Moultrie Creek Nursing and Rehab 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: 114.4 CMS, MDS-derived
CMS Certification Number: 105548
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 9, 1986
Ownership type: For profit - Corporation
Operator (legal business name): Sovereign Healthcare of St Augustine LLC
CMS chain: Sovereign Healthcare Holdings 43 facilities
Phone: (904) 797-1800
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jul 10, 2026

Citations

11

4 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E2	F·
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

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 105548
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Dec 9, 1986
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
Jul 10, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jul 10, 2026	Health	Health Standard	0	No citations	—	Open →
Oct 3, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Oct 3, 2024	Health	Health Standard	2	Potential harm	—	Open →
Nov 17, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Nov 17, 2022	Health	Health Standard	2	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.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E2	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jul 10, 2026	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2026
Jul 10, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 28, 2026
Jul 10, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 30, 2026
Jul 10, 2026	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 31, 2026
Oct 3, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 1, 2024
Oct 3, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 1, 2024
Oct 3, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 1, 2024
Oct 3, 2024	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	D · Potential harm Isolated	Corrected Nov 1, 2024
Oct 3, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 1, 2024
Nov 17, 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 Dec 23, 2022
Nov 17, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 23, 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 staffing3.65

State avg 3.86US avg 3.90

Registered nurse (RN)0.33

State avg 0.73US avg 0.69

Licensed practical nurse1.16

State avg 0.80US avg 0.86

Nurse aide2.15

State avg 2.33US avg 2.35

Weekend total nurse3.39

State avg 3.51US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.62 (case-mix index 1.41).

Staff turnover

Total nursing staff turnover34.7%

State avg 41.5%US avg 45.3%

Registered nurse turnover81.8%

State avg 46.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 10, 2026
Cycle 1 health score: 0
Total weighted score: 2

Operating entity

Sovereign Healthcare of St Augustine LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Sovereign Healthcare Holdings

43 facilities in 3 states. CMS chain ID 482.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.8

Ownership disclosures

Disclosures

33

Organizations

9

Individuals

21

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Sovereign Healthcare Holdings LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2003
Cronquist 2015 Family Tr	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 31, 2015
John J Notermann Business Tr	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Nov 12, 2017
John Mangine	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 25, 2012

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
Sovereign Healthcare Holdings LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2003
Cronquist 2015 Family Tr	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 31, 2015
John J Notermann Business Tr	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Nov 12, 2017
John Mangine	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 25, 2012
Brenda Notermann	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Oct 29, 2025
Dawn Chery	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 8, 2017
Henry Gerrity	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 1, 2014
Susan Kaar	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Oct 1, 2003
Southern Healthcare Management LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2003
Royce Cronquist	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2018
Jason Davis	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 18, 2012
John Mangine	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 25, 2012
Donald Melton	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 15, 2009
William Notermann	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Jignesh Patel	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2009
Berkadia Commercial Mortgage LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Sep 23, 2014
Fl Moultrie Creek Holdings, LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	May 19, 2009
Health Services Properties LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	May 19, 2009
Fl Moultrie Creek Holdings, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 19, 2009
Forvis Mazars LLP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Health Services Properties LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 19, 2009
Southern Healthcare Management LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 29, 2025
Sovereign Healthcare Disbursements LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 19, 2009
Dawn Chery	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 8, 2017
Royce Cronquist	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2018
Jason Davis	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 18, 2012
Henry Gerrity	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Susan Kaar	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2003
Michelle Kelly	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2018
John Mangine	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 25, 2012
Donald Melton	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 15, 2009
William Notermann	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Jignesh Patel	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2009

Same chain in Florida

All 42 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Braden River Rehabilitation Center LLC 2010 Manatee Ave E, Bradenton, FL 34208 CCN 105045	208	Jun 4, 2025	34	—
Boulevard Rehabilitation Center 2839 S Seacrest Blvd, Boynton Beach, FL 33435 CCN 105067	167	Feb 27, 2025	33	—
Crestview Rehabilitation Center, LLC 1849 First Avenue East, Crestview, FL 32539 CCN 105190	180	Aug 21, 2025	8	—
Medicana Nursing and Rehab Center 1710 Lake Worth Road, Lake Worth, FL 33460 CCN 105259	116	May 14, 2026	25	—
Fort Walton Rehabilitation Center, LLC 1 Lbj Sr Drive, Fort Walton Beach, FL 32547 CCN 105295	120	Jun 26, 2025	10	—
Parkview Rehabilitation Center at Winter Park 2075 Loch Lomond Drive, Winter Park, FL 32792 CCN 105307	138	Aug 14, 2026	18	—
River Valley Rehabilitation Center 17884 NE Crozier St, Blountstown, FL 32424 CCN 105473	150	Jul 10, 2026	7	—
Riviera Palms Rehabilitation Center 926 Haben Blvd, Palmetto, FL 34221 CCN 105603Abuse icon	120	Jun 5, 2025	252 IJ	$181k

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: 200 Mariner Health Way, Saint Augustine, FL 32086
ZIP: 32086
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	5.9 km	120	Sep 25, 2025	9	—
St Augustine Health and Rehabilitation Center 51 Sunrise Blvd, Saint Augustine, FL 32084 CCN 105315Abuse icon	7 km	120	May 21, 2026	292 IJ	$27k
The Lilac at Bayview 161a Marine Street, Saint Augustine, FL 32084 CCN 105816	8 km	120	Apr 10, 2025	262 harm	$17k
Clyde E Lassen State Veterans Nursing Home 4650 State Rd 16, Saint Augustine, FL 32092 CCN 106088	21.6 km	120	Aug 22, 2025	7	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	105548	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	105548	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 105548

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