Nursing homes › Florida › Saint Augustine › St Augustine Health and Rehabilitation Center
51 Sunrise Blvd, Saint Augustine, FL 32084 · (904) 824-4479 · 120 certified beds
Per CMS filings, this facility is affiliated with Nhs Management, a group operating 43 facilities in 3 states. Group record: average rating 2.9/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $136,315 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 3.89 (Florida median: 3.63). RN hours: 0.48. Weekend total: 3.47. Nursing staff turnover: 32%.
All-time on record: 16 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-07-03 |
| 2026-05-21 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Health | corrected 2026-07-03 |
| 2026-05-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-07-03 |
| 2026-03-05 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2026-03-26 |
| 2026-03-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2026-03-26 |
| 2024-09-12 | Keep all essential equipment working safely. | F | Health | corrected 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. | E | Health | corrected 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. | E | Health | corrected 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. | D | Health | corrected 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. | D | Health | corrected 2024-10-18 |
| 2024-09-12 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2024-10-18 |
| 2024-09-12 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-10-18 |
| Date | Type | Amount |
|---|---|---|
| 2026-03-05 | Fine | $26,685 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 | 5% Or Greater Direct Ownership Interest | Organization | 10% | since 09/30/2019 |
| JAMES NORMAN ESTES JR TR | 5% Or Greater Direct Ownership Interest | Organization | 6% | since 06/30/2013 |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 | 5% Or Greater Direct Ownership Interest | Organization | 10% | since 09/30/2019 |
| JENNIFER LEE ESTES TR 031093 | 5% Or Greater Direct Ownership Interest | Organization | 6% | since 06/30/2013 |
| ESTES, JAMES | 5% Or Greater Direct Ownership Interest | Individual | 68% | since 02/19/1999 |
| MCVEA, CHERI | Corporate Director | Individual | NOT APPLICABLE | since 09/27/2021 |
| RASCO, LYNN | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2022 |
| SCHNEIDER, JULIE | Corporate Director | Individual | NOT APPLICABLE | since 04/21/2023 |
| TONEY, DARIN | Corporate Director | Individual | NOT APPLICABLE | since 04/15/2024 |
| ESTES, JAMES | Corporate Officer | Individual | NOT APPLICABLE | since 02/19/1999 |
| LONG, PHILLIP | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2019 |
| HUGHES, THOMAS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/17/2021 |
| MCVEA, CHERI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/27/2021 |
| RASCO, LYNN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2022 |
| SCHNEIDER, JULIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/21/2023 |
| TONEY, DARIN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/15/2024 |
How to cite this page: CareRecords, “St Augustine Health and Rehabilitation Center — compliance, penalty and ownership record” (CCN 105315), compiled from the CMS Provider Data Catalog, July 2026 release. https://carerecords.org/nursing-home/st-augustine-health-and-rehabilitation-center-saint-augustine-fl/
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 105315. Corrections: data@carerecords.org.