nursing home in Saint Augustine, FL
St Augustine Health and Rehabilitation Center
51 Sunrise Blvd, Saint Augustine, FL 32084 · (904) 824-4479
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
St Augustine Health and Rehabilitation Center at a glance
St Augustine Health and Rehabilitation Center is a 120-bed for-profit nursing home in Saint Augustine, Florida (St. Johns County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Florida average of 3.3.
Residents receive about 3.9 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (May 21, 2026) found 5 health citations. The Florida average is 7.1.
Federal regulators fined it 1 time in the past three years, totaling $26,685.
Nursing staff turnover is 32.4% per year (state average 41.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Nhs Management
- Medicare-certified since
- September 1, 1977
- Resident/family council
- Resident
- County
- St. Johns County
- CMS Certification Number
- 105315
Ratings
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 4.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.6 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.89 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.48 hrs | 0.73 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.47 hrs | 2.31 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.47 hrs | 3.49 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 32.4% | 41.4% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 14.3% | 46% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 145.5 | 63 | 80.6 | Worse |
Penalties
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $26,685 | $24,361 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 122 | 107 | |
| Average residents per day | 112 | 109 | 86 | |
| Occupancy | 93% | 88.9% | 80.9% |
Long-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.8% | 2.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.5% | 4.5% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 4.8% | 8.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 0.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.9% | 8.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.5% | 9.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.9% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 4.7% | 4.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 8.2% | 14.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 5.6% | 10.5% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 99.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 98.2% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 94.3% | 94.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.9% | 95.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 21, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected July 3, 2026 |
| May 21, 2026 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected July 3, 2026 |
| May 21, 2026 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | D Potential harm, isolated | Corrected July 3, 2026 |
| May 21, 2026 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected July 3, 2026 |
| May 21, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 3, 2026 |
| May 21, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | E Potential harm, pattern | Corrected July 3, 2026 |
| May 21, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 3, 2026 |
| March 5, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected March 26, 2026 |
| March 5, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected March 26, 2026 |
| September 12, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | E Potential harm, pattern | Corrected October 18, 2024 |
| September 12, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected October 18, 2024 |
| September 12, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 12, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 12, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 12, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 12, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 12, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected October 18, 2024 |
| September 12, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected October 18, 2024 |
| September 12, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 18, 2024 |
| September 12, 2024 Standard | 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 · Tag F0584 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 12, 2024 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 12, 2024 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 12, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 18, 2024 |
| October 13, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected November 13, 2022 |
| October 13, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected November 13, 2022 |
| October 13, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected November 13, 2022 |
| October 13, 2022 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected November 13, 2022 |
| October 13, 2022 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 13, 2022 |
| October 13, 2022 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected November 13, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $26,685 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 5, 2026 | Fine | $26,685 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ESTES, JAMES Individual | 5% or greater direct ownership interest | 68% | 02/19/1999 |
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 Organization | 5% or greater direct ownership interest | 10% | 09/30/2019 |
| JAMES NORMAN ESTES JR TR Organization | 5% or greater direct ownership interest | 6% | 06/30/2013 |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 Organization | 5% or greater direct ownership interest | 10% | 09/30/2019 |
| JENNIFER LEE ESTES TR 031093 Organization | 5% or greater direct ownership interest | 6% | 06/30/2013 |
| REGIONS BANK Organization | 5% or greater security interest | NOT APPLICABLE | 08/27/2013 |
| MCVEA, CHERI Individual | corporate director | NOT APPLICABLE | 09/27/2021 |
| RASCO, LYNN Individual | corporate director | NOT APPLICABLE | 07/01/2022 |
| SCHNEIDER, JULIE Individual | corporate director | NOT APPLICABLE | 04/21/2023 |
| TONEY, DARIN Individual | corporate director | NOT APPLICABLE | 04/15/2024 |
| ESTES, JAMES Individual | corporate officer | NOT APPLICABLE | 02/19/1999 |
| LONG, PHILLIP Individual | corporate officer | NOT APPLICABLE | 10/01/2019 |
| HUGHES, THOMAS Individual | operational/managerial control | NOT APPLICABLE | 09/17/2021 |
| MCVEA, CHERI Individual | operational/managerial control | NOT APPLICABLE | 09/27/2021 |
| RASCO, LYNN Individual | operational/managerial control | NOT APPLICABLE | 07/01/2022 |
| SCHNEIDER, JULIE Individual | operational/managerial control | NOT APPLICABLE | 04/21/2023 |
| TONEY, DARIN Individual | operational/managerial control | NOT APPLICABLE | 04/15/2024 |
| HUGHES, THOMAS Individual | w-2 managing employee | NOT APPLICABLE | 09/17/2021 |
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★★★★★5Much above averageLilac at Bayview, the
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★★★★★2Below averageMoultrie Creek Nursing and Rehab Center
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★★★★★5Much above averageClyde E Lassen State Veterans Nursing Home
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Government · 120 beds · Part of Florida Department of Veterans' Affairs
★★★★★5Much above averageWestminster St Augustine
230 Towerview Drive, Saint Augustine, FL 32092 · 11.8 mi
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★★★★★5Much above averageBartram Crossing
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Non-profit · 100 beds
- Abuse citation
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Frequently asked questions
What is St Augustine Health and Rehabilitation Center's rating?
St Augustine Health and Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for Florida nursing homes is 3.3 stars.
How many inspection citations did St Augustine Health and Rehabilitation Center receive?
Its most recent standard health inspection found 5 citations, compared with a Florida average of 7.1. Every citation is listed on this page with its severity.
Does St Augustine Health and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns St Augustine Health and Rehabilitation Center?
It is for profit - limited liability company and part of Nhs Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is St Augustine Health and Rehabilitation Center and how do I contact it?
St Augustine Health and Rehabilitation Center is at 51 Sunrise Blvd, Saint Augustine, FL 32084. Phone: (904) 824-4479.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.