St Augustine Health and Rehabilitation Center — nursing home in Saint Augustine, FL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 113.6 CMS, MDS-derived
CMS Certification Number: 105315
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 1, 1977
Ownership type: For profit - Limited Liability company
Operator (legal business name): Northport Health Services of Florida, LLC
CMS chain: Nhs Management 43 facilities
Phone: (904) 824-4479
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest May 21, 2026

Citations

29

16 health · 13 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D20	E5	F2
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$26,685

Payment denials

0

Latest

Mar 5, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 105315
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Sep 1, 1977
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Florida.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 21, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
May 21, 2026	Health	Health Standard	3	Potential harm	—	Open →
Mar 5, 2026	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Sep 12, 2024	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Sep 12, 2024	Health	Health Standard	7	Potential harm	—	Open →
Oct 13, 2022	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Oct 13, 2022	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Mar 5, 2026	Civil money penalty (fine)	$26,685	—	105315\|Fine\|142309

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D20	E5	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 21, 2026	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 3, 2026
May 21, 2026	K-0331	Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 3, 2026
May 21, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 3, 2026
May 21, 2026	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 3, 2026
May 21, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 3, 2026
May 21, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 3, 2026
May 21, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jul 3, 2026
Mar 5, 2026	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Mar 26, 2026	Complaint
Mar 5, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Mar 26, 2026	Complaint
Sep 12, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 18, 2024
Sep 12, 2024	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 18, 2024
Sep 12, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 18, 2024
Sep 12, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 18, 2024
Sep 12, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 18, 2024
Sep 12, 2024	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 18, 2024
Sep 12, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 18, 2024
Sep 12, 2024	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 18, 2024
Sep 12, 2024	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 18, 2024
Sep 12, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Oct 18, 2024
Sep 12, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Oct 18, 2024
Sep 12, 2024	F-0813	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 18, 2024
Sep 12, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Oct 18, 2024
Sep 12, 2024	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 18, 2024
Oct 13, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 13, 2022
Oct 13, 2022	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 13, 2022
Oct 13, 2022	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 13, 2022
Oct 13, 2022	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 13, 2022
Oct 13, 2022	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 13, 2022
Oct 13, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Nov 13, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.3

Health inspectionsstate 2.9

Staffingstate 3.3

Quality measuresstate 4.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.78

State avg 3.86US avg 3.90

Registered nurse (RN)0.42

State avg 0.73US avg 0.69

Licensed practical nurse0.92

State avg 0.80US avg 0.86

Nurse aide2.44

State avg 2.33US avg 2.35

Weekend total nurse3.40

State avg 3.51US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.38 (case-mix index 1.21).

Staff turnover

Total nursing staff turnover33.9%

State avg 41.5%US avg 45.3%

Registered nurse turnover21.4%

State avg 46.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 21, 2026
Cycle 1 health score: 178
Total weighted score: 145.5

Operating entity

Northport Health Services of Florida, LLC

CMS legal business name of the certified provider. Operates 5 facilities.

VerifiedLinked by exact legal name

CMS chain

Nhs Management

43 facilities in 3 states. CMS chain ID 372.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.9

Ownership disclosures

Disclosures

18

Organizations

5

Individuals

13

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
James Estes	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	68%	Feb 19, 1999
James N Estes Jr Family Dynasty Tr No 2	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	10%	Sep 30, 2019
Jennifer E Agee Family Dynasty Tr No 2	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	10%	Sep 30, 2019
James Norman Estes Jr Tr	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	6%	Jun 30, 2013
Jennifer Lee Estes Tr 031093	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	6%	Jun 30, 2013

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
James Estes	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	68%	Feb 19, 1999
James N Estes Jr Family Dynasty Tr No 2	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	10%	Sep 30, 2019
Jennifer E Agee Family Dynasty Tr No 2	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	10%	Sep 30, 2019
James Norman Estes Jr Tr	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	6%	Jun 30, 2013
Jennifer Lee Estes Tr 031093	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	6%	Jun 30, 2013
Thomas Hughes	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 17, 2021
Cheri Mcvea	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 27, 2021
Lynn Rasco	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2022
Julie Schneider	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 21, 2023
Darin Toney	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 15, 2024
Cheri Mcvea	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 27, 2021
Lynn Rasco	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2022
Julie Schneider	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 21, 2023
Darin Toney	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 15, 2024
James Estes	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 19, 1999
Phillip Long	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 1, 2019
Thomas Hughes	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Sep 17, 2021
Regions Bank	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Aug 27, 2013

Other facilities operated by Northport Health Services of Florida, LLC

All 4 →

Facility	Beds	Last inspection	Citations (window)	Fines
Daytona Beach Health and Rehabilitation Center 1055 3rd Street, Daytona Beach, FL 32117 CCN 105311	180	Jan 15, 2026	14	—
Crystal River Health and Rehabilitation Center 136 Northeast 12th Avenue, Crystal River, FL 34429 CCN 105317	150	Apr 2, 2026	40	—
Ocala Health and Rehabilitation Center 1201 SE 24th Rd, Ocala, FL 34471 CCN 105321	180	Sep 18, 2025	28	—
West Melbourne Health & Rehabilitation Center 2125 West New Haven Ave, West Melbourne, FL 32904 CCN 105376	180	Dec 4, 2025	48	—

Same chain in Florida

All 42 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Daytona Beach Health and Rehabilitation Center 1055 3rd Street, Daytona Beach, FL 32117 CCN 105311	180	Jan 15, 2026	14	—
Crystal River Health and Rehabilitation Center 136 Northeast 12th Avenue, Crystal River, FL 34429 CCN 105317	150	Apr 2, 2026	40	—
Ocala Health and Rehabilitation Center 1201 SE 24th Rd, Ocala, FL 34471 CCN 105321	180	Sep 18, 2025	28	—
West Melbourne Health & Rehabilitation Center 2125 West New Haven Ave, West Melbourne, FL 32904 CCN 105376	180	Dec 4, 2025	48	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 51 Sunrise Blvd, Saint Augustine, FL 32084
ZIP: 32084
County: St. Johns County FIPS 12109
State: Florida
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
The Ponce Therapy Care Center and Rehab 1999 Old Moultrie Road, Saint Augustine, FL 32086 CCN 105468	1.1 km	120	Sep 25, 2025	9	—
The Lilac at Bayview 161a Marine Street, Saint Augustine, FL 32084 CCN 105816	2.5 km	120	Apr 10, 2025	262 harm	$17k
Moultrie Creek Nursing and Rehab Center 200 Mariner Health Way, Saint Augustine, FL 32086 CCN 105548	7 km	120	Jul 10, 2026	11	—
Clyde E Lassen State Veterans Nursing Home 4650 State Rd 16, Saint Augustine, FL 32092 CCN 106088	16.2 km	120	Aug 22, 2025	7	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	105315	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	105315	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 105315

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction