St Augustine Health And Rehabilitation Center
Saint Augustine, St. Johns County, Florida · CCN 105315 · For-profit (LLC) · part of Nhs Management (43 facilities, chain average 2.9 stars)
CMS rates St Augustine Health And Rehabilitation Center 1 of 5 overall as of August 2026. 120 certified beds, 112 residents a day on average. 16 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $26,685.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 1 of 5 |
Staffing
| Total nurse staffing | 3.8944 hours per resident per day |
|---|---|
| Registered nurses | 0.47707 hours per resident per day |
| Weekend total | 3.47349 hours per resident per day |
| Nursing staff turnover | 32.4% (registered nurses 14.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-21 | 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 No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-07-03 |
| 2026-05-21 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-07-03 |
| 2026-05-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-03 |
| 2026-03-05 complaint survey |
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 to resident health or safety; isolated | Deficient, Provider has date of correction 2026-03-26 |
| 2026-03-05 complaint survey |
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 to resident health or safety; isolated | Deficient, Provider has date of correction 2026-03-26 |
| 2024-09-12 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-10-18 |
| 2024-09-12 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-18 |
| 2024-09-12 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-18 |
| 2024-09-12 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-18 |
| 2024-09-12 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-18 |
| 2024-09-12 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · tag F0813 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-18 |
| 2024-09-12 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-18 |
| 2022-10-13 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-13 |
| 2022-10-13 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-13 |
| 2022-10-13 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-13 |
| 2022-10-13 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-13 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-05 | Fine | $26,685 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| James N Estes Jr Family Dynasty Tr No 2 Organization | 5% or greater direct ownership interest | 10% | 2019-09-30 |
| James Norman Estes Jr Tr Organization | 5% or greater direct ownership interest | 6% | 2013-06-30 |
| Jennifer E Agee Family Dynasty Tr No 2 Organization | 5% or greater direct ownership interest | 10% | 2019-09-30 |
| Jennifer Lee Estes Tr 031093 Organization | 5% or greater direct ownership interest | 6% | 2013-06-30 |
| Regions Bank Organization | 5% or greater security interest | — | 2013-08-27 |
| Estes, James Individual | 5% or greater direct ownership interest | 68% | 1999-02-19 |
| Mcvea, Cheri Individual | corporate director | — | 2021-09-27 |
| Rasco, Lynn Individual | corporate director | — | 2022-07-01 |
| Schneider, Julie Individual | corporate director | — | 2023-04-21 |
| Toney, Darin Individual | corporate director | — | 2024-04-15 |
| Estes, James Individual | corporate officer | — | 1999-02-19 |
| Long, Phillip Individual | corporate officer | — | 2019-10-01 |
| Hughes, Thomas Individual | operational/managerial control | — | 2021-09-17 |
| Mcvea, Cheri Individual | operational/managerial control | — | 2021-09-27 |
| Rasco, Lynn Individual | operational/managerial control | — | 2022-07-01 |
| Schneider, Julie Individual | operational/managerial control | — | 2023-04-21 |
| Toney, Darin Individual | operational/managerial control | — | 2024-04-15 |
| Hughes, Thomas Individual | w-2 managing employee | — | 2021-09-17 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for St Augustine Health And Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in St. Johns County.