01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-22 | 1 | 2025-08-22 | 2 |
| Cycle 2 | 2023-09-08 | 0 | 2023-09-08 | 0 |
| Cycle 3 | 2021-11-04 | 4 | 2021-11-04 | 0 |
CMS CCN 1060882026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Clyde E Lassen State Veterans Nursing Home
4650 State Rd 16 · Saint Augustine, FL 32092 · St. Johns County
Certified beds120CMS provider file
Recent citation rows7current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
7 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-22 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-10-052025-08-22 · FIREK0711Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2025-10-052025-08-22 · FIREK0791Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-10-052021-11-04 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2021-12-172021-11-04 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2021-12-172021-11-04 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2021-12-172021-11-04 · HEALTHF0919Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2021-12-1703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CARTER, ALFREDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/28/2011
- RODRIGUEZ, CATTIBELLIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/18/2024
- CARTER, ALFREDIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/28/2011
- RODRIGUEZ, CATTIBELLIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2014
- SANCHEZ, CARLOSIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/10/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours—per resident day
RN hours—per resident day
Weekend nurse hours—per resident day
Staff turnover56.0%CMS reported field
06 / LOCAL RECORDS
Open the Saint Augustine ledger →Other published facilities nearby
Lilac At Bayview, The120 beds · CMS overall 2/529 citation rowsMoultrie Creek Nursing And Rehab Center120 beds · CMS overall 5/510 citation rowsPonce Therapy Care Center And Rehab, The120 beds · CMS overall 5/59 citation rowsSt Augustine Health And Rehabilitation Center120 beds · CMS overall 1/529 citation rowsWestminster St Augustine30 beds · CMS overall 5/514 citation rows