The Pavilion at Crescent Lake
Nursing Home · Crescent City, FL
CMS certification number105808
Contact & location
100 N Lake STCrescent City, FL 32112
Putnam County
- Phone
- (386) 698-2222
- ZIP code
- 32112 – all care providers
Facility details
- Certified beds
- 92
- Residents per day
- 72.2 (78% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- The Pavilion at Crescent Lake for Nursing and Rehabilitation LLC
- Chain
- The Pavilion Group (6 facilities, avg 2.8★)
- Medicare certified since
- July 1, 1993
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.57 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.54 (state 0.73 · U.S. 0.69)
- Licensed practical nurses
- 0.86 (state 0.78 · U.S. 0.86)
- Nurse aides
- 2.17 (state 2.31 · U.S. 2.32)
- Weekend total
- 3.25 (state 3.49 · U.S. 3.42)
- Nursing staff turnover
- 27.9 (state 41.4 · U.S. 45.8)%
- RN turnover
- 62.5 (state 46.0 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- January 8, 2026
- Health deficiencies (last cycle)
- 9.0 (state 7.1 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 16 health · 23 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-01-08 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-17 |
| 2026-01-08 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-17 |
| 2026-01-08 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-17 |
| 2026-01-08 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-17 |
| 2026-01-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-17 |
| 2026-01-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-17 |
| 2026-01-08 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-17 |
| 2026-01-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-17 |
| 2026-01-08 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2026-02-17 |
| 2024-08-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-01 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2023-03-23 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-03 |
| 2023-03-23 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-03 |
| 2023-03-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-03 |
| 2023-03-23 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-03 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Anderson, Raymond (individual) | Administrator · NOT APPLICABLE | |
| Eldick, Moustafa (individual) | Administrator · NOT APPLICABLE | |
| Fasten Halberstam LLP (organization) | Administrator · NOT APPLICABLE | |
| Pavilion Management Group LLC (organization) | Administrator · NOT APPLICABLE | |
| Powerback Rehabilitation LLC (organization) | Administrator · NOT APPLICABLE | |
| Richards Mitchell & Cross PA (organization) | Administrator · NOT APPLICABLE | |
| Crescent City Holdings LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Birnbaum, Ezra (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| FTK Capital LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Hirsch, Shaye (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Inzelbuch, Azriel (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Moerman, Rafael (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Npnh1 LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| SHS Keren LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Singer, Simon (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Anderson, Raymond (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Krieser, Akiva (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Moerman, Rafael (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of The Pavilion at Crescent Lake?
The Pavilion at Crescent Lake has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Florida.
How many beds does The Pavilion at Crescent Lake have?
It has 92 certified beds and cares for about 72 residents per day.
Has The Pavilion at Crescent Lake been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns The Pavilion at Crescent Lake?
It is part of The Pavilion Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of The Pavilion at Crescent Lake?
(386) 698-2222. The facility is located at 100 N Lake ST, Crescent City, FL 32112.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.