Cycle 1
Health 2024-10-31 · Fire 2024-10-31
3 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Live Oak, FL
Good Samaritan Center
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
10676 Marvin Jones Blvd, Live Oak, FL
(386) 658-5550
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
161
Certified beds
Average residents
123
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.81
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
3.03
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
4.88
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.85
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
4.39
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
5.62
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
685
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.39
Composite VBP score used to determine payment impact.
Payment multiplier
1.0196
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.86
Baseline 18.52% · Performance 20.11% · Measure score 2.86 · Achievement 2.86 · Improvement 0
Healthcare-associated infections
6.62
Baseline 4.76% · Performance 5.85% · Measure score 6.62 · Achievement 6.62 · Improvement 0
Total nurse turnover
8.27
Baseline 41.30% · Performance 29.87% · Measure score 8.27 · Achievement 8.27 · Improvement 6.45
Adjusted total nurse staffing
8.40
Baseline 5.79 hours · Performance 5.47 hours · Measure score 8.40 · Achievement 8.40 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.98% |
10.72%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 120 · Observed rate 15% · Lower 95% interval 9.92% |
| Discharge to community | 47.76% |
50.57%
2.8 pts worse
|
No Different than the National Rate · Eligible stays 94 · Observed rate 43.62% · Lower 95% interval 35.77% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.59% |
95.27%
2.3 pts better
|
Numerator 81 · Denominator 83 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 83 |
| Discharge self-care score | 59.38% |
53.69%
5.7 pts better
|
Numerator 38 · Denominator 64 |
| Discharge mobility score | 40.63% |
50.94%
10.3 pts worse
|
Numerator 26 · Denominator 64 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 83 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.86% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 44 · Observed rate 0% · Lower 95% interval 3.15% |
| Staff COVID-19 vaccination coverage | 2.58% |
8.2%
5.6 pts worse
|
Numerator 6 · Denominator 233 |
| Staff flu vaccination coverage | 25.1% |
42%
16.9 pts worse
|
Numerator 66 · Denominator 263 |
| Discharge function score | 48.44% |
56.45%
8 pts worse
|
Numerator 31 · Denominator 64 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 35 · Denominator 35 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 28.57% |
25.2%
3.4 pts better
|
Numerator 12 · Denominator 42 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
2.1
1 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.2
0.7 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
97.8%
About the same
|
93.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 95.7% · Q3 99.0% · Q4 99.1% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.2% |
99.2%
About the same
|
95.5%
3.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
2.6%
3.4 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.9% · Q3 7.6% · Q4 4.5% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.7% |
3.7%
About the same
|
11.4%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 2.7% · Q3 3.0% · Q4 4.7% · 4Q avg 3.7% |
| Percentage of long-stay residents who lose too much weight | 1.2% |
5.9%
4.7 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 34.5% |
15.7%
18.8 pts worse
|
19.6%
14.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.7% · Q2 26.2% · Q3 38.1% · Q4 42.2% · 4Q avg 34.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.2% |
9.8%
1.6 pts better
|
16.7%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 9.8% · Q3 8.5% · Q4 9.2% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.1% |
11.7%
2.4 pts worse
|
16.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 19.5% · Q3 8.9% · Q4 10.4% · 4Q avg 14.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.1% |
9.8%
3.3 pts worse
|
14.9%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 9.7% · Q3 11.3% · Q4 16.1% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
0.8%
0.6 pts worse
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.8% · Q3 1.0% · Q4 0.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% |
12.5%
11 pts worse
|
19.8%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 21.5% · Q3 27.6% · Q4 27.8% · 4Q avg 23.5% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
5.1%
2.6 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.6% · Q4 6.7% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% |
94.3%
1.8 pts better
|
81.7%
14.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 95.5% · Q3 91.7% · Q4 98.6% · 4Q avg 96.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.2% |
9.3%
7.9 pts worse
|
12.0%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 14.1% · Expected 9.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.7% |
1.5%
3.2 pts worse
|
1.6%
3.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.7% · Q3 6.7% · Q4 3.1% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.5% |
94.7%
0.8 pts better
|
79.7%
15.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.4% |
26.2%
0.2 pts worse
|
23.9%
2.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.4% · Observed 17.9% · Expected 16.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-27 · Fire 2023-07-27
3 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-03-03 · Fire 2022-03-03
2 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-10-31
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-31
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-02
E · Potential for more than minimal harm
2023-07-27
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-07-27
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-16
D · Potential for more than minimal harm
2023-07-27
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-10-31
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-31
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-31
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-02
E · Potential for more than minimal harm
2023-07-27
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-01
D · Potential for more than minimal harm
2023-07-27
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-09-01
D · Potential for more than minimal harm
2023-07-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-01
D · Potential for more than minimal harm
2022-03-03
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-04-07
D · Potential for more than minimal harm
2022-03-03
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2022-04-07
Penalties and ownership
What sits behind the stars
Ownership
Advent Christian Village Inc
5% Or Greater Direct Ownership Interest · Organization
Carter, Craig
Corporate Officer · Individual
Hett, Steve
Corporate Officer · Individual
Hilliard, Kerri
Operational/Managerial Control · Individual
Innocent Simon, Joelle
Operational/Managerial Control · Individual
Innocent Simon, Joelle
Corporate Director · Individual
Willis, Michael
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Lafayette Nursing And Rehabilitation Center
Mayo, FL
5-star overall rating with 4-star inspections with 6 recent health deficiencies
#2
Surrey Place Nursing Center
Live Oak, FL
4-star overall rating with 4-star inspections with 6 recent health deficiencies
#3
Live Oak Healthcare And Rehabilitation Center
Live Oak, FL
1-star overall rating with 1-star inspections with $26,657 in total fines with 16 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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