Aviata at Shoal Creek — nursing home in Crestview, FL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 108.8 CMS, MDS-derived
CMS Certification Number: 106028
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 27, 2000
Ownership type: For profit - Limited Liability company
Operator (legal business name): 500 Hospital Dr Opco LLC
CMS chain: Aviata Health Group 50 facilities
Phone: (850) 689-3146
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jan 7, 2026

Citations

18

14 health · 4 fire

Harm or worse

4

4 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J4	K·	L·
Actual harm	G·	H·	I·
Potential harm	D10	E4	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 106028
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Apr 27, 2000
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Florida.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 7, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 7, 2026	Health	Health Standard	2	Potential harm	—	Open →
Aug 29, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Aug 29, 2024	Health	Health Standard	3	Potential harm	—	Open →
May 19, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
May 19, 2023	Health	Health Standard	9	Immediate jeopardy	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J4	K·	L·
Actual harm	G·	H·	I·
Potential harm	D10	E4	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jan 7, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 26, 2026
Jan 7, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 26, 2026
Jan 7, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 26, 2026
Jan 7, 2026	F-0770	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Mar 19, 2026
Jan 7, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Mar 19, 2026
Aug 29, 2024	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 13, 2024
Aug 29, 2024	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 13, 2024
Aug 29, 2024	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 13, 2024
May 19, 2023	F-0802	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	J · Immediate jeopardy Isolated	Corrected Jun 23, 2023
May 19, 2023	F-0803	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	J · Immediate jeopardy Isolated	Corrected Jun 23, 2023
May 19, 2023	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	J · Immediate jeopardy Isolated	Corrected Jun 23, 2023
May 19, 2023	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	J · Immediate jeopardy Isolated	Corrected Jun 23, 2023
May 19, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 10, 2023
May 19, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 23, 2023
May 19, 2023	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 23, 2023
May 19, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 23, 2023
May 19, 2023	F-0800	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 23, 2023
May 19, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 23, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.3

Health inspectionsstate 2.9

Staffingstate 3.3

Quality measuresstate 4.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.37

State avg 3.86US avg 3.90

Registered nurse (RN)0.82

State avg 0.73US avg 0.69

Licensed practical nurse0.45

State avg 0.80US avg 0.86

Nurse aide2.09

State avg 2.33US avg 2.35

Weekend total nurse3.18

State avg 3.51US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.55 (case-mix index 1.33).

Staff turnover

Total nursing staff turnover53.2%

State avg 41.5%US avg 45.3%

Registered nurse turnover39.1%

State avg 46.1%US avg 42.5%

Administrators who left3

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 7, 2026
Cycle 1 health score: 8
Total weighted score: 10

Operating entity

500 Hospital Dr Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Aviata Health Group

50 facilities in 1 states. CMS chain ID 745.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

15

Organizations

3

Individuals

12

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
500 Hospital Dr Opco Parent LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2023
500 Hospital Dr Opco Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2023

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
500 Hospital Dr Opco Parent LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2023
500 Hospital Dr Opco Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2023
Amitai Dagan	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 3, 2025
Abraham Goldberger	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 3, 2025
Faigy Goldberger	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 3, 2025
Eliezer Herskowitz	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 3, 2025
Yaakov Herskowitz	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 3, 2025
Aaron Travitsky	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 3, 2025
Indumathi Christopher	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 5, 2023
Nochum Freund	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2023
Anthony Rimmer	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2023
Nochum Freund	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2023
Aspire Mgt LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2023
Indumathi Christopher	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 5, 2023
Anthony Rimmer	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2023

Same chain in Florida

All 49 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Aviata at the Sea - Pasadena 1820 Shore Dr S, South Pasadena, FL 33707 CCN 105012	58	Feb 2, 2023	49	$41k
Aviata at Lakeside Oaks 1061 Virginia St, Dunedin, FL 34698 CCN 105132	93	Jul 30, 2026	291 harm	$8,788
Aviata at Emerald Shores 626 N Tyndall Pkwy, Callaway, FL 32404 CCN 105148	77	Jun 18, 2026	11	—
Aviata at Saint Lucie 611 S 13th St, Fort Pierce, FL 34950 CCN 105257	171	Jul 10, 2026	843 IJ	$65k
Aviata at the Sea - Pompano Beach 2401 NE 2nd Street, Pompano Beach, FL 33062 CCN 105258	83	Jul 1, 2025	50	—
Aviata at Sand Key 1980 Sunset Point Rd, Clearwater, FL 33765 CCN 105373	120	Aug 27, 2026	452 IJ1 harm1 open	$164k
Aviata at the Palms 2600 Highlands Blvd N, Palm Harbor, FL 34684 CCN 105394SFF CandidateAbuse icon	120	Jul 15, 2026	594 IJ	—
Aviata at Brooksville 1445 Howell Ave, Brooksville, FL 34601 CCN 105413	120	Sep 3, 2026	4615 open	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 500 Hospital Drive, Crestview, FL 32539
ZIP: 32539
County: Okaloosa County FIPS 12091
State: Florida
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Silvercrest Rehabilitation By Harborview 910 Brookmeade Drive, Crestview, FL 32539 CCN 105612	0.4 km	60		Jul 10, 2026	10	—
Crestview Rehabilitation Center, LLC 1849 First Avenue East, Crestview, FL 32539 CCN 105190	3.8 km	180		Aug 21, 2025	8	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	106028	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	106028	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 106028

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction