Pricing ranges from
    $3,860 – 5,018/month

    Lilac at BayView

    161 Marine St, Saint Augustine, FL, 32084
    • Assisted living
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Compassionate staff but inconsistent care

    I found many genuinely caring CNAs, nurses, a helpful concierge and an excellent rehab/PT team - the building and views are lovely and generally clean. However, administration is often unresponsive, turnover and understaffing are constant, and that translates to long waits for meds, missed baths/toileting help, irregular/poor meals and occasional infection-control or safety lapses. Some units were much worse than others. Leadership has made improvements at times, but inconsistency remains. If you need great rehab and compassionate staff, it's worth considering; if you require reliable nursing, meals and management follow-through, look carefully before deciding.

    Pricing

    $3,860+/moSemi-privateAssisted Living
    $4,632+/mo1 BedroomAssisted Living
    $5,018+/moStudioAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.00 · 157 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.6
    • Staff

      4.0
    • Meals

      2.5
    • Amenities

      4.0
    • Value

      3.2

    Pros

    • Many courteous, friendly and genuinely caring staff members
    • Numerous specific staff praised for attentive, compassionate care
    • Strong, highly regarded physical therapy and rehab services
    • Helpful concierge/admissions support and responsive front-office staff
    • Beautiful waterfront/river/marina location with scenic views
    • Clean, well-maintained, hotel-like common areas reported by many
    • Accessible apartment layouts (kitchenette, dining area, spacious bathroom)
    • On-site amenities (pool, decks, courtyard, outdoor seating, dock)
    • Regular activities, classes, fitness opportunities and events
    • Frequent organized trips and outings (Walmart, field trips, entertainment)
    • Daily housekeeping and laundry service reported by many
    • Easy transfer between assisted living and adjacent skilled nursing
    • Spacious lounge and dedicated activities areas
    • Quick bell/ call-light response reported in many positive reports
    • Concierge and staff assistance with appointments and transportation
    • Well-liked dining rooms/ cafeterias and some positive meal experiences
    • Welcoming atmosphere for visitors and family engagement events
    • Some strong, consistent unit managers and night-shift nurses lauded
    • Invites/tours and informative admissions process noted as helpful
    • Variation of therapeutic and recreational programming (cookie baking, bingo, sing-alongs)

    Cons

    • Frequent reports of understaffing and high staff turnover
    • Repeated complaints about inconsistent or poor nursing/CNA care
    • Multiple allegations of neglect, mistreatment, and abusive behavior
    • Medication errors and delayed delivery of pain or scheduled meds
    • Poor wound care and infection-control lapses cited in several reviews
    • Serious safety incidents reported (falls, infections, sepsis, alleged need for more surgery)
    • CMS 1-star rating, citations for abuse/neglect, and health infractions mentioned
    • Inconsistent or poor communication from administration and admissions
    • Long waits for toileting, call lights sometimes unanswered
    • Food quality complaints: unhealthy, sugary/fried, poor diabetic management
    • Meal service problems: shortages, irregular meal times, no posted menus
    • Allegations of staff theft, missing belongings, and security concerns
    • Instances of rooms being too hot, pitch-black during day, bad odors
    • Reports of unprofessional staff behavior and confrontations with families
    • Reported delays in paperwork and administrative follow-through (e.g., death certificate)
    • Inconsistent housekeeping/linen changes and room maintenance issues
    • Perceived decline in care after ownership change or buyout
    • Reports of isolation of management on weekends and poor emergency coordination
    • Mixed cleanliness reports — some say pristine, others report dirty facility
    • Conflicting accounts between different units/locations (Bayview vs Brooks Bartram Crossing)

    Summary review

    The reviews of Lilac at BayView present a highly polarized picture: many families and residents praise the facility for its people, place, and therapy services, while a significant number of reviews describe troubling lapses in clinical care, safety, and administration. Positive themes center on individual staff members and teams who are described as compassionate, attentive, and effective — particularly the concierge/admissions staff and the rehabilitation/physical therapy teams. Multiple reviewers single out specific nurses, CNAs, and concierge staff for exemplary service. The physical site and amenities are frequently praised: the waterfront/riverside location, outdoor spaces (dock, pool, decks, courtyard), scenic views, and bright, hotel-like common areas are recurrent positives. Residents also benefit from accessible apartment designs, daily housekeeping in many cases, an active activities program (classes, cookie baking, bingo, trips), and the convenience of an adjacent skilled nursing building enabling transfers as care needs change.

    However, these strengths sit alongside repeated and serious criticisms. Staffing shortages and high turnover are a persistent complaint and appear to be linked to many of the reported quality problems. Numerous accounts describe inconsistent or poor nursing and CNA care: delayed medications (including pain medication), missed or incorrect medication administration, inadequate wound care (wounds not cleaned or bandages not changed), and unsafe situations (a fall allegedly due to an unlocked wheelchair brake resulting in infection). Several reviewers report outcomes they attribute to neglect — infections, sepsis, and calls for additional interventions — and some call attention to regulatory problems (CMS 1-star rating, abuse/neglect citations, and health-related infractions). These reports raise serious safety and quality concerns that contrast sharply with other families’ experiences.

    Administration and communication are another frequent area of tension. Many reviewers praise particular front-office and concierge staff for responsiveness, assistance with paperwork, and coordination of follow-up care, yet a similarly large group reports unresponsiveness from management, delayed callbacks, unanswered admission inquiries, and problematic transitions after ownership changes. Some reviews describe weekend or overnight coverage gaps where there is little or no administrative presence. There are also reports of delayed or missing administrative tasks (for example, delays in death certificate sign-off) and inconsistent follow-through on promises (missed baths, late linens, or not receiving expected bonuses for staff), contributing to perceptions of declining oversight.

    Dining and nutrition are mixed but leaning negative in many reports. While a subset of reviewers enjoyed meals and called breakfasts “fantastic,” many others described the food as poor quality — overly sugary, fried, lacking nutritional value, and poorly managed for diabetic residents. Operational problems (food shortages, dining rooms running out, no posted menus, irregular meal times) were cited more than once, raising concerns about consistency and dietary oversight for vulnerable residents.

    Activities, social engagement, and therapy are widely praised. Multiple reviews note varied programming, trips, and daily engagement that keep residents active and connected. The rehab/physical therapy teams receive particularly strong, consistent acclaim for restoring mobility and providing high-quality therapeutic care. This is an important strength for families seeking short-term rehab or active programming.

    Cleanliness and maintenance reports are inconsistent: many reviewers describe the facility as very clean, neat, and well-maintained, while others report dirty conditions, infrequent linen changes, bad odors, and maintenance intrusions. Similarly, the overall culture and staff professionalism vary by shift and unit. Several reviewers report exceptional, compassionate staff and quick response to call lights, while others describe rude, uncaring, and even allegedly abusive behavior.

    A notable pattern is the coexistence of standout individuals and teams alongside systemic problems. Recurrent positive mentions of particular staff members (concierge, nurses, CNAs, therapists) suggest pockets of reliable, high-quality care. At the same time, numerous reports of understaffing, administrative lapses, safety incidents, infection-control issues, and regulatory citations indicate potential systemic weaknesses that could endanger some residents. The divergence in reviews also suggests variability by unit, shift, or period (some reviewers explicitly contrast Bayview with other nearby campuses such as Brooks Bartram Crossing, or note declines after a buyout or management change).

    Recommendations for families: if considering Lilac at BayView, conduct a focused tour and due diligence. Ask for current staffing ratios, recent state inspection/CMS reports and how cited issues were addressed, infection-control policies, wound-care protocols, medication administration procedures, and weekend/overnight administrative coverage. Speak directly to the rehab team if short-term recovery is the goal (many reviewers praised those services). Meet core nursing/CNA staff who will primarily care for your loved one and ask about continuity of caregivers. Monitor meal planning for special diets (e.g., diabetes) and request specific examples of how the facility manages those needs. Finally, seek references from current families on the unit where your loved one would reside, and clarify communication practices for updates and incident reporting. The facility shows real strengths — excellent therapy, beautiful setting, and many committed caregivers — but the documented variability and serious complaints about safety and administration warrant careful scrutiny before placement.

    Location

    Map showing location of Lilac at BayView

    About Lilac at BayView

    Lilac at BayView offers a mix of senior care options, including assisted living, independent living, adult care home services, memory care, home care, and a skilled nursing facility for both short-term rehab and long-term care, and all this is rolled together in a place that's got a Joint Commission accreditation for its standards. The facility provides 120 certified beds, and usually has about 106 residents daily, while they're managed by the Lilac Health Group LLC since early 2022, and the ownership ties go to Simcha Hyman and Naftali Zanziper. There's hospice care and hospice referral support, as well as respite care for surgeries or injuries, plus help with daily activities like dressing, grooming, and bathing, and residents have access to meals, medication assistance, 24-hour emergency response, transportation (some complimentary, some for a fee), and parking if they drive. You'll find a swimming pool or hot tub, landscaped courtyards, outdoor common areas, sheltered terraces, a library, computer lab, and even onsite and offsite devotional services, and they're big on a rounded activities schedule with social and leisure activities like yoga, Tai Chi, aquatic classes, and educational and recreational events both onsite and offsite. The skilled nursing section offers wound care, speech therapy, occupational therapy, pharmacy management, medical supervision, and physical rehab, plus they've got a robust rehabilitation program aimed at helping folks get better and back home sooner when possible. There's an onsite beautician for personal grooming needs, and the building is made to feel comforting and inviting with tastefully furnished spaces and a calm atmosphere, and private or shared rooms include full tubs and wheelchair accessible showers. Lilac at BayView keeps standards for infection control, including facial covering policies that let people opt out with proper guidance, and the facility has been cited for various inspection deficiencies, including issues with care coordination, resident treatment, and food and fluids, and it's shown a nurse staffing rate below the state average and a nurse turnover higher than what you'll find elsewhere. Staff is around to provide personal attention, and while the goal is a community atmosphere that's warm and cozy, it's important to be aware of the state inspection records and nurse staffing levels, but you do get a wide range of services if you're looking for different kinds of care and a range of amenities for daily living and recreation.

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