In Q1 2026, Fernandina Beach Rehabilitation and Nursing Center was recognized as Nassau County’s largest nursing home, tying for that position with Life Care Center of Hilliard, according to the Centers for Medicare and Medicaid Services (CMS).
The facility operated 120 beds, aligning with the county’s average bed count for the same quarter, and assisted an average of 114.9 residents during the period.
The CMS assigned Fernandina Beach Rehabilitation and Nursing Center an overall rating of 2 out of 5, which was below Florida’s nursing home average rating of 3.3.
By Q1 2026, Fernandina Beach Rehabilitation and Nursing Center had accrued $31,051 in three fines and incurred three penalties.
Nassau County, Florida, was home to two for-profit nursing homes during this period.
U.S. Census Bureau estimates report that the older adult population nationwide is growing, while the number of younger individuals is decreasing. Between 2020 and 2024, Americans ages 65 and older rose by 13%, while those under 18 dropped by 1.7%. The country’s older adult population has expanded significantly throughout the last century, climbing from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 study found that roughly half of this demographic—about 28 million people—are likely to require long-term care and support, and more than a third of them could eventually need nursing home services.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Life Care Center of Hilliard | 4 |
| 1 | Fernandina Beach Rehabilitation and Nursing Center | 2 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.
