Chipola Health and Rehabilitation Center
A nursing home in Marianna, Florida 32446
4294 3rd Avenue, Marianna, Florida 32446. (850) 526-3191.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 0 health citations at the latest inspection cycle Florida average: 7.1
- 3.67 nurse hours per resident per day Florida average: 3.86
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- 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.
- 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.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
0 health citations at the latest inspection cycle
The Florida average is 7.1.
Last standard inspection Sep 17, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
9 citations in 2 months of the last 36. Last cited May 2025. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 9 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 29, 2025: standard inspection8 citations
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Ensure each resident receives an accurate assessment.
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Provide enough food/fluids to maintain a resident’s health.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Apr 17, 2024: standard inspection1 citation
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since May 7, 1991.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 60 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.67 nurse hours per resident per day
The Florida average is 3.86.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Florida average |
|---|---|---|
| Nurse hours per resident per day | 3.67 | 3.86 |
| Of which registered nurses | 0.66 | 0.73 |
| At weekends | 3.23 | 3.51 |
| Nursing staff turnover | 44.6% | 41.5% |
| Registered nurse turnover | 50% | 46.1% |
| Administrators who left | 2 | Not given |
Who owns it?
- Fmrgc Holdco, LLC owns 100% directly since Apr 1, 2022.
- Nsprmc, LLC runs it.
- 13 owners or officers are people: Ashley Winkle (runs it (operational or managerial control)); Mark R Akerson (runs it (operational or managerial control)); Mark R Akerson (additional disclosable party (controls, leases property to, or provides services to the home)); Bradley Lee (runs it (operational or managerial control)); Bradley Lee (on the governing body (managing control)); Bradley Lee (additional disclosable party (controls, leases property to, or provides services to the home)); Tiffany Hoback (on the governing body (managing control)); Tequilla Jones (runs it (operational or managerial control)); Tequilla Jones (additional disclosable party (controls, leases property to, or provides services to the home)); Treva Pomes (runs it (operational or managerial control)); Treva Pomes (additional disclosable party (controls, leases property to, or provides services to the home)); Andrea Hingson (runs it (operational or managerial control)); Andrea Hingson (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care (11 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Lv Investment LLC | Owns 5% or more through other companies | 100% | Apr 1, 2022 |
| Nspr Operations II, LLC | Owns 5% or more through other companies | 100% | Apr 1, 2022 |
| Fc Investors Xxi LLC | Owns 5% or more through other companies | 100% | Apr 1, 2022 |
| Fmrgc Holdco, LLC | Owns 5% or more directly | 100% | Apr 1, 2022 |
| Nspr Care Centers, LLC | Owns 5% or more through other companies | 100% | Apr 1, 2022 |
| Nspr Operations I, LLC | Owns 5% or more through other companies | 100% | Apr 1, 2022 |
| Lavie Holdco LLC | Owns 5% or more through other companies | 100% | Apr 1, 2022 |
| Nsprmc, LLC | Runs it (operational or managerial control) | Jun 1, 2025 | |
| Nsprmc, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 10, 2025 | |
| An organisation CMS lists without a name | Trustee | Apr 1, 2022 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 10, 2025 | |
| An organisation CMS lists without a name | Trustee | Apr 1, 2022 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 14, 2025 | |
| Cse Marianna Holdings, LLC | Holds 5% or more security interest | Apr 1, 2022 | |
| Cse Marianna Holdings, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Florida average 4.3).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 32.2 miles, this one had the 10th most health citations at the latest inspection cycle (0; the middle value was 2.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Chipola Health and Rehabilitation Center This nursing home | 0 | |
| Marianna Health and Rehabilitation | 0.2 | 0 |
| Courtyard Rehabilitation By Harborview | 3.9 | 1 |
| Northwest Florida Community Hospital (Snu) | 18.2 | 1 |
| Washington Rehabilitation and Nursing Center | 18.3 | 2 |
| Graceville Rehabilitation By Harborview | 20.2 | 3 |
| River Valley Rehabilitation Center | 25.1 | 0 |
| Blountstown Health and Rehabilitation Center | 26.0 | 5 |
| Bonifay Nursing and Rehab Center | 26.5 | 3 |
| Seminole Manor Nursing Home | 27.9 | 6 |
| Extendicare Health and Rehab | 30.8 | 4 |
| Wesley Place on Honeysuckle | 32.2 | 8 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. 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 Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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