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INN AT CYPRESS VILLAGE, THE in JACKSONVILLE, FL

4600 MIDDLETON PARK CIRCLE EAST, JACKSONVILLE, FL 32224

(904) 807-6149

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

Facility Intelligence Overview

Safety & Inspections
CMS Citations Record
Clear Record
0
Severe
0
Standard
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• Ask if they have had any state or federal inspections recently.

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Staffing Adequacy
No Data Filed
Capacity
112
Beds
Legal Sanctions
2
On Record

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Sanctions
2
Inspection rows
0
CMS citations
0
Owner records
14
What we found
Source Evidence Preview
Florida AHCALegal sanctionVERIFIED FINDING

Reporting

May 9, 2016$500Severity: SanctionStatus: 01

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Florida AHCALegal sanctionVERIFIED FINDING

Change of ownership occurred

Aug 29, 2014$0Severity: CHOW

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Ownership and control
Public Record Summary
  • Ownership entity: CCRC OPCO - CYPRESS VILLAGE, LLC (For-Profit)
  • Management company: LIFE CARE SERVICES LLC
  • Administrator listed in AHCA profile: WILLIAM ROUSE
  • 10 principal stakeholder records available from the AHCA profile.

Health Inspections & Citations

Reporting2016-05-09

Sanction Applied: Fine

Fine: $500
Rule Violation2014-08-29

Sanction Applied: Change of ownership occurred

Location & Contact Information

Operational History

Originally Licensed
5/30/2014
Current Management Since
2/1/2020

Room & Unit Types

Private Rooms111 units
Semi-Private Rooms1 units
Extended Congregate Care Beds0 capacity
Optional State Supplement Beds0 capacity
Private Beds112 capacity
Total Capacity Beds112 capacity

Amenities & Services

Payment Forms Accepted

  • Other
  • VA

Languages Spoken

  • Arabic
  • English
  • French
  • Spanish

Activities

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

Nurse Availability

  • Direct 24hr

Staffing Snapshot

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

Executive Roster

Ownership Entity

CCRC OPCO - CYPRESS VILLAGE, LLC For-Profit

Management Company

LIFE CARE SERVICES LLC

CFO

TY MORGAN

Administrator

WILLIAM ROUSE

Individual Stakeholders

  • CCRC OPCO VENTURES, LLC — 100%
  • LIFE CARE COMPANIES LLC — 100%
  • BRIDGETTE C UHLEMANNBOARD MEMBER/OFFICER
  • DANIEL L LAHEYBOARD MEMBER/OFFICER
  • FRANK RUSSOBOARD MEMBER/OFFICER
  • GELYNNA SHAWBOARD MEMBER/OFFICER
  • JASON C VICTORBOARD MEMBER/OFFICER
  • JILL SORENSONBOARD MEMBER/OFFICER
  • JOHN CHRIS BIRDBOARD MEMBER/OFFICER
  • PATRICK CHENGBOARD MEMBER/OFFICER

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