Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LILAC AT BAYVIEW, THE

SAINT AUGUSTINE, FL · 120 certified beds · Last Life Safety survey April 10, 2025

CMS Certification Number 105816 · first certified July 1993

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Lilac at Bayview (THE) (161 B Marine Street). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Operated by SIMCHA HYMAN & NAFTALI ZANZIPER · For profit - Limited Liability company

  • Ownership changed January 13, 2022 (change of ownership)to THE LILAC AT BAYVIEW from ST. JOHNS COUNTY WELFARE FEDERATION
7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within FL

7 citations — more than 50% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: July 2026 to February 2027. This facility’s last Life Safety survey was April 2025. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.

This facility7FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
02021-0952023-0522025-04
Citations at each Life Safety survey
Survey dateCitations
September 16, 20210
May 18, 20235
April 10, 20252

Most-cited tags

Most-cited tags at this facility
K-03531K-03721K-09211K-03441K-09141K-03551K-02711
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-05-18
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12025-04-10
K-0921Ensure that testing and maintenance of electrical equipment is performed.12023-05-18
K-0344Have an alternate power supply for its alarm system.12023-05-18
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12023-05-18
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-05-18
K-0271Have exits that are accessible at all times.12025-04-10

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 10, 2025 — 2 citations

Citations issued on April 10, 2025
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (May 8, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 8, 2025)

May 18, 2023 — 5 citations

Citations issued on May 18, 2023
TagWhat the surveyor checksStatus
K-0344Have an alternate power supply for its alarm system.Deficient, Provider has date of correction (June 18, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 18, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 18, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (June 18, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (June 18, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.