Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-10-05Government - State
Clyde E Lassen State Veterans Nursing Home
4650 State Rd 16, Saint Augustine, FL 32092
(904) 940-2193 · Florida Department of Veterans' Affairs
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Government - State | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 94.8% | Latest inspection | 2025-08-22 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 4 of 5
Health-inspection score
Facility: 3.0 points
Total nurse staffing
Facility: Not reported by CMS
RN staffing
Facility: Not reported by CMS
Staff turnover
Facility: 56.0%
Latest health deficiencies
Facility: 1 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 5 of 5 | 3 of 5 |
| Health-inspection score | 3.0 points | 7.0 points | 38.5 points |
| Total nurse staffing | Not reported by CMS | 3.89 hours/day | 3.63 hours/day |
| RN staffing | Not reported by CMS | 0.48 hours/day | 0.62 hours/day |
| Staff turnover | 56.0% | 38.3% | 41.8% |
| Latest health deficiencies | 1 deficiencies | 2 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-08-22
1 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
2023-09-08
0 deficiencies
Highest severity: Not reported by CMS
Immediate-jeopardy citations: 0
No matching citation detail was published.
2021-11-04
4 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0919 · Severity E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Deficient, Provider has date of correction 2021-12-17Tag 0561 · Severity D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-12-17Tag 0676 · Severity D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-12-17Tag 0693 · Severity D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-12-17Staffing composition
Not reported by CMSNurse aide
Not reported by CMSLPN
Not reported by CMSRN
- Total staffing
- Not reported by CMS
- County median
- 3.89 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- Not reported by CMS
- Staff turnover
- 56.0%
- RN turnover
- 57.6%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.2 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.1 per 1,000 days20250101-20251231
Emergency-department visits
1.5 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.4 per 1,000 days20250101-20251231
Falls with major injury
5.1%worseFlorida: 2.2% · County: 3.6%2025Q2-2026Q1
Pressure ulcers
2.2%betterFlorida: 4.2% · County: 1.5%2025Q2-2026Q1
Urinary tract infections
4.0%unavailableFlorida: 0.0% · County: 0.8%2025Q2-2026Q1
Antipsychotic medication use
14.4%worseFlorida: 7.0% · County: 7.0%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- St. Johns County
- Certified beds
- 120
- Average daily residents
- 113.8
- Ownership
- Government - State
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 2011-03-04
- CCN
- 106088
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | Not reported by CMS |
| Lpn hours | Not reported by CMS |
| Rn hours | Not reported by CMS |
| Reported total hours | Not reported by CMS |
| Weekend total hours | Not reported by CMS |
| Weekend rn hours | Not reported by CMS |
| Adjusted total hours | Not reported by CMS |
| Total turnover percent | 56 |
| Rn turnover percent | 57.6 |
| Administrators left | Not reported by CMS |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
1Health citations
2Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| CARTER, ALFRED | CORPORATE DIRECTOR | NOT APPLICABLE |
| RODRIGUEZ, CATTIBELL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CARTER, ALFRED | ADP OF THE SNF | NOT APPLICABLE |
| RODRIGUEZ, CATTIBELL | ADP OF THE SNF | NOT APPLICABLE |
| SANCHEZ, CARLOS | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology