GOOD SAMARITAN CENTER
10676 MARVIN JONES BLVD
LIVE OAK, FL, 32060
3866585550
CCN: 105809
5
Overall4
Health5
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (10)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
ALSI CARE SERVICES, INC
1128b8
Excluded 2001-09-20
AMITAN HEALTH SERVICES OF DADE
1128b7
Excluded 1999-11-15
DME SERVICES, CORP
1128b7
Excluded 2002-07-15
EXPRESS HEALTH CARE SERVICES
1128b8
Excluded 1996-02-15
J & L SERVICES, INC
1128b8
Excluded 1999-08-19
KIDS HEALTH SERVICES, INC
1128a1
Excluded 2004-04-20
MARITIME HEALTH SERVICES OF TA
1128b8
Excluded 2005-01-19
SUPPORTIVE HEALTH SERVICES COR
1128b8
Excluded 2003-12-18
TECHNO/HEALTH SERVICES, INC
1128b8
Excluded 1998-01-20
TRUFAITH HEALTH SERVICES, INC
1128b8
Excluded 1995-05-09
Ownership
| Name | Role | % |
|---|---|---|
| ADVENT CHRISTIAN VILLAGE INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| INNOCENT SIMON, JOELLE | CORPORATE DIRECTOR | NOT APPLICABLE |
| CARTER, CRAIG | CORPORATE OFFICER | NOT APPLICABLE |
| HETT, STEVE | CORPORATE OFFICER | NOT APPLICABLE |
| WILLIS, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| INNOCENT SIMON, JOELLE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HILLIARD, KERRI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (8)
2024-10-31 · Health
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
2023-07-27 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
2022-03-03 · Health
D
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
D
F638 · Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.88
RN Hrs/Resident/Day0.54
0.81
LPN Hrs/Resident/Day0.81
1.04
CNA Hrs/Resident/Day2.33
3.03
PT Hrs/Resident/Day0.12
0.03
Data as of 2026-03-01