CCN 105729 · Jackson County, Florida
Chipola Health and Rehabilitation Center
4294 3rd Avenue, Marianna, FL 32446
Chipola Health and Rehabilitation Center is a 60-bed for-profit nursing home in Marianna, Florida, first certified for Medicare or Medicaid in 1991. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 53.0 residents a day, about 88% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 60
- Average residents per day
- 53.0 (88.3% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- 4294 3rd Avenue Operations, LLC
- Certified since
- May 7, 1991
- Chain or affiliated group
- Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care (11 facilities, chain average 2.6 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Florida median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 89 at 1, 143 at 2, 125 at 3, 156 at 4, 178 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.42 | 3.63 | 3.68 |
| RN hours per resident per day | 0.64 | 0.62 | 0.58 |
| Weekend nurse hours per resident per day | 3.10 | ||
| Nursing staff turnover | 40.3% | 41.9% | 44.9% |
| Occupancy (residents / beds) | 88.3% | 92.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 8 (May 29, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Chipola Health and Rehabilitation Center meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Fmrgc Holdco, LLCOrganization | Direct Ownership Interest | 100% | 04/01/2022 |
| Cse Marianna Holdings, LLCOrganization | Security Interest | n/a | 04/01/2022 |
| Nsprmc, LLCOrganization | Operational / Managerial Control | n/a | 06/01/2025 |
| Akerson, MarkIndividual | Operational / Managerial Control | n/a | 04/01/2022 |
| Hingson, AndreaIndividual | Operational / Managerial Control | n/a | 09/02/2025 |
| Jones, TequillaIndividual | Operational / Managerial Control | n/a | 03/20/2025 |
| Lee, BradleyIndividual | Operational / Managerial Control | n/a | 06/01/2025 |
| Pomes, TrevaIndividual | Operational / Managerial Control | n/a | 08/22/2023 |
| Winkle, AshleyIndividual | Operational / Managerial Control | n/a | 12/10/2024 |
In its Medicare enrollment record, the facility reported a real estate investment trust owner: Cse Marianna Holdings, LLC. Those flags are self-reported to CMS and many PE and REIT ties go unflagged.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Apr 1, 2022 | 4294 3rd Avenue Operations, LLC | Nf Chipola LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.