

Private

8 units

Total beds

8 units

Staffing

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

Since 2015 · 11 years of data 6 citations 6 inspections

Inspection Score

16 points above the Florida average for assisted living residences (83/100)

Legal Actions Formal stipulations and orders filed by Florida regulators against this facility, including fines and total monetary penalties.

This Facility FL Average vs. FL Avg

Total amount fined Total dollar amount of fines issued.
$0
vs $11.6k
↓ 100% lower than FL avg

Data reflects the most recent 11 years (since 2015).

Inspection Scorecard 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

Latest Inspection April 23, 2025

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	FL Average	vs. FL Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	6	33	This facility has 82% fewer total citations than a typical Florida assisted living residence (6 vs. FL avg 33).↓ 82% better Rank #77 / 919 Total citations — State benchmarked This home is ranked 77th out of 919 homes in Florida. Shows this facility's total citations compared to the Florida average among 919 comparable communities in the ranking pool. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.
Citations per year Average citations per year since 2015.	0.5	3	This facility has 83% fewer citations per year than a typical Florida assisted living residence (0.5 vs. FL avg 3).↓ 83% better
Citations per inspection Average citations per inspection.	1	1.3	This facility has 23% fewer citations per inspection than a typical Florida assisted living residence (1 vs. FL avg 1.3).↓ 23% better Rank #167 / 919 Citations per inspection — State benchmarked This home is ranked 167th out of 919 homes in Florida. Shows this facility's citations per inspection compared to the Florida average among 919 comparable communities in the ranking pool. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	FL Average	vs. FL Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	6	26	This facility has 77% fewer total inspections than a typical Florida assisted living residence (6 vs. FL avg 26).↓ 77% better

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

April 23, 2025 routine inspection found no deficiencies and no complaints.
All six inspections from 2015 to 2025 reported zero deficiencies across all inspection types.
No substantiated complaints or citations appeared in any inspection report during this period.

Show Inspection Reports

Inspections since 2021

Total health inspections 3

State average 4.3

Last Health inspection on Jun 2025

Total health citations

State average 19.7

Citations per inspection

3.67

State 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

275% worse than State average

State average: 0.8

Serious health citations

100% better than State average

State average: 0.4

3 critical citations State average: 0.8

0 serious citations State average: 0.4

8 moderate citations State average: 18.4

0 minor citations State 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

Total staff 106

Employees 92

Contractors 14

Staff to resident ratio 1.15 : 1

22% fewer staff per resident than Florida average

Avg staff/day 49

Average shift 8.1 hours

0% compared with Florida average

Total staff hours (quarter) 36,411

Nursing staff breakdown

9.5 hours

9.2 hours

7.7 hours

Contractor staffing

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


Certified Nursing Assistant	51	0	51	17,528	92	100%	7.7
Licensed Practical Nurse	17	0	17	5,905	92	100%	9.2
Registered Nurse	13	0	13	5,574	92	100%	9.5
Clinical Nurse Specialist	5	0	5	1,942	76	83%	7.9
Respiratory Therapy Technician	0	3	3	916	68	74%	6.6
Speech Language Pathologist	0	4	4	740	69	75%	6.4
Physical Therapy Aide	0	3	3	716	72	78%	5.8
Dental Services Staff	1	0	1	550	70	76%	7.9
Dietitian	1	0	1	519	65	71%	8
Physical Therapy Assistant	0	2	2	517	69	75%	7.2
Administrator	1	0	1	464	58	63%	8
Nurse Practitioner	1	0	1	464	58	63%	8
Mental Health Service Worker	1	0	1	441	60	65%	7.4
Occupational Therapy Assistant	1	0	1	72	11	12%	6.5
Qualified Social Worker	0	2	2	65	22	24%	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%

View All Staffing Data

Total fines amount $25K

66% lower than Florida average

Florida average: $72K

Number of fines 3

14% more fines than Florida average

Florida average: 2.6

Payment Denials 0

100% fewer payment denials than Florida average

Florida average: 0.1

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 Jun 13, 2025

$8K

Civil Money Penalty Jun 13, 2025

$8K

Civil Money Penalty Jun 13, 2025

$8K

Last updated: Jan 2026

High-risk clinical events score 13.3

80% worse than Florida average

Florida average: 7.4

Functional decline score 24.1

94% worse than Florida average

Florida average: 12.4

Long-stay resident measures

Need for Help with Daily Activities Increased 21.3%

103% worse than Florida average

Florida average: 10.5%

Walking Ability Worsened 27.4%

111% worse than Florida average

Florida average: 12.9%

Low Risk Residents with Bowel/Bladder Incontinence 23.5%

74% worse than Florida average

Florida average: 13.5%

Falls with Major Injury 8.4%

218% worse than Florida average

Florida average: 2.6%

High Risk Residents with Pressure Ulcers 4.9%

8% better than Florida average

Florida average: 5.4%

Urinary Tract Infection 1.8%

107% worse than Florida average

Florida average: 0.9%

Lost Too Much Weight 4.7%

21% better than Florida average

Florida average: 6.0%

Depressive Symptoms 12.2%

264% worse than Florida average

Florida average: 3.3%

Antipsychotic Use 12.4%

55% worse than Florida average

Florida average: 8.0%

Pneumococcal Vaccine 99.1%

In line with Florida average

Florida average: 97.7%

Influenza Vaccine 96.7%

In line with Florida average

Florida average: 99.2%

Short-stay resident measures

Pneumococcal Vaccine 96.3%

In line with Florida average

Florida average: 94.0%

Antipsychotic medication increase 1.2%

23% better than Florida average

Florida average: 1.5%

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

Total residents 92

Medicare

43.5% of residents

Medicaid

50% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Spring Gardens of Fleming Island from 2019–2024, based on CMS SNF Cost Reports.

Occupancy Rate 1,091.5% ↑ 1,009.3pp vs 2023

Net Patient Income -$2.0M ↑ ~$329.5K vs 2023

Payroll Costs $6.0M ↑ ~$60.7K vs 2023

Operating Margin -17.4% ↑ 5.9pp vs 2023

Metric	2019	2020	2021	2022	2023	2024
Occupancy %	14.4%	59.0%	78.3%	75.3%	82.1%	1,091.5%
Beds	97	97	97	97	97	8
Net Income	-$736,286	-$1,572,848	-$317,485	-$1,967,992	-$2,199,399	-$2,046,927
Gross Revenue	$461,020	$9,947,715	$12,068,117	$11,542,932	$12,867,685	$14,476,878
Operating Expenses	$1,075,599	$10,447,792	$11,722,197	$12,415,262	$12,567,313	$13,770,861
Net Patient Income	-$736,298	-$1,648,868	-$1,018,433	-$2,021,558	-$2,374,384	-$2,044,915
Net Patient Revenue	$339,301	$8,798,924	$10,703,764	$10,393,704	$10,192,929	$11,725,946
Payroll Costs	$368,409	$3,981,920	$4,802,920	$5,574,529	$5,962,031	$6,022,725
Operating Margin %	-217.0%	-18.7%	-9.5%	-19.5%	-23.3%	-17.4%
Medicare %	54.9%	60.2%	39.6%	37.7%	22.0%	19.5%
Medicaid %	0.0%	28.3%	45.9%	39.9%	54.5%	51.9%
Private %	45.1%	11.5%	14.5%	22.4%	23.6%	28.5%
Net Patient Revenue/Day	$459	$420	$386	$390	$350	$367
Cost/Day	$1,455	$499	$423	$466	$432	$431
Avg Length of Stay	46.2 days	48.8 days	74.7 days	73.6 days	70.0 days	55.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$11.7M

Net patient income

-$2.0M

Privately-owned community Operated by a single business entity.

Net patient revenue

$11.7M

Net patient income

-$2.0M

Other income

-$2.0K

Payroll costs

$6.0M 51.4% of net patient revenue

Other operating costs

$7.7M

Total costs

$13.8M

What does this home offer?

Housing Options: Private Rooms

Building Type: Single-story

Engaging Activities

TYPE OF STAY

Mostly short-term rehab stays

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

Most new residents arrive under Medicare (54% of admissions), and a typical Medicare stay runs around 24 days.

Coverage residents most often arrive under.

Medicare 54%

Private pay 45%

Medicaid 1%

Coverage residents most often leave under.

Medicare 47%

Private pay 43%

Medicaid 10%

Activities in this home

Arts and Crafts
Dancing
Exercise Classes
Games & Cards
Gardening
Music Programs
Social Events & Outings
Theater & Movies

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

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The information below is reported by the Florida Agency for Health Care Administration (AHCA).


Spring Gardens of Fleming Island	AL NH RC	Fleming Island	-	8 Facility 8 FL AVG 89 Rank #917 / 1074	-	12 Facility 12 FL AVG 40 Rank #1224 / 1486	Private Rooms
Westminster Woods on Julington Creek	AL IL MC NH	Fruit Cove (Saint Johns)	-	80 Facility 80 FL AVG 89 Rank #582 / 1074	C-	47 Facility 47 FL AVG 40 Rank #570 / 1486	-

Nursing Home Explorer

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).

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

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.

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).

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).

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

Benefits

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

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 is the occupancy rate at Spring Gardens of Fleming Island?

Spring Gardens of Fleming Island's occupancy is 90%.

What payment types does Spring Gardens of Fleming Island accept?

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

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Spring Gardens of Fleming Island

Overview of Spring Gardens of Fleming Island

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Contact Spring Gardens of Fleming Island

Inspection History

Legal Actions Formal stipulations and orders filed by Florida regulators against this facility, including fines and total monetary penalties.

Inspection Scorecard 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.

Citations Citations are formal regulatory issues recorded during state inspections.

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

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

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

51 Certified Nursing Assistant

17 Licensed Practical Nurse

13 Registered Nurse

5 Clinical Nurse Specialist

3 Respiratory Therapy Technician

4 Speech Language Pathologist

3 Physical Therapy Aide

1 Dental Services Staff

1 Dietitian

2 Physical Therapy Assistant

1 Administrator

1 Nurse Practitioner

1 Mental Health Service Worker

1 Occupational Therapy Assistant

2 Qualified Social Worker

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Activities in this home

Places of interest near Spring Gardens of Fleming Island

Calculate Travel Distance to Spring Gardens of Fleming Island

Compare Assisted Living around Florida

Financial Assistance for Assisted Living in Florida

Long-Term Care Waiver

Community Care for the Elderly (CCE)

Home Care for the Elderly (HCE)

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

Optional State Supplementation (OSS)

Guides for Better Senior Living

Financial Assistance for
Assisted Living in Florida