Riverwood Healthcare & Rehabilitation Center
808 S Colley Rd · Starke, FL · 32091 · 9049646220
120 certified beds For profit - Limited Liability company Chain: The Sherman Family
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
67% 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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.92 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 1 · $17,036 |
Inspection citations (19 in the current record)
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Potential for harm · E August 29, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 17, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Post nurse staffing information every day.
Corrected October 17, 2025 · Nursing and Physician Services
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Potential for harm · D August 29, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 17, 2025 · Nutrition and Dietary
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Potential for harm · D August 29, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2025
Provide and implement an infection prevention and control program.
Corrected October 17, 2025 · Infection Control
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Potential for harm · D August 29, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 17, 2025 · Environmental
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Potential for harm · E August 29, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 17, 2025 · Quality of Life and Care
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Potential for harm · E August 29, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected October 17, 2025 · Nursing and Physician Services
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Potential for harm · D June 13, 2024
Ensure each resident receives an accurate assessment.
Corrected July 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2024
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 July 18, 2024 · Pharmacy Service
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Potential for harm · D June 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 18, 2024 · Nutrition and Dietary
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Potential for harm · D June 13, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2024
Provide and implement an infection prevention and control program.
Corrected July 18, 2024 · Infection Control
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Immediate jeopardy · J July 26, 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 August 12, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J July 26, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 12, 2023 · Quality of Life and Care
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Immediate jeopardy · J July 26, 2023 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected August 12, 2023 · Administration
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Potential for harm · D July 26, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · E February 2, 2023
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 March 3, 2023 · Pharmacy Service
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Potential for harm · D February 2, 2023
Provide and implement an infection prevention and control program.
Corrected March 3, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 26, 2023 | Fine | $17,036 |
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 105488 · certified since November 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.