Provider Profile

GOOD SAMARITAN CENTER

Nursing Home

FACILITY PROFILE

Street Address
  • 10676 MARVIN JONES BLVD
    LIVE OAK, FL 32060
    County: Suwannee
  • Phone: (386) 658-5550
Mailing Address
  • PO BOX 4332
    DOWLING PARK, FL 32064-1539
    County: Suwannee
  • Phone: (386) 658-5550
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Facility Information:
Facility/Provider Type:Nursing Home
Administrator:KERI ELIZABETH HILLIARD
Financial Officer:MICHAEL LAMAR WILLIS
Owner/Licensee:ACV HEALTH SERVICES, LLC
Owner/Licensee Since:11/1/2003

NamePositionOwnership
CRAIG CARTERBOARD MEMBER/OFFICER0%
KERI ELIZABETH HILLIARDBOARD MEMBER/OFFICER0%
MICHAEL LAMAR WILLISBOARD MEMBER/OFFICER0%
STEVEN HETTBOARD MEMBER/OFFICER0%
Profit Status:Not-For-Profit
Management Company:Not Available
Manager Since:Not Available
Licensed Beds:161
Bed Types:Total Capacity: 161
Community Beds: 161
Sheltered Beds: 0
Pediatric Beds: 0
Private Rooms: 25
2-Bed Rooms: 68
3-Bed Rooms: 0
4-Bed Rooms: 0
AHCA Number (File Number):36101
AHCA Field Office:03
License Number:1178096
Current License Effective:1/30/2025
Current License Expires:1/29/2027
License Status:LICENSED
Services/Characteristics
Current Daily Rate:385.00
Adult Day Care Services:No
Continuing Care Retirement Community:No
Languages Spoken:Spanish
Payment Forms Accepted:Insurance and/or HMOMedicaidMedicareWorkers Compensation
Religious Affiliations:Other
Special Programs and Services:Alzheimer'sAlzheimers Secured UnitHospice CareJCAHO accredited Long Term Care ProgramRespite
Emergency Power Plan Summary
Plan Approval:10/19/2018
Implementation Date:10/19/2018
Implementation Extended Until:12/31/2018
Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
1/26/20232023001597FineSurvey$2,500.005/8/2023
1/26/20232023001597Conditional LicenseSurvey$0.0011/17/2022
12/12/20182018018147Rule Variance/WaiverAdministrative Rule$0.001/7/2019
10/10/20172017011953Rule Variance/WaiverAdministrative Rule$0.0011/9/2017
1/29/20142014000913Conditional LicenseSurvey$0.004/14/2014
1/29/20142014000913FineSurvey$2,500.004/14/2014
8/14/20062006007232FineApplication$3,750.0011/17/2006
7/19/20062006006621FineSurvey$750.0012/18/2006
7/19/20062006006624Conditional LicenseSurvey$0.007/14/2006

Important information and facility/provider definitions can be found in the Glossary.

Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.