808 S Colley Rd, Starke, FL 32091 · Bradford County · (904) 964-6220
120 certified beds, about 112 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105488 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 29, 2025, inspectors cited 8 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 15 health citations since February 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.13 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.23 of those hours.
72.4% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to The Sherman Family, an affiliated group of 7 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Inspectors wroteBased on observation, interview and record review the facility failed to provide midline catheter dressings changes according to professional standards of practice when the facility failed to change midline dressings according to physician orders and standards for 3 (Resident #104, #28 and #114) of 3 resident reviewed with midline catheters.
Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure that adequate pain management was provided for 3 (Resident #43, Resident #86 and Resident #85) of 5 residents reviewed that were prescribed opioid pain medications.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, including those employed through nurse staffing agencies, as identified through resident assessments and described in the plan of care.
Inspectors wroteBased on observation, interview, and record review and policy and procedure review, the facility failed to ensure staff used appropriate Personal Protective Equipment (PPE) and performed hand hygiene upon entering and exiting residents rooms while providing care to residents on enhanced barrier precautions, failed to perform hand hygiene when administering medications in 7 of 11 observations of medication administration, when obtaining vital signs and when caring for respiratory care equipment to prevent the possible spread of infection and communicable diseases.
Inspectors wroteBased on observation and interview, the facility failed to ensure the nurse staffing data was posted on a daily basis.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure food products were stored and maintained in a safe and sanitary manner in 2 of 2 nourishment rooms.
Inspectors wroteBased on observation, interview and record review the facility failed to accurately and completely document resident information in the medical record for 1 (Resident #122) of 3 closed records reviewed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the call device was within reach for 1 (Resident #6) out of 8 residents evaluated for call device accessibility. During an observation on 08/25/2025 at 10:14 am Resident #6 was observed laying on his back, on a pad in bed, wearing nothing except a brief. The call device was hanging on the wall on the side of the resident's feet, not in reach. During an observation on 08/25/2025 at 10:26 AM Resident #6 was observed laying in the same position, on his back in bed, wearing nothing but a brief, with no call device in reach. No blankets on the bed. The overbed table containing the breakfast tray was in the same position, over the bed in the area of the resident's lap. During an observation on 08/25/2025 at 11:00 AM Resident #6 was laying in bed on his back, wearing only a brief. [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure assessments accurately reflected the resident's status for 1 of 5 residents reviewed for discharge, Resident #102.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were secured in 3 of 5 hallways.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was stored, labeled, or discarded in the areas of the dietary department's walk-in cooler and the stock/storage room.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure accurate and complete medical records were maintained for 1 (Resident #43) of 5 residents reviewed for discharge.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene during medication administration and failed to ensure the residents' reusable medical equipment was properly stored to prevent the possible spread of infection.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles in 2 of 4 medication carts.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff followed the accepted infection control practice standards during administration of intravenous (IV) medication to prevent the possible development and transmission of communicable diseases and infections.
6 fire safety citations on file: 3 on August 29, 2025, 2 on June 13, 2024, 1 on February 2, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.13 | 3.82 | 3.86 |
| Registered nurses | 0.23 | 0.73 | 0.69 |
| All nursing staff on weekends | 2.73 | 3.49 | 3.42 |
| Nurse aides | 1.97 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 72.4% | 41.4% | 45.8% |
| Registered nurse turnover | 81.3% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.51 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.29 on weekdays and 2.73 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.22 in April to June 2025 to 3.13 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.13 | 0.23 | 3.29 | 2.73 | 2.0% | 0 of 90 | 112 |
| Oct to Dec 2025 | 3.33 | 0.31 | 3.50 | 2.92 | 1.9% | 0 of 92 | 111 |
| Jul to Sep 2025 | 3.32 | 0.39 | 3.44 | 3.02 | 8.6% | 1 of 92 | 110 |
| Apr to Jun 2025 | 3.22 | 0.39 | 3.33 | 2.97 | 9.3% | 1 of 91 | 114 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.0 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.5 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.4 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.1 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.4 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Riverwood Healthcare & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
50.5% this home
No different from the national rate
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 76 eligible stays.
10.2% this home
No different from the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 118 eligible stays.
6.5% this home
No different from the national rate
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 60 eligible stays.
49.3% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 75 residents counted.
2.1% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 97 residents counted.
1.0% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 97 residents counted.
91.3% this home
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 23 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: RIVERWOOD NURSING SNF LLC. CMS links this home to The Sherman Family, a group of 7 nursing homes averaging 2.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Riverwood Nursing SNF Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 07/01/2024 |
| 5h1 LLC | 5% or greater indirect ownership interest | Organization | 07/01/2024 | |
| Golden Eagle Healthcare LLC | 5% or greater indirect ownership interest | Organization | 07/01/2024 | |
| Riverwood Nursing SNF Holdco II LLC | 5% or greater indirect ownership interest | Organization | 07/01/2024 | |
| Riverwood Nursing SNF Jv LLC | 5% or greater indirect ownership interest | Organization | 07/01/2024 | |
| Stars Fl LLC | 5% or greater indirect ownership interest | Organization | 07/01/2024 | |
| Stars Re Properties LLC | 5% or greater indirect ownership interest | Organization | 07/01/2024 | |
| Weinstock Family 2021 Trust | 5% or greater indirect ownership interest | Organization | 07/01/2024 | |
| Goldstein, Jeffery | 5% or greater indirect ownership interest | Individual | 06/27/2024 | |
| Presser, Aaron | 5% or greater indirect ownership interest | Individual | 06/27/2024 | |
| Sherman, Samuel | 5% or greater indirect ownership interest | Individual | 07/01/2024 | |
| Stern, Isaac | 5% or greater indirect ownership interest | Individual | 06/27/2024 | |
| Tessler, Chaim | 5% or greater indirect ownership interest | Individual | 06/27/2024 | |
| Tessler, Elia | 5% or greater indirect ownership interest | Individual | 07/01/2024 | |
| Weinstock, Yechiel | 5% or greater indirect ownership interest | Individual | 07/01/2024 | |
| Weinstock, Yosef | 5% or greater indirect ownership interest | Individual | 07/01/2024 | |
| Coppola, Aaron | Managing control - governing body | Individual | 07/01/2024 | |
| Innocent Simon, Joelle | Managing control - governing body | Individual | 07/01/2024 | |
| Sherman, Samuel | Corporate officer | Individual | 07/01/2024 | |
| Riverwood Nursing SNF Jv LLC | Operational/managerial control | Organization | 12/04/2024 | |
| Goldstein, Jeffery | Operational/managerial control | Individual | 07/01/2024 | |
| Presser, Aaron | Operational/managerial control | Individual | 07/01/2024 | |
| Sherman, Samuel | Operational/managerial control | Individual | 12/04/2024 | |
| Tessler, Elia | Trustee of the SNF | Individual | 07/01/2024 | |
| 5h1 LLC | Adp of the SNF | Organization | 12/04/2024 | |
| Golden Eagle Healthcare LLC | Adp of the SNF | Organization | 12/04/2024 | |
| Riverwood Nursing SNF Jv LLC | Adp of the SNF | Organization | 12/04/2024 | |
| Stars Fl LLC | Adp of the SNF | Organization | 12/04/2024 | |
| Stars Re Properties LLC | Adp of the SNF | Organization | 12/04/2024 | |
| Weinstock Family 2021 Trust | Adp of the SNF | Organization | 12/04/2024 | |
| Coppola, Aaron | Adp of the SNF | Individual | 07/01/2024 | |
| Goldstein, Jeffery | Adp of the SNF | Individual | 07/01/2024 | |
| Innocent Simon, Joelle | Adp of the SNF | Individual | 07/01/2024 | |
| Sherman, Samuel | Adp of the SNF | Individual | 12/04/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.