Joyal Health Care Services Inc.
A home health agency in Jacksonville, Florida 32257
9905 St Augustine Rd Ste 503, Jacksonville, Florida 32257. (904) 448-1025.
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The short answer
Record last released by CMS on Oct 21, 2026.
- Not rated quality of patient care rating
- Not rated patient survey rating
- 2 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Mar 22, 2024: a recertification inspection.
2 deficiencies cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Mar 2024. Most serious: Standard-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Mar 22, 2024: recertification inspection2 deficiencies
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Performance Improvement Projects
The inspectors’ words, 309 words
“Performance improvement projects CFR(s): 484.65(d)(1)(2) Standard: Performance improvement projects. Beginning July 13, 2018 HHAs must conduct performance improvement projects. (1) The number and scope of distinct improvement projects conducted annually must reflect the scope, complexity, and past performance of the HHA’s services and operations. (2) The HHA must document the quality improvement projects undertaken, the reasons for conducting these projects, and the measurable progress achieved on these projects. This Standard is not met as evidenced by: Based on agency documentation review, staff interviews, and agency policy review, it was determined that the agency failed to have at least one performance improvement project either in development, on-going or completed each calendar year for 2023 and for 2024 to date. The findings include: Upon review of the agency’s Quality Assurance and Improvement Plan (QAPI) it was revealed that the agency did not have any Performance Improvement Projects (PIPs) in development, on-going, or completed for calendar year 2023, or for calendar year 2024 to date. On 3/22/24 at 1:50 pm, in an interview with the Assistant Director of Nursing, she was asked if the agency has any PIPs in development, completed, or on-going. She stated, “I did not identify anything that needed improvement so there are no PIPs in place.” The Director of Nursing then stated, “We are so small, and we are not below national standards so it can be hard to create a plan. We will identify problems and focus on something, because there is always something we could work on.” A review of the Agency’s Policy titled, “Performance Improvement Plan” (undated) revealed: “Goal: To improve the Agency’s performance by designing its processes well and systematically collecting data, monitoring, analyzing, and improving patient and/or caregivers’ environment by...developing and implementing effective performance mechanisms such as monitoring and evaluation committees, incident reporting and trending, and patient and/or caregiver and physician questionnaires. .”
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Infection Control Education
The inspectors’ words, 297 words
“Infection control education CFR(s): 484.70(c) Standard: Education. The HHA must provide infection control education to staff, patients, and caregiver(s). This Standard is not met as evidenced by: Based on staff interviews, agency record review, and agency policy review, it was determined that the agency failed to provide infection control education to staff at periodic intervals consistent with accepted standards of practice. Such education must be provided at orientation, annually, and as needed. The findings include: In an interview on 3/22/24 at 1:37 pm with the Director of Nursing (DON), she was asked if staff and contractors receive infection control education at orientation, annually, and as needed. She stated, “Yes, but I don’t have that in writing. We verbally educate Certified Nurse’s Aides (CNAs) and clients during visits and supervisory visits.” At the time of the interview, an observation was made of a notice in the staff break room for monthly in-services (photograph obtained). Infection Control was not listed as one of the monthly in-services. The DON stated that the in-services are conducted; however, they do not require staff to sign in or have documentation of what was discussed or what education was provided. She said they are so small that they usually just make sure it gets done. The DON stated that she cannot pay staff to come into the office just for an in-service. When asked about annual infection control education, the DON stated they do annual education, but again stated they do not have documentation of attendance or evidence of annual skills review. A review of the Agency Policy titled, “Infection Control Education/Training’ (undated) revealed: “Employee education shall occur at the time of employment and at least annually. Records of such training shall be maintained in accordance with the Agency’s policy for retention of records.””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 22, 2024 | Recertification inspection | 2 deficiencies cited |
Is it certified?
- Medicare-certified home health agency since Aug 14, 2003.
- Ownership: proprietary (for profit).
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy, speech pathology, medical social services and home health aide services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- 4 owners or officers are people: Joycelyn Henryrn Morgan-Powell (owns 5% or more directly, 100%); Joycelyn Henryrn Morgan-Powell (corporate officer); Joycelyn Henryrn Morgan-Powell (corporate director); Joycelyn Henryrn Morgan-Powell (managing employee (on the payroll)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
How do patients fare?
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “The number of patient episodes for this measure is too small to report.”
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “Zero, or very few, patients met the survey’s rules for inclusion.”
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | Not rated |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | Not rated |
How does it compare nearby?
- CMS gives this agency no quality of patient care rating to compare.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Joyal Health Care Services Inc. This home health agency | Not given |
| Medical Services of America Home Health | 4.5 |
| Brooks Rehabilitation Home Health | 2.5 |
| Alivia Home Health | 3 |
| Uf Health Home Care - Jacksonville | 2.5 |
| HCA Florida Healthcare at Home | 3.5 |
| Welcome Homecare | 4.5 |
| Baptist Home Health Care By Bayada | 3.5 |
| Centerwell Home Health | 4.5 |
| Trilogy Home Healthcare | 4 |
| Tehc LLC | 4 |
| Vitalcaring Group | 4 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
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Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 24, 2026.
From the agency
The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the agency will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the agency”, and paying will never change a finding, a rating or the order of results.