161A Marine Street, Saint Augustine, FL 32084
(904) 829-3475 · Simcha Hyman & Naftali Zanziper
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 88.7% | Latest inspection | 2025-04-10 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 5 of 5 | 3 of 5 |
| Health-inspection score | 89.0 points | 7.0 points | 38.5 points |
| Total nurse staffing | 3.53 hours/day | 3.89 hours/day | 3.63 hours/day |
| RN staffing | 0.36 hours/day | 0.48 hours/day | 0.62 hours/day |
| Staff turnover | 65.4% | 38.3% | 41.8% |
| Latest health deficiencies | 6 deficiencies | 2 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-05-08Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-09Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-08Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-05-08Ensure 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-05-08Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-08Immediate-jeopardy citations: 0
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-06-18Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-06-18Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-06-18Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-06-18Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-06-18Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-06-18Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-06-18Immediate-jeopardy citations: 0
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2021-10-21Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-10-21Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.12047 |
| Lpn hours | 1.04611 |
| Rn hours | 0.36019 |
| Reported total hours | 3.52677 |
| Weekend total hours | 3.2435 |
| Weekend rn hours | 0.18081 |
| Adjusted total hours | 3.92607 |
| Total turnover percent | 65.4 |
| Rn turnover percent | 71.4 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2024-05-17 | Fine | $8,400.00 |
| 2024-05-17 | Fine | $8,401.00 |
| 2023-09-21 | Fine | $108,554.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
5
Prepare residents for a safe transfer or discharge from the nursing home.
Plan the resident's discharge to meet the resident's goals and needs.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
| Name | Role | Share |
|---|---|---|
| ST. AUGUSTINE FL HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| LILAC SNF HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| LAKE, LARRY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| GORELICK, BATYA | CORPORATE OFFICER | NOT APPLICABLE |
| TERENTEV, ALEX | CORPORATE OFFICER | NOT APPLICABLE |
| LILAC HEALTH GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology