Quick answers
- Where is The Lilac at Bayview?
- 161A Marine Street, Saint Augustine, FL 32084, in St. Johns County, Florida.
- What is the phone number of The Lilac at Bayview?
- (904) 829-3475, as listed by Medicare (CMS).
- What is the Medicare star rating of The Lilac at Bayview?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has The Lilac at Bayview been fined?
- Medicare lists 2 fines totaling $16,801.
- What did inspectors find at The Lilac at Bayview?
- In its last three inspection cycles (September 16, 2021 to April 10, 2025), Medicare lists 19 health citations; the most serious was level G. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (September 16, 2021 to April 10, 2025), The Lilac at Bayview had 19 health citations; the most serious was level G (actual harm to residents). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $16,801 in total (2 fines, the latest on May 17, 2024). Nurse staffing is 3.68 hours per resident per day; the Florida average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 10, 2025 — 6 health citations
Inspections in this cycle: April 10, 2025 (standard health inspection).
Show 6 citations (levels A to F, no actual harm)
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: May 18, 2023 — 9 health citations
Inspections in this cycle: May 18, 2023 (standard health inspection); December 4, 2024 (complaint investigation).
Show 9 citations (levels A to F, no actual harm)
F0584 Level E
“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.”
F0802 Level E
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0867 Level D
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: September 16, 2021 — 4 health citations
Inspections in this cycle: September 16, 2021 (standard health inspection); January 18, 2024 (infection control inspection); May 17, 2024 (complaint investigation).
F0624 Level G
“Prepare residents for a safe transfer or discharge from the nursing home.”
actual harm to residents; isolated (a few residents) · Resident Rights Deficiencies
F0660 Level G
“Plan the resident's discharge to meet the resident's goals and needs.”
actual harm to residents; isolated (a few residents) · Resident Assessment and Care Planning Deficiencies
Show 2 less serious citations (levels A to F)
F0908 Level F
“Keep all essential equipment working safely.”
F0585 Level D
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (7)
K0271 Level D
“Have exits that are accessible at all times.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0344 Level E
“Have an alternate power supply for its alarm system.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0921 Level E
“Ensure that testing and maintenance of electrical equipment is performed.”
Fines and payment denials
Total fines over about the last three years: $16,801 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| May 17, 2024 | Fine | $8,400 |
| May 17, 2024 | Fine | $8,401 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Florida | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.33 | 0.73 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.06 | 0.80 | 0.86 |
| Nurse aide hours per resident per day | 2.29 | 2.33 | 2.35 |
| Total nurse staff hours per resident per day | 3.68 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.34 | 3.51 | 3.43 |
| RN hours per resident per day on the weekend | 0.16 | 0.53 | 0.48 |
| Nursing staff turnover (per year) | 63.0% | 41.5% | 45.3% |
| RN turnover (per year) | 66.7% | 46.1% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 79 nursing homes: Simcha Hyman & Naftali Zanziper.
Legal business name: St Augustine Fl Opco LLC.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| St. Augustine Fl Holdco LLC | Direct owner | 100% | January 13, 2022 |
| Lilac SNF Holdco LLC | Indirect owner | 100% | January 13, 2022 |
| Lilac Health Group LLC | Management company (operational or managerial control) | NOT APPLICABLE | January 13, 2022 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 120 |
| Average residents per day | 111.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Simcha Hyman & Naftali Zanziper |
| Legal business name | St Augustine Fl Opco LLC |
| First approved by Medicare/Medicaid | 1993-07-01 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 161A Marine Street, Saint Augustine, FL 32084 |
| County | St. Johns County |
| State | Florida |
| Phone | (904) 829‑3475 |
| CMS Certification Number | 105816 |
| Name in Medicare records | LILAC AT BAYVIEW, THE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- St Augustine Health and Rehabilitation Center1.6 mi · Saint Augustine, FL · 1 of 5 stars
- The Ponce Therapy Care Center and Rehab1.7 mi · Saint Augustine, FL · 5 of 5 stars
- Moultrie Creek Nursing and Rehab Center5.0 mi · Saint Augustine, FL · 5 of 5 stars
- Clyde E Lassen State Veterans Nursing Home11 mi · Saint Augustine, FL · 5 of 5 stars
- Westminster St Augustine13 mi · Saint Augustine, FL · 5 of 5 stars
Nearest hospital emergency rooms
- Flagler Hospital1.5 mi · Saint Augustine, FL · Acute Care Hospital
- Ascension St Vincent's St Johns County21 mi · St. Johns, FL · Acute Care Hospital
- AdventHealth Palm Coast Parkway23 mi · Palm Coast, FL · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13