Starfile

Starfile / Florida

THE PAVILION AT CRESCENT LAKE

100 N LAKE ST, CRESCENT CITY, FL 32112 · CCN 105808

Ratings

Overall
★★★★★ 5
Health inspection
★★★★☆ 4
Quality measures
★★★★★ 5
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Limited Liability company
Certified beds
92
Avg residents/day
76.7
Phone
3866982222

Inspection history vs Florida & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityFlorida avgNational avgvs state
12024-08-0137.39.5-4.3 better
22023-03-2346.39.8-2.3 better
32021-10-0766.09.3at state average

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Nutrition and dietary1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4924.6%
RN staffing (reported)0.4633.3%
Total nurse staffing (adjusted)4.31

Fines & penalties

Total fines
$13,150
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
THE PAVILION GROUP
Facilities in chain
6
Chain avg overall
3.30 / 5

Inspection citations (13)

  1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-01 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  2. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-01 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  3. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-01 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  4. DF0641Ensure each resident receives an accurate assessment.2023-03-23 · Health · corrected 2023-05-03

    Potential for more than minimal harm

  5. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-03-23 · Health · corrected 2023-05-03

    Potential for more than minimal harm

  6. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-23 · Health · corrected 2023-05-03

    Potential for more than minimal harm

  7. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-23 · Health · corrected 2023-05-03

    Potential for more than minimal harm

  8. EF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2021-10-07 · Health · corrected 2021-11-08

    Potential for more than minimal harm

  9. DF0584Honor 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.2021-10-07 · Health · corrected 2021-11-08

    Potential for more than minimal harm

  10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-10-07 · Health · corrected 2021-11-08

    Potential for more than minimal harm

  11. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-10-07 · Health · corrected 2021-11-08

    Potential for more than minimal harm

  12. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-10-07 · Health · corrected 2021-11-08

    Potential for more than minimal harm

  13. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-10-07 · Health · corrected 2021-11-08

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
MOERMAN, RAFAELIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST55%2021-05-01
ANDERSON, RAYMONDIndividualOPERATIONAL/MANAGERIAL CONTROL2023-10-09
KRIESER, AKIVAIndividualOPERATIONAL/MANAGERIAL CONTROL2018-05-01
MOERMAN, RAFAELIndividualOPERATIONAL/MANAGERIAL CONTROL2021-05-01

Other facilities in CRESCENT CITY

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.