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Assisted Living in Florida

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

The Lilac at Bayview

Assisted Living in Florida

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

The Lilac at Bayview

161 B MARINE STREET, SAINT AUGUSTINE, FL 32084 View map
Overview of The Lilac at Bayview
The Lilac at Bayview Health is dedicated to providing exceptional medical care that meets the highest standards. It cultivates a welcoming and community-centered atmosphere. The facility offers short-term rehabilitation and long-term skilled nursing care.
(904) 829-3475

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
2/5
Florida average: 3.7/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
2/5
Florida average: 3.2/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
3/5
Florida average: 3.7/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5
Florida average: 4.3/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 17m per day

This home provides 3% less nursing time per resident than the Florida average.

Florida average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 69

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Florida average
Occupancy rate 82.7%
Residents per day (avg) 110
Occupancy rate
82.7%
Residents per day (avg)
110

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

33% of new residents, usually for short-term rehab.

Typical stay 23 days

Private pay

51% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

16% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Finances and operations

Privately-owned community
Home revenue
$16.2M
Operating loss
-$631.4K
Privately-owned community
Home revenue
$16,195,529.00
Operating loss
$-631,398.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.8M
42% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.0M
Total costs $16.8M
Bed community size
69-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

Payment Types

Insurance And/or Hmo
Medicaid
Medicare
Va
Workers Compensation

About this community

Occupancy

Occupancy rate
83%
In line with Florida average
Occupied beds
57 / 69
Average residents 108 per day

License Details

Facility TypeAssisted Living Facility
StatusLicensed
CountySt. Johns

Additional Licensing Details

License Number9470
CMS Certification Number105816
AccreditationsJoint Commission Accredited

Ownership & Operating Entity

The Lilac at Bayview is administrated by Heather Christine Salerno.

Owner NameST. AUGUSTINE FL OPCO LLC
Profit StatusFor-Profit

Staffing

Key information about the people who lead and staff this community.

Languages Spoken

English Spanish

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

3 services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs

Additional Policies & Features

Continuing Care Retirement Community (CCRC)

Amenities & Lifestyle

0 amenities
Specific ProgramsShort-Term Care, Orthopedic Rehab, Physical Therapy, Long-Term Care, Wound Care, Occupational Therapy, Respite Care, Pharmacy Management, Speech Therapy

Activities in this home

Contact The Lilac at Bayview

Inspection History

In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.

24 visits/inspections

Results

16 with citations

0 without citations

Florida average: 16 inspections with citations

Latest inspection

Date May 16, 2025
Routine

25 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Florida average: 33 citations

25 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Florida average: 19 deficiencies

0 fines

Florida average: 5 fines

Total amount fined: $0.00

Florida average: $11,623.53

Inspection Report Summary for The Lilac at Bayview

The most recent inspection on May 16, 2025, found no deficiencies. Earlier inspections showed a mix of results, with some routine and complaint inspections citing deficiencies mainly related to medication assistance and administration, staffing standards, training, and physical plant safety. Complaint investigations were generally unsubstantiated or found no deficiencies, and no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Prior citations often involved medication management and staffing issues, with occasional concerns about emergency management and resident contracts. The overall trend suggests improvement, as recent inspections have been free of deficiencies following earlier issues.

Health Inspection History

Inspections
Total health inspections 6

State average 4.3


Last Health inspection on Apr 2025

Total health citations 22

State average 19.7

Citations per inspection
3.67

State average 4.48


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

15 of 22 citations resulted from standard inspections; and 7 of 22 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 3
275% worse than State average

State average: 0.8


Serious Health citations More info 2
400% worse than State average

State average: 0.4

3 critical citations More info State average: 0.8

2 serious citations More info State average: 0.4

17 moderate citations More info State average: 18.4

0 minor citations More info State average: 0.2
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Apr 10, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Apr 10, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Apr 10, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Apr 10, 2025
Corrected

Compare Assisted Living around Florida The information below is reported by the Florida Agency for Health Care Administration (AHCA).

Filter by care type
The Lilac at Bayview
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

SAINT AUGUSTINE
180
No
-
-
-
24
66.7%
25
For-Profit
-
Heather Christine Salerno
-
Sumter Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

The Villages
168
Yes
5
1
1490 Killingsworth Opco Llc
42
47.6%
34
For-Profit
$6,000
Marie Gilles
-
Beach House
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Naples (East Naples)
140
No
44
2
Cpf Lc Ii Operations - Beach House, Llc
28
57.1%
24
For-Profit
$1,500
Nancy Sue Perry
Studio / 1 Bed / 2 Bed
Heritage Oaks of Englewood
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Englewood
138
Yes
36
1
Cpf Lc Ii Operations - Heritage Llc
16
31.3%
26
For-Profit
-
Ronald Aylward
Studio / 1 Bed / 2 Bed
Camellia at Deerwood
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Jacksonville (Deerwood)
95
Yes
20
1
Vop Camellia Deerwood, Llc
20
35%
24
For-Profit
-
Jessica Nicole Briggs
-

Places of interest near The Lilac at Bayview

Address 0.0 miles from city center

Address 161 B MARINE STREET, SAINT AUGUSTINE, FL 32084

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 289
Employees 155
Contractors 134
Staff to resident ratio 2.58:1
70% better than Florida average

Florida average ratio: 1.52:1

Avg staff/day 57
Average shift 8.7 hours
10% better than Florida average

Florida average: 7.9 hours

Total staff hours (quarter) 45,220
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 67
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 158
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

20.7%

9,344 contractor hours this quarter

Certified Nursing Assistant: 66 Licensed Practical Nurse: 36 Registered Nurse: 8 Physical Therapy Aide: 7 Speech Language Pathologist: 6 Physical Therapy Assistant: 4 Respiratory Therapy Technician: 3 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant926615823,12391100%9.2
Licensed Practical Nurse3136678,14991100%9.9
Registered Nurse98172,4859099%8.9
RN Director of Nursing7072,1659099%8.8
Clinical Nurse Specialist6061,8267481%8
Speech Language Pathologist0661,6198189%6.8
Physical Therapy Aide0771,2658998%7
Other Dietary Services Staff3031,1388998%7.1
Mental Health Service Worker2027647077%9
Physical Therapy Assistant0446678088%5.8
Nurse Practitioner3035606571%8
Administrator1015206571%8
Respiratory Therapy Technician0334056774%4.5
Qualified Social Worker0112084044%5.2
Occupational Therapy Aide0112082629%8
Dental Services Staff101741011%7.4
Occupational Therapy Assistant0113889%4.8
Medical Director011633%2
158 Certified Nursing Assistant
% of Days 100%
67 Licensed Practical Nurse
% of Days 100%
17 Registered Nurse
% of Days 99%
7 RN Director of Nursing
% of Days 99%
6 Clinical Nurse Specialist
% of Days 81%
6 Speech Language Pathologist
% of Days 89%
7 Physical Therapy Aide
% of Days 98%
3 Other Dietary Services Staff
% of Days 98%
2 Mental Health Service Worker
% of Days 77%
4 Physical Therapy Assistant
% of Days 88%
3 Nurse Practitioner
% of Days 71%
1 Administrator
% of Days 71%
3 Respiratory Therapy Technician
% of Days 74%
1 Qualified Social Worker
% of Days 44%
1 Occupational Therapy Aide
% of Days 29%
1 Dental Services Staff
% of Days 11%
1 Occupational Therapy Assistant
% of Days 9%
1 Medical Director
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
112 residents
Residents by payment source
Medicare
22 residents (19.6%)
Medicaid
86 residents (76.8%)
Private pay or other
4 residents (3.6%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.4
In line with Florida average

Florida average: 7.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 8.9
28% better than Florida average

Florida average: 12.4

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 8.3%
21% better than Florida average

Florida average: 10.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.5%
35% better than Florida average

Florida average: 12.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 10.0%
26% better than Florida average

Florida average: 13.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.4%
102% worse than Florida average

Florida average: 2.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.4%
37% better than Florida average

Florida average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Florida average

Florida average: 0.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 11.7%
95% worse than Florida average

Florida average: 6.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.3%
91% better than Florida average

Florida average: 3.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 4.5%
44% better than Florida average

Florida average: 8.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.9%
In line with Florida average

Florida average: 97.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Florida average

Florida average: 99.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.6%
In line with Florida average

Florida average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.0%
35% better than Florida average

Florida average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
In line with Florida average

Florida average: 94.7%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $125K
74% higher than Florida average

Florida average: $72K

Number of fines 3
14% more fines than Florida average

Florida average: 2.6

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Florida average

Florida average: 0.1

Fines amount comparison
Fines amount comparison
This facility $125K
Florida average $72K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 17, 2024
$8K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 17, 2024
$8K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 21, 2023
$109K

Last updated: Jan 2026

Guides for Better Senior Living

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Florida Seniors

Get financial aid guidance

Long-Term Care Waiver

Florida Medicaid LTC Waiver

Age 65+ or 21+ disabled, Florida resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High demand; waitlists common.

Community Care for the Elderly (CCE)

Florida CCE

Age 60+, Florida resident, at risk of nursing home.

~$2,000/month (varies).

$5,000 (individual).

Limited funding; regional variation.

Home Care for the Elderly (HCE)

Florida Home Care for the Elderly

Age 60+, Florida resident, at risk of nursing home placement; caregiver must be approved.

~$2,829/month (individual, aligned with Medicaid thresholds).

~$2,000 (individual); varies by case manager discretion.

Limited funding (~3,500 served annually); prioritizes low-income frail seniors.

Program of All-Inclusive Care for the Elderly (PACE)

Florida Medicaid PACE

Age 55+, Florida resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR).

$2,000 (individual), $3,000 (couple).

Limited to specific counties (e.g., Hillsborough, Miami-Dade); ~10 sites statewide.

Optional State Supplementation (OSS)

Florida Optional State Supplementation

Age 65+ or disabled, Florida resident, living in approved facility, receiving SSI or low-income.

~$1,004/month (individual, including SSI).

$2,000 (individual), $3,000 (couple).

Limited to specific facility types; ~$78.40/month max supplement.

Senior Community Service Employment Program (SCSEP)

Florida SCSEP (federally funded, state-administered)

Age 55+, unemployed, low-income, Florida resident.

~$1,983/month (125% FPL, individual).

Not specified; income-focused.

Priority for veterans, rural residents; ~1,000 slots/year.

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