Aviata At Orange Park
1215 KINGSLEY AVE, Orange Park, FL, 32073
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Aviata Health Group
- Certified beds
- 120 · avg 108 residents/day
- Administrators who left
- 3 departed — near the Florida averageFlorida avg: 0.7 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 1016095
- Service type
- Nursing Home
- Licensed capacity
- 120 beds
- Current license effective
- December 1, 2025
- Current license expires
- November 30, 2027
Florida AHCA licensing registry · as of April 18, 2026
Ownership & operations
- Licensee
- 1215 Kingsley Ave Opco Llc
- Administrator
- Samira Khazravan
Florida AHCA licensing registry · as of April 18, 2026
Federal ownership record
Chain affiliation
Part of the Aviata Health Group chain — 52 facilities. Chain-wide average overall rating 2.2 / 5.
Parent entity
1215 Kingsley Ave Opco Parent Llc
Disclosed owners (9 on record)
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Kalisha Rose Boese
Operational/managerial Control · since 2024
- Samira Khazravan
Operational/managerial Control · since 2024
- 1215 Kingsley Ave Opco Holdco Llc
Indirect Ownership Interest · 100% · since 2023
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 11)
- E0812·Nov 20, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0803·Nov 20, 2025
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D0600·Jul 24, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F0812·Nov 9, 2023
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0727·Sep 28, 2023Complaint
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D0761·Mar 9, 2023Complaint
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0755·Jan 21, 2022
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Jan 21, 2022
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Nov 20, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
Where this information comes from
- License, capacity, ownership, administrator: Florida AHCA licensing registry, snapshot as of April 18, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
Read our methodology for how this information is collected and verified.