St Augustine Health and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 51 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Above-median deficiencies (7 vs median 6.0)
Below average in FL · Below recommended RN staffing · No penalties on record
What this means for your family
This facility has a capable therapy team and some dedicated nursing staff, but the consistency of care is a major concern. Before choosing this center, we strongly advise you to verify their current communication protocols and observe the level of hygiene during a surprise visit, as multiple families have reported significant lapses in basic care and administrative responsiveness.
Google Reviews
Google Reviews
51 reviews on Google“St. Augustine Health and Rehabilitation Center receives highly polarized feedback, with some families praising the dedicated nursing and therapy staff, while others report severe neglect and communication failures. While some long-term residents and rehab patients report positive experiences, multiple reviewers have raised serious concerns regarding hygiene, medication management, and the responsiveness of administration.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy services
- Attentive and caring nursing staff
- Responsive administrative leadership
- Clean facility environment
Concerns
- Poor communication and lack of responsiveness from management (mentioned by 5 reviewers)
- Neglect regarding hygiene and basic patient care (bathing, diaper changes) (mentioned by 4 reviewers)
- Medication management errors or delays (mentioned by 3 reviewers)
- Theft or loss of personal belongings (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 54 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your leadership team is very active in responding to feedback online; how do you translate that responsiveness into daily communication with families regarding their loved one's care?
- 2Given the importance of consistent hygiene and personal care, what specific protocols do you have in place to ensure residents receive timely assistance with bathing and daily grooming?
- 3Since medication management is a critical part of health, could you walk me through your process for double-checking dosages and ensuring residents receive their medications exactly on schedule?
- 4With 120 residents in the facility, how do you ensure that personal belongings are tracked and protected to prevent any loss or confusion?
- 5I see that your physical therapy services are highly regarded; how are those sessions integrated into a resident's daily schedule to ensure they stay active and engaged?
- 6In the event of a medical concern, what is your standard procedure for notifying a family member, and how quickly can we expect an update from the clinical team?
Personalized based on this facility's data
Key Review Excerpts
“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.”
“My mom has been in this facility for 3 years. She is very happy here and the staff truly loves her. They try their best and when we encounter an issue they take care of it.”
“It is hard to rate this center since I cannot get someone in management to return my calls. My wife called on Monday, March 8 to obtain information regarding my mother who resides at this center.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
1
measures
7
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
St. Augustine Health and Rehabilitation Center shows a concerning pattern with 23 deficiencies across three surveys, including recurring issues with food safety and storage that appeared in all three inspections (2021, 2022, and 2024). The facility also had repeated problems with fire safety systems and resident rights protections. While all violations were reportedly corrected, the persistence of food handling deficiencies and the facility's inability to maintain compliance suggests ongoing operational challenges that families should carefully consider.
Mar 5, 2026Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 12, 2024Routine14
Environmental Deficiencies
Keep all essential equipment working safely.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
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.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Oct 13, 2022Routine6
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Mar 11, 2021Routine3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ownership & Operations
Who Operates This Facility
St Augustine Health and Rehabilitation Center
for profit
Chain Affiliation
Nhs Management
43 facilities nationwide
Chain avg rating: 2.8/5 · Rank 19 of 43
Ownership & Management
Owners
James N Estes Jr Family Dynasty Tr no 2
Owner · Organization
James Norman Estes Jr Tr
Owner · Organization
Jennifer E Agee Family Dynasty Tr no 2
Owner · Organization
Jennifer Lee Estes Tr 031093
Owner · Organization
Estes, James
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
51 reviews from families & visitors
Official Website
Visit staugustinehealthandrehab.com
Medicare data downloads
Original nursing home datasets
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