Nursing HomeInspections

The Lilac at Bayview

Nursing home in Saint Augustine, FL

Medicare & Medicaid certified2★ overall (CMS)

Call (904) 829-3475Send a messageMap ↗

Public-record details

Address
161a Marine Street, Saint Augustine, FL 32084
Phone
(904) 829-3475
Listed under
For-profit
Medicare CCN
105816
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
106
Ownership
For-profit, limited Liability company
Legal business name
St Augustine FL Opco LLC
Chain
Simcha Hyman & Naftali Zanziper (79 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1993
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 105816. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 10, 2025. CMS lists 22 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 16, 2021 to Apr 10, 2025): 7 from complaint inspections, 5 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 10, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 10, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 10, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 10, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 10, 2025Ensure 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
Apr 10, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 4, 2024Develop 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 4, 2024Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
May 17, 2024Prepare residents for a safe transfer or discharge from the nursing home.
Resident Rights · complaint inspection		G
Actual harm, isolated
May 17, 2024Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning · complaint inspection		G
Actual harm, isolated
Sep 21, 2023Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Sep 21, 2023Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated

Showing the 12 most recent of 22. 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 3 fines totalling $125,355 in the last three years.

May 17, 2024Fine: $8,400
May 17, 2024Fine: $8,401
Sep 21, 2023Fine: $108,554

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
3.53 hours
Registered nurse (RN) time per resident per day
0.36 hours
Nurse aide time per resident per day
2.12 hours
Total nurse staffing on weekends
3.24 hours
Nursing staff turnover (yearly)
65%
RN turnover (yearly)
71%
Administrators who left in the past year
0

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.

Other nursing homes in Saint Augustine

Moultrie Creek Nursing and Rehab Center200 Mariner Health Way · Saint Augustine, FL 32086 · (904) 797-1800 · For-profit7 health citations in 3 inspection cycles · last standard inspection Oct 3, 2024 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)The Ponce Therapy Care Center and Rehab1999 Old Moultrie Road · Saint Augustine, FL 32086 · (904) 824-3311 · For-profit9 health citations in 3 inspection cycles · last standard inspection Sep 25, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Westminster St Augustine230 Towerview Drive · Saint Augustine, FL 32092 · (904) 940-4801 · Nonprofit3 health citations in 3 inspection cycles · last standard inspection Aug 6, 2025 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)Clyde E Lassen State Veterans Nursing Home4650 State Rd 16 · Saint Augustine, FL 32092 · (904) 940-2193 · Government-owned5 health citations in 3 inspection cycles · last standard inspection Aug 22, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)St Augustine Health and Rehabilitation Center51 Sunrise Blvd · Saint Augustine, FL 32084 · (904) 824-4479 · For-profit16 health citations in 3 inspection cycles · last standard inspection May 21, 2026 · $26,685 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

All 6 in Saint Augustine →