The nursing home failed to protect residents from abuse and neglect by others. Cited July 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
RIVERWOOD HEALTHCARE & REHABILITATION CENTER
STARKE, FL · Medicare-certified · 120 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Riverwood Healthcare & Rehabilitation Center in Starke, FL has a 1-star overall rating, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (3.13 vs 4.1 hours per resident day). It has no fines in the last 24 months, but it is flagged for the lowest overall rating and recent inspection citations include abuse/neglect protection, accident hazards, and facility administration.
Facility ratings
Health inspections
Staffing
3.131 hrs/resident/day
Quality measures
Last inspection: August 29, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.131.
Staffing detail
- Registered nurses
- 0.23
- Licensed practical nurses
- 0.94
- Nurse aides
- 1.97
- Weekend nursing
- 2.73
Hours per resident per day.
Total staff turnover: 72%
Registered nurse turnover: 81%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.6%2.7%Improving
Residents with a fall causing major injury
4%2.9%Improving
Residents with pressure ulcers (bedsores)
2.8%4.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.3%4.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.3%6.8%Worsening
Residents whose ability to walk got worse
3.1%6.4%Worsening
Long-stay residents on antianxiety or sleep medication
12.8%15.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.1%0%Improving
Residents with new or worsening incontinence
26.5%5.1%Improving
Residents with depressive symptoms
7.9%12.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98.1%Worsening
Short-stay residents given the seasonal flu vaccine
—98.3%—
Short-stay residents given the pneumonia vaccine
95.7%83.3%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to run its operations effectively and efficiently using its available resources. Cited July 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $17,036 in total fines.
- $17,036
Federal fine
Jul 26, 2023
Operator & ownership
Recent ownership change · Jul 1, 2024
Now operated by Riverwood Nursing Snf LLC, previously Riverwood Healthcare & Rehabilitation Center LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE SHERMAN FAMILY · 7 homes · 2.4 stars avg
- Occupancy
- 112.3 residents on an average day (94% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.