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%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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-day | 3.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 3 · $125,355 |
Inspection citations (22 in the current record)
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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
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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
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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
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Potential for harm · D April 10, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 8, 2025 · Pharmacy Service
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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
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Potential for harm · D April 10, 2025
Provide and implement an infection prevention and control program.
Corrected May 8, 2025 · Infection Control
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Potential for harm · D May 18, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected June 18, 2023 · Pharmacy Service
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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
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Potential for harm · D May 18, 2023
Provide and implement an infection prevention and control program.
Corrected June 18, 2023 · Infection Control
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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
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Potential for harm · F September 16, 2021
Keep all essential equipment working safely.
Corrected October 21, 2021 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 17, 2024 | Fine | $8,400 |
| May 17, 2024 | Fine | $8,401 |
| September 21, 2023 | Fine | $108,554 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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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.