Consulate Health Care of Jacksonville is where Army veteran York Spratling spent some of his final days, in 2017.
Action News Jax obtained the DCF investigation into his death.
According to the report an infection in the 86-year-old’s groin wasn’t properly documented, worsened to gangrene and lead to the amputation of his genitals – he died the next day.
State records show prior health inspections documenting deficiencies in required nursing staff and resident assessments at the Southside facility.
Consulate Health Care has 6 other locations around Northeast Florida – in Jacksonville, Orange Park, Green Cove Springs, and Lake City.
Action News Jax investigators looked at inspections over a 2 year span and found dozens of citations.
In 2018 two reports focus on staff failing to provide necessary treatment for bed sores.
According to one inspection a resident had to be hospitalized due to a wound which staff admitted to not documenting.
Other infractions at the locations include failure to medically assess patients and deficiencies in required staffing.
The Agency for Health Care Administration threatened to shutdown 55 of Consulate Health Cares’ Florida facilities in 2018, but the company negotiated an agreement to keep them open.
Action News Jax made multiple attempts to contact Consulate Health Care leaders but did not hear back.
Many nursing homes, not just Consulate Health Care, are cited for violations.
Nursing homes are inspected annually, more often if there’s a complaint.
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