Nursing HomeInspections

Riverwood Healthcare & Rehabilitation Center

Nursing home in Starke, FL

Medicare & Medicaid certified2★ overall (CMS)

Call (904) 964-6220Send a messageMap ↗

Public-record details

Address
808 S Colley Rd, Starke, FL 32091
Phone
(904) 964-6220
Listed under
For-profit, No fines in 3 years
Medicare CCN
105488
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
112
Ownership
For-profit, limited Liability company
Legal business name
Riverwood Nursing SNF LLC
Chain
The Sherman Family (7 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 1, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 105488. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 29, 2025. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 2, 2023 to Aug 29, 2025): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 29, 2025Post nurse staffing information every day.
Nursing and Physician Services
D
Potential for more than minimal harm, isolated
Aug 29, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Aug 29, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Aug 29, 2025Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental
D
Potential for more than minimal harm, isolated
Aug 29, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Aug 29, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Aug 29, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection
E
Potential for more than minimal harm, pattern
Aug 29, 2025Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
Jun 13, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jun 13, 2024Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jun 13, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Jun 13, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 15. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.13 hours
Registered nurse (RN) time per resident per day
0.23 hours
Nurse aide time per resident per day
1.97 hours
Total nurse staffing on weekends
2.73 hours
Nursing staff turnover (yearly)
72%
RN turnover (yearly)
81%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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