St Augustine Health and Rehabilitation Center
51 Sunrise Blvd · Saint Augustine, FL · 32084 · 9048244479
120 certified beds For profit - Limited Liability company Chain: Nhs Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.41 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (16 in the current record)
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Immediate jeopardy · J March 5, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 26, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J March 5, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · D September 12, 2024
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.
Corrected October 18, 2024 · Resident Rights
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Potential for harm · D September 12, 2024
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.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · E September 12, 2024
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.
Corrected October 18, 2024 · Pharmacy Service
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Potential for harm · E September 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 18, 2024 · Nutrition and Dietary
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Potential for harm · D September 12, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected October 18, 2024 · Nutrition and Dietary
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Potential for harm · D September 12, 2024
Provide and implement an infection prevention and control program.
Corrected October 18, 2024 · Infection Control
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Potential for harm · F September 12, 2024
Keep all essential equipment working safely.
Corrected October 18, 2024 · Environmental
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Potential for harm · D October 13, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 13, 2022 · Resident Rights
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Potential for harm · D October 13, 2022
Ensure each resident receives an accurate assessment.
Corrected November 13, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 13, 2022
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 13, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 13, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 13, 2022 · Nutrition and Dietary
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Potential for harm · E March 11, 2021
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 11, 2021 · Resident Rights
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Potential for harm · D March 11, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 11, 2021 · Quality of Life and Care
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Potential for harm · F March 11, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 11, 2021 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105315 · certified since September 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.