ST. AUGUSTINE HEALTH AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at St. Augustine Health and Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

ST. AUGUSTINE HEALTH AND REHABILITATION CENTER
51 SUNRISE BLVD
SAINT AUGUSTINE, FL 32084
(904) 824-4479

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

86%

Number of Residents and Certified Beds

  • Residents: 103
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by St. Augustine Health and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.9%
Total Percent:0.9%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1618.4%
ADL Index Range: 6-1032.6%
ADL Index Range: 0-52.3%
Total Percent:53.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1611.3%
ADL Index Range: 6-1014.4%
Total Percent:25.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.6%
ADL Index Range: 6-100.2%
ADL Index Range: 0-50.8%
Total Percent:7.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.1%
Total Percent:2.1%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
1.5%
Total Percent:1.5%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
3.2%
ADL Index Range: 11-14
- No Signs of depression
0.9%
Total Percent:4.2%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- No Signs of depression
0.3%
ADL Index Range: 11-14
- No Signs of depression
1.7%
ADL Index Range: 6-10
- No Signs of depression
2.7%
Total Percent:4.7%
 

Rating Details For St. Augustine Health and Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours28 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours59 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 7 Minutes2 Hours and 33 Minutes
Total Licensed Nurse Hours1 Hour and 27 Minutes1 Hour and 51 Minutes
Total Nurse Hours4 Hours and 34 Minutes4 Hours and 24 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season56%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination45%86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious10%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder50%54%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores14%12%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Long-Stay Residents Who Were Physically Restrained1%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season27%80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination23%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain22%17%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores15%14%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/13/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 08/26/2008
  • Correction Date: 10/02/2008

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 08/26/2008
  • Correction Date: 10/02/2008
Get Rid of Garbage Properly.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/13/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 08/26/2008
  • Correction Date: 10/02/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/26/2008
  • Correction Date: 10/02/2008
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/13/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 08/26/2008
  • Correction Date: 10/02/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/13/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/13/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/26/2008
  • Correction Date: 11/06/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 08/26/2008
  • Correction Date: 10/02/2008
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Inspection Date: 08/26/2008
  • Correction Date: 10/02/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009

Resident Assessment

Get Doctor Orders for the Resident's Immediate Care when Admitted.
  • Inspection Date: 08/26/2008
  • Correction Date: 10/02/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/13/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/17/2009

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)08/26/2008$7,200

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for St. Augustine Health and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/31/2011
  • Correction Date: 06/30/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 05/31/2011
  • Correction Date: 06/30/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that St. Augustine Health and Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 08/12/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/29/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/29/2008

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/29/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/29/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/29/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/13/2010
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011