All states › Florida › Saint Augustine › The Lilac at Bayview
161a Marine Street Saint Augustine, FL 32084 · St. Johns County
All 6 nursing homes in Saint Augustine, FL (5 take Medicaid)
CMS certification number 105816 · See this home on Medicare Care Compare
Is The Lilac at Bayview a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Lilac at Bayview as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Florida average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.68 hours per resident per day at The Lilac at Bayview, about the same as the Florida median of 3.67 (US median: 3.72). About 0.33 of those hours are from registered nurses. On weekends it falls to 3.34 hours, 9% below its all-week average. 63% of nursing staff left within a year (Florida median 42%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at The Lilac at Bayview: Medicare and Medicaid
The Lilac at Bayview is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Florida's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 10, 2025 and found 6 deficiencies. In total, inspectors issued 19 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 19 citations at The Lilac at Bayview across 5 inspection dates, 4 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on May 17, 2024. The most common areas cited were resident assessment and care planning (4) and resident rights (4). The most serious was cited under the CMS rule to "prepare residents for a safe transfer or discharge from the nursing home" (tag F0624, level G, May 17, 2024).
April 10, 2025 · 6 citations
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide enough food/fluids to maintain a resident's health.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
DProvide and implement an infection prevention and control program.
December 4, 2024 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
May 17, 2024 · 2 citations, includes actual harm · includes complaint inspection
GPrepare residents for a safe transfer or discharge from the nursing home.
GPlan the resident's discharge to meet the resident's goals and needs.
May 18, 2023 · 7 citations
EHonor 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.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure medication error rates are not 5 percent or greater.
DProvide and implement an infection prevention and control program.
September 16, 2021 · 2 citations
FKeep all essential equipment working safely.
DHonor 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.
Questions to ask on a tour of The Lilac at Bayview
- Inspectors cited the home at the actual-harm level on May 17, 2024 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 63% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $16,801 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 17, 2024 | Fine | $8,400 |
| May 17, 2024 | Fine | $8,401 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 3/5 | 2/5 | 5/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
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Location
Hospitals near The Lilac at Bayview
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.4 mi
Flagler Hospital St AugustineEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 46m for patients treated and sent home
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17.2 mi
Ascension St Vincent's St Johns County St. JohnsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 58m for patients treated and sent home
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23.1 mi
Adventhealth Palm Coast Parkway Palm CoastEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 44m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Lilac at Bayview › All nursing homes in Saint Augustine ›
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Higher-rated nursing homes within 10 miles
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- Moultrie Creek Nursing and Rehab Center · Saint Augustine · 5 stars · 5.0 mi
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 79 Simcha Hyman & Naftali Zanziper nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.