The nursing home failed to protect residents from abuse and neglect by others. Cited July 2023 — isolated incident, immediate jeopardy to residents.
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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
1 of 5 overall
Riverwood Healthcare & Rehabilitation Center in Starke, FL has a 1-star overall rating, with 1-star staffing and 2-star health inspection ratings; its reported nurse staffing is 3.33 hours per resident per day, below the 4.1 federal benchmark, and it has no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3345 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 3.3345.
Staffing detail
- Registered nurses
- 0.31
- Licensed practical nurses
- 0.87
- Nurse aides
- 2.15
- Weekend nursing
- 2.92
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 75%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.3%Improving
Residents with a fall causing major injury
3.5%Worsening
Residents with pressure ulcers (bedsores)
2%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
3.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3.7%Improving
Residents whose ability to walk got worse
4.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
15%Worsening
Short-stay residents newly given an antipsychotic
1.1%Worsening
Residents with a long-term catheter
0.5%Worsening
Residents with new or worsening incontinence
15%Improving
Residents with depressive symptoms
4.9%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.5%Worsening
Short-stay residents given the seasonal flu vaccine
98.3%Steady
Short-stay residents given the pneumonia vaccine
95.7%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.
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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.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE SHERMAN FAMILY · 7 homes · 2.3 stars avg
- Occupancy
- 110.9 residents on an average day (92% 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.