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BROOKDALE MANDARIN in JACKSONVILLE, FL

10790 OLD ST AUGUSTINE RD, JACKSONVILLE, FL 32257

(904) 260-0800

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Active License
Last Updated: 4/22/2026
Sourced from state & federal public records

Facility Intelligence Overview

Safety & Inspections
No recent CMS citations reported
Questions to ask on your tour

• Ask if they have had any state or federal inspections recently.

• Ask how they ensure a safe environment for residents.

Staffing Adequacy
Federal staffing data not filed
Questions to ask on your tour

Smaller residential facilities are often not required to file daily payroll records with the federal CMS. This is common and does not indicate a violation.

• What is your staff-to-resident ratio during the day and at night?

• How do you handle staff call-outs or shortages?

Capacity
170 Beds
Institutional Care Setting. Larger facility with comprehensive 24/7 staffing.
Legal Sanctions
9
State disciplinary actions on record

Health Inspections & Citations

Survey2023-12-07

Sanction Applied: Fine

Fine: $5,000
Reporting2019-09-27

Sanction Applied: Fine

Fine: $300
Reporting2019-09-09

Sanction Applied: Fine

Fine: $500
Reporting2018-12-12

Sanction Applied: Fine

Fine: $150
Reporting2018-04-25

Sanction Applied: Fine

Fine: $500
Survey2017-05-08

Sanction Applied: Fine

Fine: $500
Survey2017-01-10

Sanction Applied: Fine

Fine: $500
Reporting2016-09-01

Sanction Applied: Fine

Fine: $500
Survey2013-12-31

Sanction Applied: Fine

Fine: $1,500

Location & Contact Information

Operational History

Originally Licensed
7/28/2015

Room & Unit Types

Private Rooms133 units
Semi-Private Rooms16 units
Extended Congregate Care Beds0 capacity
Optional State Supplement Beds0 capacity
Private Beds170 capacity
Total Capacity Beds170 capacity

Amenities & Services

Payment Forms Accepted

  • Medicaid
  • Other
  • VA

Languages Spoken

  • English
  • Spanish

Activities

  • Arts and Crafts
  • Cooking Classes
  • Dancing
  • Exercise Classes
  • Games/Cards
  • Gardening
  • Music Programs
  • Shopping
  • Social Events/Outings
  • Theater and Movies

Nurse Availability

  • Direct 24hr
  • Direct Part-Time

Staffing Snapshot

The CMS staffing levels for RNs, LPNs, and CNAs assigned to handle the resident capacity.

Executive Roster

Ownership Entity

SUMMERVILLE AT MANDARIN LLC For-Profit

CFO

DAWN KUSSOW

Administrator

KATRINA WILLIAMS

Individual Stakeholders

  • SUMMERVILLE SENIOR LIVING, INC — 100%
  • CHADWICK WHITEBOARD MEMBER/OFFICER

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