51 Sunrise Blvd, Saint Augustine, FL 32084
(904) 824-4479 · Nhs Management
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 93.0% | Latest inspection | 2026-05-21 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 5 of 5 | 3 of 5 |
| Health-inspection score | 145.5 points | 7.0 points | 38.5 points |
| Total nurse staffing | 3.89 hours/day | 3.89 hours/day | 3.63 hours/day |
| RN staffing | 0.48 hours/day | 0.48 hours/day | 0.62 hours/day |
| Staff turnover | 32.4% | 38.3% | 41.8% |
| Latest health deficiencies | 5 deficiencies | 2 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2026-07-03Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-07-03Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-07-03Immediate-jeopardy citations: 0
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-10-18Ensure 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-10-18Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-18Honor 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-10-18Provide 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.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-18Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-18Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-10-18Immediate-jeopardy citations: 0
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-11-13Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-11-13PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-11-13Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-11-13Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconHow many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersWhat operational changes followed the facility's most recent penalty?
Suggested because of: penalties| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.47065 |
| Lpn hours | 0.94668 |
| Rn hours | 0.47707 |
| Reported total hours | 3.8944 |
| Weekend total hours | 3.47349 |
| Weekend rn hours | 0.29595 |
| Adjusted total hours | 4.53546 |
| Total turnover percent | 32.4 |
| Rn turnover percent | 14.3 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2026-03-05 | Fine | $26,685.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
2
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Name | Role | Share |
|---|---|---|
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| JAMES NORMAN ESTES JR TR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| JENNIFER LEE ESTES TR 031093 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| ESTES, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 68% |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| HUGHES, THOMAS | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| MCVEA, CHERI | CORPORATE DIRECTOR | NOT APPLICABLE |
| RASCO, LYNN | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCHNEIDER, JULIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| TONEY, DARIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| ESTES, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| LONG, PHILLIP | CORPORATE OFFICER | NOT APPLICABLE |
| HUGHES, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCVEA, CHERI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RASCO, LYNN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHNEIDER, JULIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TONEY, DARIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology