Free Florida public-record evidence · Nursing home / skilled nursing

GOOD SAMARITAN CENTER

10676 MARVIN JONES BLVD · LIVE OAK · SUWANNEE County · 32060

Inspection and deficiency evidence for families and professionals. No paid placement position or proprietary CRP quality score.

Provider metadata as of 2026-10-07; retrieved 2026-10-07. These dates do not establish current inspection coverage.

Agency identity and evidence coverage

AHCA FILE: 36101 · Agency identity source
CMS CCN: 105809 · Agency identity source

Observed CMS certification status: Certified. This is the published metadata observation, not a new certification determination.

Observed state license status: LICENSED. Confirm the current status with the agency.

Official provider data source

rules: Provider-specific reference links are provided. Effective-date rule evaluation and staffing compliance remain unqualified.
quality: CMS ratings are shown below; these are not CRP ratings. Underlying measure periods are not established by this import.
branches: Branch and parent/site relationships have not been independently established. A directory address or served ZIP does not establish a branch.
identity: CMS and AHCA identity records linked with retained evidence. Historical periods before an observed link are not inferred.
staffing: CMS-published reported staffing is shown below with source context. No staffing compliance determination is made.
financial: See source-qualified reported fines and payment adjustments below. Actual payments, revenue losses and current restrictions are not established.
ownership: CMS ownership records are retained as reported. A current release is not a complete ownership or change-of-ownership history.
inspections: Qualified CMS citation releases only; state findings and inspector narratives are not yet integrated.

Retained citation report window: 2024-10-07 through 2026-10-07. Individual sources may have earlier coverage.

Published inspection and deficiency records

14 retained citation records in this published report; showing the first 14 below. This is not a count of unresolved problems, inspections or a facility score.

The descriptions identify cited requirements, not the inspector’s facility-specific narrative.

CMS:NH:F F0584 · Inspection 2026-04-16

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.

Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-27. A recorded correction does not independently verify the present condition.

Original CMS health citation CSV is unavailable at its former URL. Download cited CMS health CSV in ZIP archive (ZIP; contains r5ix-sfxw_2026-08-01_NH_HealthCitations_Aug2026.csv; cited CSV SHA-256 54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741).

CMS:NH:F F0645 · Inspection 2026-04-16

PASARR screening for Mental disorders or Intellectual Disabilities

Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-27. A recorded correction does not independently verify the present condition.

CMS:NH:F F0689 · Inspection 2026-04-16

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

Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-25. A recorded correction does not independently verify the present condition.

CMS:NH:F F0757 · Inspection 2026-04-16

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-27. A recorded correction does not independently verify the present condition.

CMS:NH:F F0761 · Inspection 2026-04-16

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.

Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-25. A recorded correction does not independently verify the present condition.

CMS:NH:F F0812 · Inspection 2026-04-16

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

Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-25. A recorded correction does not independently verify the present condition.

CMS:NH:F F0867 · Inspection 2026-04-16

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-05-27. A recorded correction does not independently verify the present condition.

CMS:NH:K K0372 · Inspection 2026-04-16

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

Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-06-11. A recorded correction does not independently verify the present condition.

Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).

CMS:NH:K K0918 · Inspection 2026-04-16

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

Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2026-06-11. A recorded correction does not independently verify the present condition.

Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).

CMS:NH:F F0636 · Inspection 2024-10-31

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2024-12-02. A recorded correction does not independently verify the present condition.

CMS:NH:F F0641 · Inspection 2024-10-31

Ensure each resident receives an accurate assessment.

Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2024-12-02. A recorded correction does not independently verify the present condition.

CMS:NH:F F0656 · Inspection 2024-10-31

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

Survey type: Health. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2024-12-02. A recorded correction does not independently verify the present condition.

CMS:NH:K K0353 · Inspection 2024-10-31

Inspect, test, and maintain automatic sprinkler systems.

Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2024-12-02. A recorded correction does not independently verify the present condition.

Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).

CMS:NH:K K0363 · Inspection 2024-10-31

Install corridor and hallway doors that block smoke.

Survey type: Fire Safety. Source publication: 2026-08-26. Coverage through: Not supplied.

Recorded correction status: Deficient, Provider has date of correction. Recorded correction date: 2024-12-02. A recorded correction does not independently verify the present condition.

Original CMS fire citation CSV is unavailable. Current CMS Fire Safety dataset page (current dataset page, not the cited August 2026 CSV).

CMS-published staffing and other measures

These are agency-published observations. CMS ratings remain CMS ratings; CRP creates no quality score. Reported staffing does not establish actual attendance, adequacy or legal compliance. Source release and processing dates are not the underlying measurement periods.

Published measure	Value	Measurement and source context
Overall Rating	5 stars (1–5)	CMS-calculated rating; not a CRP compliance determination. Measurement period: Not established by this column importer; publication/processing dates are not measurement periods. Source published: 2026-08-26; processing: 2026-08-01. CMS source
Health Inspection Rating	4 stars (1–5)	CMS-calculated rating; not a CRP compliance determination. Measurement period: Not established by this column importer; publication/processing dates are not measurement periods. Source published: 2026-08-26; processing: 2026-08-01. CMS source
QM Rating	3 stars (1–5)	CMS-calculated rating; not a CRP compliance determination. Measurement period: Not established by this column importer; publication/processing dates are not measurement periods. Source published: 2026-08-26; processing: 2026-08-01. CMS source
Long-Stay QM Rating	5 stars (1–5)	CMS-calculated rating; not a CRP compliance determination. Measurement period: Not established by this column importer; publication/processing dates are not measurement periods. Source published: 2026-08-26; processing: 2026-08-01. CMS source
Short-Stay QM Rating	1 stars (1–5)	CMS-calculated rating; not a CRP compliance determination. Measurement period: Not established by this column importer; publication/processing dates are not measurement periods. Source published: 2026-08-26; processing: 2026-08-01. CMS source
Staffing Rating	5 stars (1–5)	CMS-calculated rating; not a CRP compliance determination. Measurement period: Not established by this column importer; publication/processing dates are not measurement periods. Source published: 2026-08-26; processing: 2026-08-01. CMS source
Reported Nurse Aide Staffing Hours per Resident per Day	3.20443 hours per resident day	CMS-published reported staffing; not independently observed staffing or a legal minimum test. Measurement period: Not established by this column importer; publication/processing dates are not measurement periods. Source published: 2026-08-26; processing: 2026-08-01. CMS source
Reported LPN Staffing Hours per Resident per Day	1.05762 hours per resident day	CMS-published reported staffing; not independently observed staffing or a legal minimum test. Measurement period: Not established by this column importer; publication/processing dates are not measurement periods. Source published: 2026-08-26; processing: 2026-08-01. CMS source
Reported RN Staffing Hours per Resident per Day	0.84518 hours per resident day	CMS-published reported staffing; not independently observed staffing or a legal minimum test. Measurement period: Not established by this column importer; publication/processing dates are not measurement periods. Source published: 2026-08-26; processing: 2026-08-01. CMS source
Reported Total Nurse Staffing Hours per Resident per Day	5.10722 hours per resident day	CMS-published reported staffing; not independently observed staffing or a legal minimum test. Measurement period: Not established by this column importer; publication/processing dates are not measurement periods. Source published: 2026-08-26; processing: 2026-08-01. CMS source
Number of Certified Beds	161 certified beds	CMS-certified beds, not state licensed capacity. Measurement period: Not established by this column importer; publication/processing dates are not measurement periods. Source published: 2026-08-26; processing: 2026-08-01. CMS source

Daily staffing source coverage

Provider-reported CMS PBJ records are retained for these periods. Counts do not establish adequate staffing, complete attendance or compliance.

NON_NURSE: 86 reported days, 2024-10-07 through 2024-12-31. Published 2025-04-30. CMS staffing source
NURSE: 86 reported days, 2024-10-07 through 2024-12-31. Published 2025-04-30. CMS staffing source
NON_NURSE: 90 reported days, 2025-01-01 through 2025-03-31. Published 2025-09-11. CMS staffing source
NURSE: 90 reported days, 2025-01-01 through 2025-03-31. Published 2025-09-11. CMS staffing source
NON_NURSE: 91 reported days, 2025-04-01 through 2025-06-30. Published 2025-11-20. CMS staffing source
NURSE: 91 reported days, 2025-04-01 through 2025-06-30. Published 2025-11-20. CMS staffing source
NON_NURSE: 92 reported days, 2025-07-01 through 2025-09-30. Published 2026-02-05. CMS staffing source
NURSE: 92 reported days, 2025-07-01 through 2025-09-30. Published 2026-02-05. CMS staffing source
NON_NURSE: 92 reported days, 2025-10-01 through 2025-12-31. Published 2026-04-29. CMS staffing source
NURSE: 92 reported days, 2025-10-01 through 2025-12-31. Published 2026-04-29. CMS staffing source
NON_NURSE: 90 reported days, 2026-01-01 through 2026-03-31. Published 2026-07-29. CMS staffing source
NURSE: 90 reported days, 2026-01-01 through 2026-03-31. Published 2026-07-29. CMS staffing source

Reported ownership evidence

Source-reported records do not establish a complete portfolio, branch network or ownership history.

role: 5% OR GREATER DIRECT OWNERSHIP INTEREST
ownerName: ADVENT CHRISTIAN VILLAGE INC
ownerType: Organization
associationDateReported: since 03/01/2004
ownershipPercentageReported: 100%

Source published 2026-08-26. Ownership source

role: CORPORATE DIRECTOR
ownerName: INNOCENT SIMON, JOELLE
ownerType: Individual
associationDateReported: since 04/01/2025
ownershipPercentageReported: NOT APPLICABLE

Source published 2026-08-26. Ownership source

role: CORPORATE OFFICER
ownerName: CARTER, CRAIG
ownerType: Individual
associationDateReported: since 09/01/2008
ownershipPercentageReported: NOT APPLICABLE

Source published 2026-08-26. Ownership source

role: CORPORATE OFFICER
ownerName: HETT, STEVE
ownerType: Individual
associationDateReported: since 09/01/2008
ownershipPercentageReported: NOT APPLICABLE

Source published 2026-08-26. Ownership source

role: CORPORATE OFFICER
ownerName: WILLIS, MICHAEL
ownerType: Individual
associationDateReported: since 05/13/2024
ownershipPercentageReported: NOT APPLICABLE

Source published 2026-08-26. Ownership source

role: OPERATIONAL/MANAGERIAL CONTROL
ownerName: HILLIARD, KERRI
ownerType: Individual
associationDateReported: since 09/01/2008
ownershipPercentageReported: NOT APPLICABLE

Source published 2026-08-26. Ownership source

role: OPERATIONAL/MANAGERIAL CONTROL
ownerName: INNOCENT SIMON, JOELLE
ownerType: Individual
associationDateReported: since 04/01/2025
ownershipPercentageReported: NOT APPLICABLE

Source published 2026-08-26. Ownership source

role: ADP OF THE SNF
ownerName: HILLIARD, KERRI
ownerType: Individual
associationDateReported: since 04/16/2025
ownershipPercentageReported: NOT APPLICABLE

Source published 2026-08-26. Ownership source

role: ADP OF THE SNF
ownerName: INNOCENT SIMON, JOELLE
ownerType: Individual
associationDateReported: since 04/22/2025
ownershipPercentageReported: NOT APPLICABLE

Source published 2026-08-26. Ownership source

Agency source documents

A document reference is not a count of deficiencies, inspections or fines. Document-only values remain unknown when not qualified.

Statement of Deficiencies — Listed visit date: 2026-06-11. Agency document.
Statement of Deficiencies — Listed visit date: 2026-06-11. Agency document.
Statement of Deficiencies — Listed visit date: 2026-06-11. Agency document.
Statement of Deficiencies — Listed visit date: 2026-06-11. Agency document.
Statement of Deficiencies — Listed visit date: 2026-04-27. Agency document.
Statement of Deficiencies — Listed visit date: 2026-04-27. Agency document.
Statement of Deficiencies — Listed visit date: 2026-04-16. Agency document.
Statement of Deficiencies — Listed visit date: 2026-03-19. Agency document.
Statement of Deficiencies — Listed visit date: 2026-03-19. Agency document.
Statement of Deficiencies — Listed visit date: 2026-01-28. Agency document.
Statement of Deficiencies — Listed visit date: 2026-01-06. Agency document.
Statement of Deficiencies — Listed visit date: 2024-12-26. Agency document.
Statement of Deficiencies — Listed visit date: 2024-10-31. Agency document.
Statement of Deficiencies — Listed visit date: 2024-10-31. Agency document.
Statement of Deficiencies — Listed visit date: 2024-10-28. Agency document.

For families: what happened, and what should I ask?

Ask for the current inspection report, the response to relevant findings and evidence that corrective steps were completed. Historical findings do not prove current unsafe care. Missing findings do not prove quality or suitability.

Prepare inspection-history questions · Understand AHCA and CMS evidence

For facilities: what should we check?

Review the dates, cited requirement and documented correction context before applying a finding to your operation. Compare public evidence without assuming a matched peer population or a cause that the source does not establish.

Open the professional evidence view and full source tools · What Florida ALFs are being cited for · Process maps and tools

Open the interactive evidence view Search another provider

Download this immutable published evidence (JSON) · Browse provider evidence

Publication reference: 6353b7c6-7a35-4edd-813e-987c75e6ada5. Source coverage and unavailable facts remain provider-specific.