Medicare and Medicaid · St. Johns County
Lilac At Bayview, The
161A MARINE STREET, Saint Augustine, FL 32084 · 9048293475
Overall rating
2/5
Lilac At Bayview, The is a for-profit nursing home in Saint Augustine, FL with 120 licensed beds. CMS rates it 2 out of 5 stars overall — below average for Florida nursing homes. Subcategory scores: staffing (2/5), health inspections (2/5), quality measures (3/5). The facility has incurred $116,955 in government fines — review the penalty history below.
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How this home is rated
Source: CMS Care Compare, last updated May 1, 2026
About this home
- Capacity
- 120 beds
- Ownership
- For profit - Limited Liability company
- Type
- Medicare and Medicaid
- County
- St. Johns
Government Penalties
$116,955 total fines- 2024-05-17 — Fine · $8,401
- 2023-09-21 — Fine · $108,554
What the government rating says
2
out of 5
CMS stars
Lilac At Bayview, The carries a 2-star CMS rating — below average for Florida. Families considering this facility should review the inspection history, staffing data, and any penalty record carefully before visiting.
Health Inspections
2/5
Below average — notable inspection findings
Staffing
2/5
Below average — fewer nurse hours per resident than typical
Quality Measures
3/5
Average resident quality outcomes
What the Ratings Mean
Lilac At Bayview, The holds an overall 2-star rating from CMS, which means it falls below average compared to nursing homes across the country. That overall score is built from three separate ratings, so it helps to look at each one. The health inspection rating is also 2 stars, meaning state inspectors found a higher-than-average number of citations or more serious ones during their visits - this is often the piece families pay closest attention to, since it reflects real on-the-ground conditions. The staffing rating comes in at 2 stars as well, which tells you that nurses are spending less time per resident than what you'd typically see at a comparable facility - fewer staff hours can mean slower response times and less individualized attention day to day.
The one brighter spot is the quality measures rating, which sits at 3 stars, or right around average. This score is based on 15 clinical indicators like how residents are managing pain, whether they're experiencing falls or pressure ulcers, and similar health outcomes. So while the facility appears to be achieving middling results in resident health outcomes, the staffing and inspection concerns are real considerations. For families weighing a decision, it would be worth asking the facility directly about any recent inspection findings and what steps they've taken to address them.
Staffing at a Glance
Staffing at Lilac At Bayview runs close to the state average in some ways but falls a bit short in others. Registered nurses here provide about 0.38 hours per resident each day, compared to the Florida average of 0.52 hours across Florida senior care facilities. In practical terms, that gap means residents may have slightly less access to an RN on any given shift for things like medication decisions, wound assessments, or changes in condition. On the brighter side, total nursing hours, which includes CNAs and LPNs, come in at 3.79 hours per resident per day, just a touch below the state average of 3.87. That difference is small enough that hands-on care like bathing, meals, and mobility assistance should feel fairly consistent with what you would see elsewhere. The bigger thing to watch is that RN gap, since registered nurses handle the more complex clinical calls that can matter a lot when something unexpected comes up.
Inspection & Penalty History
Lilac at Bayview has a below-average health inspection rating of 2 out of 5 stars, and its penalty record is something families should look at closely. The facility has received 2 government penalties, with total fines adding up to $116,955, and the most recent penalty was issued in May 2024, which means this is not just old history. Fines at this level suggest that regulators found serious enough problems to warrant financial penalties, and the recency of the latest one means the concerns are worth asking about directly when you visit or call. This does not necessarily mean the facility is unsafe today, but it does mean families should go in with specific questions and pay attention to what they see. Families evaluating this facility can compare it to others in Saint Augustine on the Saint Augustine nursing homes and assisted living page.
Questions to Ask When You Visit
- How many residents does each certified nursing assistant typically care for during the day shift and the night shift?
- What happens when a resident presses the call button - how long does it usually take for someone to respond, and how do you track that?
- Can you show me the most recent state inspection report, and walk me through any violations that were cited?
- How often do residents see the same aides and nurses, or does the staff change frequently from week to week?
- If my loved one had a fall or a medical emergency overnight, who would be on duty to respond and what is the step-by-step process for notifying the family?
- What does a typical Tuesday look like for a resident who needs help with meals, bathing, and getting around - who helps them, and when?
For more guidance on evaluating facilities, see our guide to questions to ask when choosing a Florida nursing home.
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