01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-21 | 5 | 2026-05-21 | 4 |
| Cycle 2 | 2024-09-12 | 7 | 2024-09-12 | 7 |
| Cycle 3 | 2022-10-13 | 4 | 2022-10-13 | 2 |
CMS CCN 1053152026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
St Augustine Health And Rehabilitation Center
51 Sunrise Blvd · Saint Augustine, FL 32084 · St. Johns County
Certified beds120CMS provider file
Recent citation rows29current CMS citation release
Penalty rows1current 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
29 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-21 · HEALTHF0628Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-07-032026-05-21 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-07-032026-05-21 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-07-032026-05-21 · FIREK0271Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2026-07-032026-05-21 · FIREK0331Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Construct fire resistant interior walls.
Correction field: Deficient, Provider has date of correction · 2026-07-032026-05-21 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-07-032026-05-21 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2026-07-032026-03-05 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-03-26 · complaint2026-03-05 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-03-26 · complaint2024-09-12 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · HEALTHF0813Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · HEALTHF0908Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · FIREK0921Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-09-12 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-10-182022-10-13 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2022-11-1303 / 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 |
|---|---|---|---|
| 2026-03-05 | Fine | $26,685 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- JAMES N ESTES JR FAMILY DYNASTY TR NO 2Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST10% · since 09/30/2019
- JAMES NORMAN ESTES JR TROrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST6% · since 06/30/2013
- JENNIFER E AGEE FAMILY DYNASTY TR NO 2Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST10% · since 09/30/2019
- JENNIFER LEE ESTES TR 031093Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST6% · since 06/30/2013
- ESTES, JAMESIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST68% · since 02/19/1999
- REGIONS BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 08/27/2013
- HUGHES, THOMASIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/17/2021
- MCVEA, CHERIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/27/2021
- RASCO, LYNNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2022
- SCHNEIDER, JULIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/21/2023
- TONEY, DARINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/15/2024
- ESTES, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/19/1999
- LONG, PHILLIPIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2019
- HUGHES, THOMASIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/17/2021
- MCVEA, CHERIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/27/2021
- RASCO, LYNNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2022
- SCHNEIDER, JULIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/21/2023
- TONEY, DARINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/15/2024
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 hours3.89per resident day
RN hours0.48per resident day
Weekend nurse hours3.47per resident day
Staff turnover32.4%CMS reported field
06 / LOCAL RECORDS
Open the Saint Augustine ledger →Other published facilities nearby
Clyde E Lassen State Veterans Nursing Home120 beds · CMS overall 4/57 citation rowsLilac 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 rowsWestminster St Augustine30 beds · CMS overall 5/514 citation rows