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The provider

What kind of provider is this?

What a nursing home is

A nursing home provides 24-hour nursing care and help with daily activities, and many offer short-term rehabilitation after a hospital stay. It is a different setting from assisted living.

Source: Centers for Medicare & Medicaid Services

Who runs it and how big is it?

Facts CMS publishes

Certified beds
180
Participates in
Medicare and Medicaid
Ownership (CMS)
For Profit - Limited Liability Company
First approved for Medicare/Medicaid
Aug 2, 1988
CMS Certification Number
105613
Legal business name
Suwannee Operating Investments LLC
Chain (CMS)
Excelsior Care Group
Changed ownership in the last 12 months
No
Resident and family council
Both
Sprinklers in all required areas
Yes
Part of a continuing care retirement community
No

CMS processing date Sep 1, 2026.

Source: Centers for Medicare & Medicaid Services

What did inspectors find?

Inspections, penalties and CMS flags

CMS Special Focus Facility program: Not flagged by CMS

CMS: the Special Focus Facility program lists “nursing homes that have a history of serious quality issues and are included in a special program to stimulate improvements in their quality of care.” CMS Special Focus Facility list (opens in a new tab)

CMS abuse icon: Not flagged by CMS

CMS: “Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.”

As of Sep 1, 2026, CMS processing date.

Health inspections

34 health citations from the inspection cycles CMS publishes. Each inspection lists what inspectors cited, how CMS coded it, and whether it was corrected.

Inspection Jun 25, 2026: 8 citations
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Tag F0644 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 17, 2026

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Tag F0645 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 17, 2026

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Tag F0684 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 17, 2026

  • Assist a resident in gaining access to vision and hearing services.

    Tag F0685 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 17, 2026

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Tag F0689 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 17, 2026

  • Provide safe and appropriate respiratory care for a resident when needed.

    Tag F0695 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 17, 2026

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Tag F0812 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Jul 17, 2026

  • Provide and implement an infection prevention and control program.

    Tag F0880 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 17, 2026

Inspection Nov 20, 2025: 1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Tag F0684 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Dec 24, 2025

Inspection Aug 6, 2025: 2 citations
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Tag F0580 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Aug 28, 2025

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Tag F0684 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Aug 28, 2025

Inspection Feb 7, 2025: 13 citations
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Tag F0550 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Mar 11, 2025

  • Ensure each resident receives an accurate assessment.

    Tag F0641 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 11, 2025

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Tag F0656 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 11, 2025

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Tag F0658 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 11, 2025

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Tag F0677 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 11, 2025

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Tag F0684 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 11, 2025

  • Provide safe and appropriate respiratory care for a resident when needed.

    Tag F0695 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 11, 2025

  • Post nurse staffing information every day.

    Tag F0732 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Mar 11, 2025

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Tag F0756 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Mar 11, 2025

  • Ensure medication error rates are not 5 percent or greater.

    Tag F0759 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Mar 11, 2025

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Tag F0812 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 11, 2025

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Tag F0842 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Mar 11, 2025

  • Provide and implement an infection prevention and control program.

    Tag F0880 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 11, 2025

Inspection Dec 4, 2024: 1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Tag F0684 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Dec 31, 2024

Inspection Nov 5, 2024: 1 citation
  • Provide and implement an infection prevention and control program.

    Tag F0880 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Dec 8, 2024

Inspection Oct 12, 2023: 8 citations
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Tag F0565 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 17, 2023

  • 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.

    Tag F0584 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · from a complaint inspection · Deficient, Provider has date of correction Nov 17, 2023

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Tag F0689 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 17, 2023

  • Provide safe and appropriate respiratory care for a resident when needed.

    Tag F0695 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 17, 2023

  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Tag F0758 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 17, 2023

  • 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.

    Tag F0761 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 17, 2023

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Tag F0812 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 17, 2023

  • Provide and implement an infection prevention and control program.

    Tag F0880 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 17, 2023

Fire safety inspections

14 fire safety citations.

Inspection Jun 25, 2026: 2 citations
  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Tag K0521 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Jul 16, 2026

  • Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Tag K0916 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 16, 2026

Inspection Feb 7, 2025: 2 citations
  • Install emergency lighting that can last at least 1 1/2 hours.

    Tag K0291 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Mar 11, 2025

  • Have simulated fire drills held at unexpected times.

    Tag K0712 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Mar 11, 2025

Inspection Oct 12, 2023: 10 citations
  • Meet other general requirements.

    Tag K0100 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 17, 2023

  • Use approved construction type or materials.

    Tag K0161 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 17, 2023

  • Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Tag K0222 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 17, 2023

  • Install proper backup exit lighting.

    Tag K0281 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 17, 2023

  • Have approved installation, maintenance and testing program for fire alarm systems.

    Tag K0345 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 17, 2023

  • Install corridor and hallway doors that block smoke.

    Tag K0363 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 17, 2023

  • Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Tag K0372 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 17, 2023

  • Have simulated fire drills held at unexpected times.

    Tag K0712 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 17, 2023

  • To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Tag K0761 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Nov 17, 2023

  • Have generator or other power source capable of supplying service within 10 seconds.

    Tag K0918 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 17, 2023

Federal penalties

2 federal penalties (fines and payment denials) in this CMS release.

  • Oct 12, 2023: fine of $3,728
  • Oct 12, 2023: fine of $3,738

CMS data released Oct 8, 2026.

Source: Centers for Medicare & Medicaid Services

How does CMS rate it?

CMS star ratings

These are the Centers for Medicare & Medicaid Services’ ratings, published on Medicare Care Compare, not StrongPath’s. StrongPath shows them as CMS published them on Oct 8, 2026, with the time periods each one covers; it does not combine, adjust or rank them.

  • CMS Overall Rating: 1 out of 5

    CMS: “It features an Overall Quality Rating of one to five stars based on nursing home performance on three domains, each of which has its own rating.”

    Periods CMS used for this rating
    • Standard health inspection, rating cycle 1: Jun 25, 2026
    • Standard health inspection, rating cycle 2: Feb 7, 2025
    • Health inspection complaint surveys: Sep 1, 2025 to Aug 31, 2026 (CMS: Most recent 12 month period for deficiencies cited on health inspection complaint surveys)
    • Health inspection complaint surveys: Sep 1, 2024 to Aug 31, 2025 (CMS: First prior 12 month period for deficiencies cited on health inspection complaint surveys)
    • Health inspection complaint surveys: Sep 1, 2023 to Aug 31, 2024 (CMS: Second prior 12 month period for deficiencies cited on health inspection complaint surveys)
    • Infection control surveys: Sep 1, 2025 to Aug 31, 2026 (CMS: Most recent 12 month period for deficiencies cited on infection control surveys)
    • Infection control surveys: Sep 1, 2024 to Aug 31, 2025 (CMS: First prior 12 month period for deficiencies cited on infection control surveys)
    • Infection control surveys: Sep 1, 2023 to Aug 31, 2024 (CMS: Second prior 12 month period for deficiencies cited on infection control surveys)
    • Staffing levels: Jan 1, 2026 to Mar 31, 2026
    • Staff turnover: Jan 1, 2025 to Dec 31, 2025
    • Long-stay quality measures: Apr 1, 2025 to Mar 31, 2026 (7 measures)
      • Percentage of long-stay residents whose need for help with daily activities has increased
      • Percentage of long-stay residents whose ability to walk independently worsened
      • Percentage of long-stay residents with pressure ulcers
      • Percentage of long-stay residents with a catheter inserted and left in their bladder
      • Percentage of long-stay residents with a urinary tract infection
      • Percentage of long-stay residents experiencing one or more falls with major injury
      • Percentage of long-stay residents who received an antipsychotic medication
    • Long-stay quality measures: Jan 1, 2025 to Dec 31, 2025 (2 measures)
      • Number of hospitalizations per 1000 long-stay resident days
      • Number of outpatient emergency department visits per 1000 long-stay resident days
    • Short-stay quality measures: Jan 1, 2025 to Mar 31, 2026 (1 measure)
      • Percentage of short-stay residents who newly received an antipsychotic medication
    • Short-stay quality measures: Jan 1, 2025 to Dec 31, 2025 (2 measures)
      • Percentage of short-stay residents who were rehospitalized after a nursing home admission
      • Percentage of short-stay residents who had an outpatient emergency department visit
    • Short-stay quality measures: Oct 1, 2024 to Sep 30, 2025 (2 measures)
      • Percentage of SNF residents who are at or above an expected ability to care for themselves and move around at discharge
      • Percentage of residents with pressure ulcers/injuries that are new or worsened
    • Short-stay quality measures: Oct 1, 2022 to Sep 30, 2024 (1 measure)
      • Rate of successful return to home or community from a SNF
  • CMS Health Inspection Rating: 2 out of 5

    CMS: “Ratings for the health inspections domain are based on the number, scope, and severity of deficiencies identified during the two most recent annual inspection surveys, as well as findings from the most recent 36 months of complaint investigations and focused infection control surveys.”

    Periods CMS used for this rating
    • Standard health inspection, rating cycle 1: Jun 25, 2026
    • Standard health inspection, rating cycle 2: Feb 7, 2025
    • Health inspection complaint surveys: Sep 1, 2025 to Aug 31, 2026 (CMS: Most recent 12 month period for deficiencies cited on health inspection complaint surveys)
    • Health inspection complaint surveys: Sep 1, 2024 to Aug 31, 2025 (CMS: First prior 12 month period for deficiencies cited on health inspection complaint surveys)
    • Health inspection complaint surveys: Sep 1, 2023 to Aug 31, 2024 (CMS: Second prior 12 month period for deficiencies cited on health inspection complaint surveys)
    • Infection control surveys: Sep 1, 2025 to Aug 31, 2026 (CMS: Most recent 12 month period for deficiencies cited on infection control surveys)
    • Infection control surveys: Sep 1, 2024 to Aug 31, 2025 (CMS: First prior 12 month period for deficiencies cited on infection control surveys)
    • Infection control surveys: Sep 1, 2023 to Aug 31, 2024 (CMS: Second prior 12 month period for deficiencies cited on infection control surveys)
  • CMS Staffing Rating: 1 out of 5

    CMS: “Ratings for the staffing domain are based on six measures. This includes three nurse staffing level measures (hours per resident per day) and three measures of staff turnover.”

    Periods CMS used for this rating
    • Staffing levels: Jan 1, 2026 to Mar 31, 2026
    • Staff turnover: Jan 1, 2025 to Dec 31, 2025
  • CMS Quality Measure (QM) Rating: 3 out of 5

    CMS: “Ratings for the quality measures are based on performance on 15 of the QMs that are currently posted on the Care Compare website. These include nine long-stay measures and six short-stay measures.”

    Periods CMS used for this rating
    • Long-stay quality measures: Apr 1, 2025 to Mar 31, 2026 (7 measures)
      • Percentage of long-stay residents whose need for help with daily activities has increased
      • Percentage of long-stay residents whose ability to walk independently worsened
      • Percentage of long-stay residents with pressure ulcers
      • Percentage of long-stay residents with a catheter inserted and left in their bladder
      • Percentage of long-stay residents with a urinary tract infection
      • Percentage of long-stay residents experiencing one or more falls with major injury
      • Percentage of long-stay residents who received an antipsychotic medication
    • Long-stay quality measures: Jan 1, 2025 to Dec 31, 2025 (2 measures)
      • Number of hospitalizations per 1000 long-stay resident days
      • Number of outpatient emergency department visits per 1000 long-stay resident days
    • Short-stay quality measures: Jan 1, 2025 to Mar 31, 2026 (1 measure)
      • Percentage of short-stay residents who newly received an antipsychotic medication
    • Short-stay quality measures: Jan 1, 2025 to Dec 31, 2025 (2 measures)
      • Percentage of short-stay residents who were rehospitalized after a nursing home admission
      • Percentage of short-stay residents who had an outpatient emergency department visit
    • Short-stay quality measures: Oct 1, 2024 to Sep 30, 2025 (2 measures)
      • Percentage of SNF residents who are at or above an expected ability to care for themselves and move around at discharge
      • Percentage of residents with pressure ulcers/injuries that are new or worsened
    • Short-stay quality measures: Oct 1, 2022 to Sep 30, 2024 (1 measure)
      • Rate of successful return to home or community from a SNF

CMS high-performing icon: Not shown by CMS

CMS: “Exceeds the traditional five-star rating. Higher performing nursing homes have fewer citations (safety violations), higher staffing levels, and other quality indicators.” The icon is CMS’s, not StrongPath’s. As of Sep 1, 2026, CMS processing date.

Footnote wording is from CMS’s Nursing Home Data Dictionary (September 2026). Inspection dates are this facility’s; the other periods are CMS’s data collection intervals (released Oct 8, 2026). See the full detail on Medicare Care Compare (opens in a new tab).

Source: Centers for Medicare & Medicaid Services

Location and getting there

Is it in a hurricane evacuation zone?

Hurricane evacuation zone

Not in a mapped evacuation zone

Evacuation zone from the Florida Division of Emergency Management’s Know Your Zone data as of Sep 19, 2026. Zones are approximate and can change, and local officials decide who evacuates for each storm. Check with your county emergency management office or Know Your Zone (opens in a new tab) before relying on it. FDEM does not endorse StrongPath.

Source: Florida Division of Emergency Management; U.S. Census Bureau

How far is the nearest ER?

Nearest hospital and emergency department

Nearest hospital with emergency services (CMS flag)
HCA Florida Lake City Hospital (Acute Care Hospitals), 18.3 mi straight line
Nearest hospital of any type
HCA Florida Lake City Hospital (Acute Care Hospitals), 18.3 mi straight line

Straight-line distance, not drive time. The CMS emergency services flag says nothing about hours, wait times or trauma level.

Source: Centers for Medicare & Medicaid Services; U.S. Census Bureau; Overture Maps Foundation

What is within a mile?

Pharmacies, groceries and restaurants nearby

Pharmacies
0 within 0.5 mi, 0 within 1 mi. Nearest: Walgreens, 1.4 mi
Grocery stores
0 within 0.5 mi, 1 within 1 mi. Nearest: S and S Food Stores, 0.68 mi
Restaurants
1 within 0.5 mi, 1 within 1 mi. Nearest: The Big 98, 0.09 mi

Counts of mapped business listings, straight line. Listings can be missing or out of date.

Source: Overture Maps Foundation

What does the local agency report?

Reported offenses for the local law enforcement agency

Not available: the agency for this location (Live Oak Police Department) has no figures in FDLE’s FIBRS file for 2025.

Source: Florida Department of Law Enforcement

Where can family stay?

Hotels and motels for visiting family

Licensed hotels and motels
At least 0 within 1 mi and 4 within 5 mi, plus 2 more licensed in the same ZIP or city that could not be mapped
Nearest mapped
Econo Lodge (motel), 1.6 mi

A license says the business is licensed, nothing about quality or price. License status as of Oct 3, 2026.

Source: Florida Department of Business and Professional Regulation; U.S. Census Bureau; Overture Maps Foundation

The surrounding area

Is there a park nearby?

Parks and preserves (OpenStreetMap)

Named public parks and preserves
0 within 0.5 mi, 0 within 1 mi
Nearest
John H. Hale Community Park (park), 1.2 mi

Park data © OpenStreetMap contributors (opens in a new tab), ODbL 1.0. Volunteer-mapped; straight line.

Source: OpenStreetMap contributors

What is the surrounding area like?

Area statistics

Residents aged 65 and over
43.1% (± 22.5), Census block group
Median household income
$62,306 (± $14,762), Census tract
EPA National Walkability Index
7.5 on EPA’s 1 to 20 scale

Survey estimates for the Census area around the address, with margins of error. They describe the area, not the facility or its residents.

Source: U.S. Census Bureau; U.S. Environmental Protection Agency

Sources and limits

StrongPath shows facts published by government agencies and open data projects, with their dates. We do not rank, score or recommend providers, and we have no business relationship with any provider listed. Call the provider and check the official source before you decide. This is general information, not medical, legal or financial advice.