RIVER VALLEY REHABILITATION CENTER

17884 NE CROZIER ST
BLOUNTSTOWN, FL, 32424
8506745464
CCN: 105473
5
Overall
4
Health
4
Staffing
5
Quality
ChainSOVEREIGN HEALTHCARE HOLDINGS
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (4)
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.
1ST REHABILITATION OF PORT ST
1128b8
Excluded 2002-09-19
MT ZION MEDICAL REHABILITATION
1128Aa
Excluded 1998-01-31
NEUROMUSCULAR REHABILITATION
1128b8
Excluded 1998-01-20
REHABILITATION CENTER AT HOLLY
1128b5
Excluded 2018-11-20
Ownership
NameRole%
HSP PANHANDLE, LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
CRONQUIST, ROYCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FARUQUI, IQBALOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MANGINE, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SOUTHERN HEALTHCARE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NOBLES, TRENTONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NOTERMANN, WILLIAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MELTON, DONALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (4)
2025-03-27 · Health
D
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F584 · Resident Rights Deficiencies
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.
D
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.60
3.68
RN Hrs/Resident/Day
0.54
0.54
LPN Hrs/Resident/Day
0.93
0.81
CNA Hrs/Resident/Day
2.14
2.33
PT Hrs/Resident/Day
0.05
0.12
Data as of 2026-03-01