St Augustine Health and Rehabilitation Center, Saint Augustine, Florida
- 16
- Citations from health inspectionsFlorida average: 20 a home
- 2
- Residents harmed or put in dangerFlorida average: 1.0 a home
- $26,685
- Fines from the federal governmentFlorida average: $24,361 a home
- 1 out of 5
- Overall rating in starsFlorida average: 3.3
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Four inspection visits produced 16 citations. Residents were in immediate danger in two findings. Federal fines came to $26,685 (one fine).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 4 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- 3.89 hours each dayThe Florida average is 3.82 hours
- Time from registered nurses
- 0.48 hours each dayThe Florida average is 0.73 hours
- Nursing staff who left during one year
- 32.4%against the Florida average of 41.4%
- Beds that are certified
- 120
- Ownership
- Limited Liability company (for profit)
- Chain
- Nhs Management, with 43 homes
- Street address
- 51 Sunrise Blvd, Saint Augustine, Florida 32084
- County
- St. Johns
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Three citations dated May 21, 2026
Two citations dated March 5, 2026
Seven citations dated Sept. 12, 2024
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F813 Policy on Food Brought by Visitors: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
Four citations dated Oct. 13, 2022
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| March 5, 2026 | Fine | $26,685 |
Ownership and Management of the Home
- The direct 10% owner is James N Estes Jr Family Dynasty Tr No 2.
- The direct 6% owner is James Norman Estes Jr Tr.
- The direct 10% owner is Jennifer E Agee Family Dynasty Tr No 2.
- The direct 6% owner is Jennifer Lee Estes Tr 031093.
One person with an ownership stake is also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 105315. Other homes in Florida.