Lilac at Bayview, the

161a Marine Street · Saint Augustine, FL · 32084 · 9048293475

120 certified beds For profit - Limited Liability company Chain: Simcha Hyman & Naftali Zanziper

  • Inspection results have improved across recent cycles.

Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

66% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 50
Staffing 20% 54
Federal penalties 15% 35
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.563.48 min · 4.1 strong
RN hours / resident-day0.310.55–0.75
Weekend hours / resident-day3.27≈ weekday level
Nursing turnover / year66%median 45%
Fines (3-yr window)3 · $125,355

Inspection citations (22 in the current record)

  • Potential for harm · D April 10, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected May 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 10, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 9, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected May 8, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected May 8, 2025 · Pharmacy Service

  • Potential for harm · D April 10, 2025

    Ensure 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.

    Corrected May 8, 2025 · Pharmacy Service

  • Potential for harm · D April 10, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 8, 2025 · Infection Control

  • Potential for harm · D December 4, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 4, 2024 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected January 3, 2025 · Administration

  • Actual harm · G May 17, 2024 · found via complaint

    Prepare residents for a safe transfer or discharge from the nursing home.

    Corrected June 17, 2024 · Resident Rights

  • Actual harm · G May 17, 2024 · found via complaint

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected June 17, 2024 · Resident Assessment and Care Planning

  • Immediate jeopardy · J September 21, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected October 6, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J September 21, 2023 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected October 6, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J September 21, 2023 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected October 6, 2023 · Administration

  • Potential for harm · D May 18, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 18, 2023 · Resident Rights

  • Potential for harm · E May 18, 2023

    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.

    Corrected June 18, 2023 · Resident Rights

  • Potential for harm · D May 18, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 18, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D May 18, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 18, 2023 · Quality of Life and Care

  • Potential for harm · D May 18, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 18, 2023 · Pharmacy Service

  • Potential for harm · E May 18, 2023

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected June 18, 2023 · Nutrition and Dietary

  • Potential for harm · D May 18, 2023

    Provide and implement an infection prevention and control program.

    Corrected June 18, 2023 · Infection Control

  • Potential for harm · D September 16, 2021

    Honor 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.

    Corrected October 21, 2021 · Resident Rights

  • Potential for harm · F September 16, 2021

    Keep all essential equipment working safely.

    Corrected October 21, 2021 · Environmental

Federal penalties

DateTypeAmount / length
May 17, 2024Fine$8,400
May 17, 2024Fine$8,401
September 21, 2023Fine$108,554

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105816 · certified since July 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.