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Nursing homes › Florida › Saint Augustine › St Augustine Health and Rehabilitation Center

St Augustine Health and Rehabilitation Center

51 Sunrise Blvd, Saint Augustine, FL 32084 · (904) 824-4479 · 120 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★★★☆ 4/5
Quality measures★★★☆☆ 3/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

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Same-type reference in FL

CMS overall star rating: this provider 1/5; median among 691 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to St Augustine Health and Rehabilitation Center

  • The snapshot includes a CMS abuse citation icon. Ask which inspection it relates to, what corrective action followed, and whether CMS has updated the designation.
  • The published staff-turnover figure is 32.4%. Ask which reporting period it covers and how the current staffing team compares.
  • Ask who is responsible for care decisions locally and at NHS MANAGEMENT. A shared affiliation does not establish identical care at every location.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership group

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).

See all 43 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.89 (Florida median: 3.63). RN hours: 0.48. Weekend total: 3.47. Nursing staff turnover: 32%.

Inspection deficiencies

In the downloaded CMS dataset: 16 deficiency citations, including 2 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-21Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2026-07-03
2026-05-21Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. EHealthcorrected 2026-07-03
2026-05-21Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2026-07-03
2026-03-05Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Jcomplaintcorrected 2026-03-26
2026-03-05Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2026-03-26
2024-09-12Keep all essential equipment working safely. FHealthcorrected 2024-10-18
2024-09-12Ensure 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. EHealthcorrected 2024-10-18
2024-09-12Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2024-10-18
2024-09-12Honor 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. DHealthcorrected 2024-10-18
2024-09-12Provide 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. DHealthcorrected 2024-10-18
2024-09-12Have a policy regarding use and storage of foods brought to residents by family and other visitors. DHealthcorrected 2024-10-18
2024-09-12Provide and implement an infection prevention and control program. DHealthcorrected 2024-10-18

Federal penalties

DateTypeAmount
2026-03-05Fine$26,685

Ownership & control records (CMS filings)

NameRoleType%Since
JAMES N ESTES JR FAMILY DYNASTY TR NO 25% Or Greater Direct Ownership InterestOrganization10%since 09/30/2019
JAMES NORMAN ESTES JR TR5% Or Greater Direct Ownership InterestOrganization6%since 06/30/2013
JENNIFER E AGEE FAMILY DYNASTY TR NO 25% Or Greater Direct Ownership InterestOrganization10%since 09/30/2019
JENNIFER LEE ESTES TR 0310935% Or Greater Direct Ownership InterestOrganization6%since 06/30/2013
ESTES, JAMES5% Or Greater Direct Ownership InterestIndividual68%since 02/19/1999
MCVEA, CHERICorporate DirectorIndividualNOT APPLICABLEsince 09/27/2021
RASCO, LYNNCorporate DirectorIndividualNOT APPLICABLEsince 07/01/2022
SCHNEIDER, JULIECorporate DirectorIndividualNOT APPLICABLEsince 04/21/2023
TONEY, DARINCorporate DirectorIndividualNOT APPLICABLEsince 04/15/2024
ESTES, JAMESCorporate OfficerIndividualNOT APPLICABLEsince 02/19/1999
LONG, PHILLIPCorporate OfficerIndividualNOT APPLICABLEsince 10/01/2019
HUGHES, THOMASOperational/Managerial ControlIndividualNOT APPLICABLEsince 09/17/2021
MCVEA, CHERIOperational/Managerial ControlIndividualNOT APPLICABLEsince 09/27/2021
RASCO, LYNNOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/01/2022
SCHNEIDER, JULIEOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/21/2023
TONEY, DARINOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/15/2024

Compare nearby (St. Johns County)

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, August 2026 release. https://carerecords.org/nursing-home/st-augustine-health-and-rehabilitation-center-saint-augustine-fl/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 105315. Corrections: data@carerecords.org.