Nursing home
Riverwood Healthcare & Rehabilitation Center
808 S Colley Rd, Starke, FL 32091 · Map
For profit - Limited Liability company · Part of The Sherman Family (7 facilities) · 120 certified beds
Riverwood Healthcare & Rehabilitation Center is a Medicare-certified nursing home in Starke, Florida. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.32 hours per resident per day, below the Florida average of 3.86. Its most recent inspection on Aug 29, 2025 cited 8 deficiencies.
- 1 fine totaling $17,036In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Riverwood Healthcare & Rehabilitation Center compares
This facility vs. the Florida and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Florida avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.32 | 3.86 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.39 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.07 | 2.34 | 2.34 | below avg |
| Nursing staff turnover | 61.1% | 42.3% | 46.4% | above avg |
| Deficiencies cited, last inspection | 8.0 | 7.3 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 29, 2025 inspection was corrected by October 17, 2025
Penalties in CMS records: 1 fine totaling $17,036, 1 total penalty.
What inspectors found at Riverwood Healthcare & Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Nursing and Physician Services Deficiencies · Aug 29, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Aug 29, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 29, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 29, 2025 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Aug 29, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Aug 29, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 29, 2025 · Full report (PDF) - Potential for harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Aug 29, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 13, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jun 13, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 13, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jun 13, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 808 S Colley Rd
Starke, FL 32091 - CMS certification #
- 105488
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 110.4
- Provider type
- Medicare and Medicaid
- First certified
- 1984-11-01
- Chain
- The Sherman Family (7 facilities)
- Setting
- Rural
Part of The Sherman Family
The Sherman Family operates 7 nursing facilities across the United States. View all The Sherman Family facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Riverwood Healthcare & Rehabilitation Center using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day
- Emergency Generator: fully implemented permanent generator (Florida AHCA)
Full public records, with dates and sources
Care and services
From the community’s website
What Riverwood Healthcare & Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Lake Butler Hospital, Lake Butler. 14.8 miles away, straight line.
- Nearest Medicare nursing home
- Windsor Health and Rehabilitation Center, Starke. 0.4 miles away, straight line.
- Nearest home health agency office
- Legacy Home Health Care Inc, Starke. 0.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- North Florida Pharmacy. 11.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 32091 as small town (small town core).
- Dialysis within 15 miles
- Bma - Starke, Starke, 0.9 miles away, straight line (CMS rating 1 of 5 stars)
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 32091.
- Nearest geriatric medicine practice
- Lake Area Physical Therapy Inc., Melrose. 16.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Emergency power
- Fully Implemented Permanent Generator. (Florida AHCA generator status, as of Oct 15, 2026)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Starke, FL, risk to homes is greater than 60% of communities in Florida and 84% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively moderate, wildfire relatively moderate, tornado relatively moderate, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Florida Department of Business and Professional Regulation, Division of Hotels and Restaurants kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Florida AHCA generator status | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Riverwood Healthcare & Rehabilitation Center a good nursing home?
CMS gives Riverwood Healthcare & Rehabilitation Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Riverwood Healthcare & Rehabilitation Center staffed?
Riverwood Healthcare & Rehabilitation Center reports 3.32 total nurse hours per resident per day, compared with the Florida average of 3.86.
Has Riverwood Healthcare & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Riverwood Healthcare & Rehabilitation Center have?
Riverwood Healthcare & Rehabilitation Center is certified for 120 beds.