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
Nursing home report
RIVERWOOD HEALTHCARE & REHABILITATION CENTER
STARKE, FL · Medicare-certified · 120 beds
In good standing
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
2 out of 5 stars overall. Staffing is a major concern at 1 out of 5 stars, with reported nurse staffing at 3.13 hours per resident per day versus the 4.1-hour federal benchmark; health inspection is 3 out of 5, quality measures are 4 out of 5, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.131 hrs/resident/day
Quality measures
Last inspection: August 29, 2025Penalties, last 24 months: $0
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 home failed to provide safe, appropriate pain management for a resident who needed it. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 726 — 42 CFR §483.35 — 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.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited February 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — 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.
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- INSPECTION
Health inspection found 4 health deficiencies.
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- INSPECTION
Health inspection found 2 health deficiencies.
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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 · 2.6 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.