Cycle 1
Health 2025-08-29 · Fire 2025-08-29
8 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Starke, FL
Riverwood Healthcare & Rehabilitation Center
2-star overall rating with 2-star inspections with $17,036 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
808 S Colley Rd, Starke, FL
(904) 964-6220
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Sherman Family
Operator or chain grouping
Approved since
1984-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
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
0.39
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.32
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.25
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.02
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
3.50
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
83%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,265
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.43
Composite VBP score used to determine payment impact.
Payment multiplier
0.9877
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.42
Baseline 20.11% · Performance 19.38% · Measure score 4.42 · Achievement 4.42 · Improvement 1.85
Healthcare-associated infections
4.57
Baseline 6.29% · Performance 6.47% · Measure score 4.57 · Achievement 4.57 · Improvement 0
Total nurse turnover
2.80
Baseline 59.02% · Performance 52.25% · Measure score 2.80 · Achievement 2.80 · Improvement 1.48
Adjusted total nurse staffing
1.59
Baseline 3.93 hours · Performance 3.53 hours · Measure score 1.59 · Achievement 1.59 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.17% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 118 · Observed rate 11.02% · Lower 95% interval 7.16% |
| Discharge to community | 50.47% |
50.57%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 76 · Observed rate 40.79% · Lower 95% interval 40.92% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 101 · Denominator 101 |
| Falls with major injury | 0.99% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 101 |
| Discharge self-care score | 36% |
53.69%
17.7 pts worse
|
Numerator 27 · Denominator 75 |
| Discharge mobility score | 40% |
50.94%
10.9 pts worse
|
Numerator 30 · Denominator 75 |
| Pressure ulcers or injuries, new or worsened | 0.99% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 101 · Adjusted rate 0.95% |
| Healthcare-associated infections requiring hospitalization | 6.47% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 60 · Observed rate 5% · Lower 95% interval 3.35% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 133 |
| Staff flu vaccination coverage | 34.78% |
42%
7.2 pts worse
|
Numerator 80 · Denominator 230 |
| Discharge function score | 41.33% |
56.45%
15.1 pts worse
|
Numerator 31 · Denominator 75 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 24 · Denominator 24 |
| Transfer of health information to patient | 96.43% |
96.28%
0.2 pts better
|
Numerator 27 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 7.84% |
25.2%
17.4 pts worse
|
Numerator 4 · Denominator 51 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
2.1
0.7 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.2
0.1 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
99.2%
0.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
2.6%
0.4 pts worse
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.1% · Q3 4.0% · Q4 3.9% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
3.7%
0.4 pts better
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.3% · Q3 7.9% · Q4 1.0% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
5.9%
2.3 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 2.4% · Q3 2.3% · Q4 2.4% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.5% |
15.7%
2.2 pts better
|
19.6%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 12.2% · Q3 12.8% · Q4 17.0% · 4Q avg 13.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.3% |
9.8%
3.5 pts better
|
16.7%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 6.2% · Q3 5.8% · Q4 3.0% · 4Q avg 6.3% · 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 | 3.9% |
11.7%
7.8 pts better
|
16.3%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.7% · Q3 3.1% · Q4 5.7% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.2% |
9.8%
6.6 pts better
|
14.9%
11.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 5.8% · Q3 3.3% · Q4 1.2% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.4%
0.1 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
0.8%
0.5 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.8% |
12.5%
6.3 pts worse
|
19.8%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 18.8% · Q3 26.5% · Q4 13.6% · 4Q avg 18.8% |
| 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 3.0% · Q2 2.8% · Q3 2.8% · Q4 1.6% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
94.3%
3.8 pts better
|
81.7%
16.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.1% · Q3 95.7% · Q4 97.2% · 4Q avg 98.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.0% |
9.3%
0.3 pts better
|
12.0%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 9.9% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 2.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.3% |
94.7%
3.6 pts better
|
79.7%
18.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.0% |
26.2%
6.2 pts better
|
23.9%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 22.5% · Expected 26.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-13 · Fire 2024-06-13
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-02-02 · Fire 2023-02-02
6 health deficiencies
Top issue: Administration (1 deficiency)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-08-29
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-10-17
D · Potential for more than minimal harm
2025-08-29
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-10-17
D · Potential for more than minimal harm
2025-08-29
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-10-17
E · Potential for more than minimal harm
2024-06-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-18
E · Potential for more than minimal harm
2024-06-13
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-18
F · Potential for more than minimal harm
2023-02-02
E34 · Emergency Preparedness Deficiencies
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2023-03-03
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-08-29
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-17
E · Potential for more than minimal harm
2025-08-29
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-10-17
E · Potential for more than minimal harm
2025-08-29
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-10-17
E · Potential for more than minimal harm
2025-08-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-17
D · Potential for more than minimal harm
2025-08-29
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-10-17
D · Potential for more than minimal harm
2025-08-29
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 2025-10-17
D · Potential for more than minimal harm
2025-08-29
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-10-17
D · Potential for more than minimal harm
2025-08-29
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-10-17
D · Potential for more than minimal harm
2024-06-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-18
D · Potential for more than minimal harm
2024-06-13
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 2024-07-18
D · Potential for more than minimal harm
2024-06-13
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 2024-07-18
D · Potential for more than minimal harm
2024-06-13
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-18
D · Potential for more than minimal harm
2024-06-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-18
J · Immediate jeopardy
2023-07-26
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-08-12
J · Immediate jeopardy
2023-07-26
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-12
J · Immediate jeopardy
2023-07-26
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-08-12
D · Potential for more than minimal harm
2023-07-26
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-08-12
E · Potential for more than minimal harm
2023-02-02
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 2023-03-03
D · Potential for more than minimal harm
2023-02-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-03
Penalties and ownership
What sits behind the stars
$17,036
2023-07-26
Fine
Fine · fine $17,036
Fine
Ownership
Riverwood Nursing SNF Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
5h1 LLC
5% Or Greater Indirect Ownership Interest · Organization
Berger, Stuart
5% Or Greater Indirect Ownership Interest · Individual
Golden Eagle Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Goldstein, Jeffrey
5% Or Greater Indirect Ownership Interest · Individual
Goldstein, Jeffrey
Operational/Managerial Control · Individual
Presser, Aaron
5% Or Greater Indirect Ownership Interest · Individual
Presser, Aaron
Operational/Managerial Control · Individual
Riverwood Nursing SNF Holdco Ii LLC
5% Or Greater Indirect Ownership Interest · Organization
Riverwood Nursing SNF Jv LLC
5% Or Greater Indirect Ownership Interest · Organization
Riverwood Nursing SNF Jv LLC
Operational/Managerial Control · Organization
Sherman, Samuel
5% Or Greater Indirect Ownership Interest · Individual
Sherman, Samuel
Operational/Managerial Control · Individual
Sherman, Samuel
Corporate Officer · Individual
Stars Fl LLC
5% Or Greater Indirect Ownership Interest · Organization
Stars Re Properties LLC
5% Or Greater Indirect Ownership Interest · Organization
Stern, Isaac
5% Or Greater Indirect Ownership Interest · Individual
Tessler, Chaim
5% Or Greater Indirect Ownership Interest · Individual
Tessler, Elia
5% Or Greater Indirect Ownership Interest · Individual
Wasserman, Alan
5% Or Greater Indirect Ownership Interest · Individual
Wasserman, Mark
5% Or Greater Indirect Ownership Interest · Individual
Weinstock Family 2021 Trust
5% Or Greater Indirect Ownership Interest · Organization
Weinstock, Abraham
5% Or Greater Indirect Ownership Interest · Individual
Weinstock, Yechiel
5% Or Greater Indirect Ownership Interest · Individual
Weinstock, Yosef
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Windsor Health And Rehabilitation Center
Starke, FL
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Pavilion For Health Care, The
Penney Farms, FL
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Middleburg Rehabilitation And Nursing Center
Middleburg, FL
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
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