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Nursing homeFAID #1824

St Augustine Health and Rehabilitation Center

51 SUNRISE BLVD, SAINT AUGUSTINE, FL, 32084
(904) 824-4479
staugustinehealthandrehab.com
120 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of ST AUGUSTINE HEALTH AND REHABILITATION CENTER
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Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
105315
Care type
Nursing home
County
St. Johns
Facility name
St Augustine Health and Rehabilitation Center
Street address
51 SUNRISE BLVD
City / state / ZIP
Saint Augustine, FL 32084
Phone
(904) 824-4479
Website
staugustinehealthandrehab.com

About this facility — St Augustine Health and Rehabilitation Center

St Augustine Health and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Saint Augustine, Florida. It is licensed for 120 beds — close to the median for skilled nursing facilities in Florida (120 beds).

It is one of 9 senior care facilities in Saint Augustine and 694 skilled nursing facilities across Florida. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited St Augustine Health and Rehabilitation Center 29 times across 7 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $26,685 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Nhs Management
Ownership type
For profit - Limited Liability company

Registered owners & officers

Estes, James
Direct owner · Officer — 68% stake — since 1999
James N Estes Jr Family Dynasty Tr No 2
Direct owner — 10% stake — since 2019
Jennifer E Agee Family Dynasty Tr No 2
Direct owner — 10% stake — since 2019
James Norman Estes Jr Tr
Direct owner — 6% stake — since 2013
Jennifer Lee Estes Tr 031093
Direct owner — 6% stake — since 2013
Hughes, Thomas
Managing employee · Operational control — since 2021
Long, Phillip
Officer — since 2019
Mcvea, Cheri
Director · Operational control — since 2021
Rasco, Lynn
Director · Operational control — since 2022
Regions Bank
Security-interest holder — since 2013
Schneider, Julie
Director · Operational control — since 2023
Toney, Darin
Director · Operational control — since 2024

Regulatory standing

Federal court records
5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1977-09-01
CMS overall rating
1 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$26,685 total
Last standard inspection
2026-05-21
Nurse staffing
3.9 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$324 per day (≈ $9,850/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
73% Medicaid · 7% Medicare · 20% private/other
Occupancy
94% (fiscal year 2024)
Vs. state median
21% below the FL median of $408/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-21Health inspection3 citations
F-0628
E · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-07-03
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-07-03
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-07-03
2026-03-05Health inspectionComplaint-triggered2 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-03-26
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-03-26
5 earlier / fire-safety inspections (24 citations)
2024-09-12Health inspection7 citations
F-0584
D · No harm found
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 2024-10-18
F-0688
D · No harm found
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 2024-10-18
F-0761
E · No harm found
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 2024-10-18
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-18
F-0813
D · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-10-18
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-10-18
F-0908
F · No harm found
Keep all essential equipment working safely.
Corrected 2024-10-18
2022-10-13Health inspection4 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-11-13
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2022-11-13
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-11-13
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-13
2026-05-21Fire-safety inspection4 citations
K-0271
D · No harm found
Have exits that are accessible at all times.
Corrected 2026-07-03
K-0331
D · No harm found
Construct fire resistant interior walls.
Corrected 2026-07-03
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-07-03
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2026-07-03
2024-09-12Fire-safety inspection7 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-18
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-10-18
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-10-18
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-10-18
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-18
K-0921
E · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-10-18
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-10-18
2022-10-13Fire-safety inspection2 citations
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-13
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-13

Federal penalties

2026-03-05Fine$26,685
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 105315.

Visitor reviews

What people say on Google.
3.354 ratings on Google
★★★★★D C · 2026-06-18 · via Google

“This facility performed a miracle for my wife after a 6-week hospital stay left her bedridden, unable to swallow, and requiring total care. Thanks to 2.5 months of expert rehab, she left feeding herself, with her PEG tube scheduled for removal, full bowel function restored, and the ability to walk 165 feet to the bathroom with a walker.Special thanks to her phenomenal therapists—Sara, Simone, Sidn…”

★★★★★Bumblebee · 2025-12-08 · via Google

“My father, Frank, was here for a couple weeks for PT. The staff is 98%super and does a great job with no issues. Kudos to Mia, Glenda, Melissa,Noah, Simone, Sara, Tarnisha, Kim, and many more. The food is acceptable, most meats are ground up and so not too great, the rest is good. Alternatives are available on request and include grilled cheese, hamburgers, chef salad, and are really well done. Th…”

★★★★Leesa Tillman · 2026-07-05 · via Google

“This is the 2 nd time my mom has been in this facility.. the Staff has been extremely supportive. And she says they are wonderful. I do wish there was something that could help improve the facility its self . While the staff is amazing they to deserve better . The AC was not working well for the sweet lady at the front desk tv's not working bathroom doors about to fall off .. there's got to be …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 29 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered