Because Union County (15,701 pop.) has zero (0) standalone community skilled nursing facilities (#SNF), zero (0) active assisted living facilities (#AL), and zero (0) adult family care homes (#AFCH) physically located inside Lake Butler (32054), Raiford (32083), or Worthington Springs (32697), the immediate State Road 100 East corridor in neighboring Starke (32091) and Lawtey (32058)—located just 12 to 14 miles southeast of Lake Butler and 8 miles south of Raiford—serves as Union County's primary border residential long-term care hub: (1) Two 120-Bed Medicare & Florida Medicaid Certified Skilled Nursing & Rehabilitation Centers in Starke (240 Total SNF Beds): Riverwood Healthcare & Rehabilitation Center (808 S Colley Rd, Starke, FL 32091, (904) 964-6220, AHCA License #SNF16030961, File #11965571, CMS CCN #105488, NPI #1124653928, FL Medicaid #014658700, 120 beds) and Windsor Health and Rehabilitation Center (602 E Laura St, Starke, FL 32091, (904) 964-3383, AHCA License #SNF1608096, File #11965576, CMS CCN #105696, NPI #1255376307, FL Medicaid #002153600, 120 beds); (2) Two AHCA-Licensed Assisted Living Facilities in Starke & Lawtey (31 Total ALF Beds): 25-bed Young Hearts Extended Assisted Living Facility II directly on State Road 100 at 951 S Water St, Starke, FL 32091 ((904) 964-9399, AHCA License #AL10278, File #11965979, 17 private/waiver + 8 OSS beds, Sunbiz #L18000246041) and 6-bed Limited Mental Health (LMH) licensed Young Hearts Extended Assisted Living Facility I at 21522 N US Hwy 301, Lawtey, FL 32058 ((904) 782-3832, AHCA License #AL13253, File #11969492, 6 OSS/LMH beds, Sunbiz #P18000083688); and (3) One 5-Bed AHCA-Licensed Adult Family Care Home in Starke: Naomi Armistead AFCH (700 Longeno St, Starke, FL 32091, (904) 964-7259, AHCA License #AFCH6906444, File #13960452, 5 beds) (acceptsMedicaid: true).
Official Verification Sources: Riverwood Healthcare & Rehabilitation Center — Official Website (808 S Colley Rd, Starke); CMS Medicare Care Compare — Riverwood (#105488) & Windsor Health and Rehab (#105696); Young Hearts Extended Assisted Living Facility I & II — Official Website (#AL10278 & #AL13253)
Issuer: Florida Agency for Health Care Administration (AHCA) & U.S. Centers for Medicare & Medicaid Services (CMS)
Notes: Verified 2026-10-26 via Florida AHCA & CMS: Riverwood Healthcare & Rehabilitation Center (808 S Colley Rd, Starke, (904) 964-6220, #SNF16030961, CCN #105488) and Windsor Health and Rehabilitation Center (602 E Laura St, Starke, (904) 964-3383, #SNF1608096, CCN #105696) are the closest standalone 120-bed skilled nursing facilities to Lake Butler and Raiford (acceptsMedicaid: true).
Issuer: Florida Agency for Health Care Administration (AHCA)
Notes: Verified 2026-10-26 via AHCA FloridaHealthFinder: Documents 0 active #AL or #AFCH facilities inside Union County and connects families to the closest licensed residential care homes 12–14 miles away on SR-100/US-301 in Starke and Lawtey (acceptsMedicaid: true).
Factual details and direct answers about SR-100 East Border Skilled Nursing & Assisted Living Hub (Starke / Lawtey — 12–14 Miles SE) — Riverwood Healthcare (#SNF16030961), Windsor Health (#SNF1608096), Young Hearts ALF I & II (#AL10278 / #AL13253) & Naomi Armistead AFCH (#AFCH6906444)'s services, licensing, and credentials.
Are there any licensed nursing homes or assisted living facilities physically located inside Lake Butler, Raiford, or Worthington Springs?
No—state AHCA licensing records confirm zero (0) standalone community nursing homes (#SNF), zero (0) active assisted living facilities (#AL), and zero (0) adult family care homes (#AFCH) inside Union County (aside from Lake Butler Hospital's 25 Skilled Swing Beds #4290). The closest licensed facilities are just 12 to 14 miles southeast on State Road 100 in Starke and Lawtey: 120-bed Riverwood Healthcare & Rehabilitation Center (#SNF16030961, (904) 964-6220), 120-bed Windsor Health and Rehabilitation Center (#SNF1608096, (904) 964-3383), 25-bed Young Hearts Extended ALF II (#AL10278, (904) 964-9399), 6-bed LMH-licensed Young Hearts Extended ALF I in Lawtey (#AL13253, (904) 782-3832), and 5-bed Naomi Armistead AFCH (#AFCH6906444, (904) 964-7259).
Do these Starke and Lawtey skilled nursing and assisted living facilities accept Florida Medicaid and OSS from Union County residents?
Yes. Both Riverwood Healthcare (#105488) and Windsor Health and Rehab (#105696) are dually certified for Medicare Part A and Florida Institutional Care Program (ICP) / SMMC Long-Term Care Medicaid, while Young Hearts Extended ALF I & II (#AL10278 / #AL13253) and Naomi Armistead AFCH (#AFCH6906444) accept Florida SMMC Long-Term Care Medicaid Waivers, Assistive Care Services (ACS), Optional State Supplementation (OSS), and VA Aid & Attendance (acceptsMedicaid: true).
Connect with complementary legal, financial, and residential providers serving seniors in Starke and Union County.
Paul Sanders, P.A., Charles D. Sikes, P.A. & Curtis A. 'Lex' Sanders, P.A. — Immediate East SR-100 Border Probate, Wills, Trusts & Estate Counsel (Starke — 13 Miles East of Lake Butler in the 8th Judicial Circuit)
Starke, Union County
(904) 964-2323
Edward Jones — Courtnie A. Douglas, CFP®, AAMS®, CRPC™ (Starke SR-100 Branch), Matt Surrency (Alachua SR-121 Branch) & Lake City CFP® Corridor
Starke, Union County
(904) 964-1486
Bradford County SHIP Housing Assistance Program & Regional Section 8 Voucher Administration (NWFRHA)
Starke, Bradford County
(904) 966-6382
Expert guidance, benefit eligibility rules, and state protections for older Florida residents and family caregivers.
Young Hearts Extended Assisted Living Facility II (Historically Parkside Assisted Living — Starke)
Starke, Bradford County
Riverwood Healthcare & Rehabilitation Center (Formerly Bradford Terrace Nursing Center — Starke)
Starke, Bradford County
Bradford County Senior Center & Suwannee River Economic Council, Inc. (SREC — DOEA PSA 3 Lead Agency) + The Arc of Bradford County
Starke, Bradford County
Windsor Health and Rehabilitation Center (Skilled Nursing, Rehabilitation & Memory Care — Starke)
Starke, Bradford County
Disclaimer: This directory listing is for informational purposes only. Florida Senior Support does not endorse or guarantee the quality of services. Please verify information and services directly with the organization.