All 6 Medicare-certified nursing homes in Saint Augustine,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Westminster St Augustine runs a small house, 30 certified beds under church-related nonprofit ownership, and the numbers suggest it's staffed accordingly. Nurse coverage sits at 4.38 hours per resident day, roughly 13% above the national average, and weekend hours dip only about 5% below weekday levels. Staff turnover is the standout: 16.7% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines and catch changes early. On the inspection side, the home carries just three deficiencies, none at harm or jeopardy level and none abuse-related, with its last survey completed in August 2025. Federal ratings land at five stars across health inspections, quality measures, and staffing.
Moultrie Creek runs on the lean side for nursing hours: 3.54 per resident per day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage. That thin staffing is the main thing holding it back. The rest of the picture is stronger. Turnover sits at 32.7%, well under the 45.8% national figure, which suggests people tend to stay. State inspectors gave it top marks on health inspections and quality measures, with seven deficiencies on record, none involving harm, jeopardy, or abuse, and a clean inspection as recent as October 2024. For-profit corporate ownership, 120 beds.
Clyde E Lassen State Veterans Nursing Home runs on a split record. Its last inspection, in August 2025, produced five deficiencies and none of them rose to harm or jeopardy, a clean enough survey to earn the top inspection rating from CMS. But look at the staffing rating: 1 out of 5, the lowest mark CMS gives. Annual turnover sits at 56% against a national average of 45.8%, meaning well over half the workforce leaves each year, and quality measures land midrange at 3. The state owns and operates it, which may explain some stability in oversight but not in the aides and nurses at the bedside. A place can pass inspection and still run thin.
Ponce Therapy Care Center And Rehab runs about 3.32 nurse hours per resident day, roughly 14 percent under the national average of 3.86, and weekends dip another 8 percent below its own weekday numbers. That thin coverage is the main thing holding it back. Turnover sits at 43.8 percent, slightly better than the 45.8 percent national figure, and the home has a clean inspection record: nine deficiencies, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in September 2025. A for-profit corporation owns its 120 certified beds. So you're looking at a place that inspects well but staffs light, worth asking how that plays out on evenings and weekends.
St. Augustine Health and Rehabilitation Center sits in a for-profit LLC's hands with 120 certified beds, and its numbers pull in different directions. Nurse staffing runs 3.89 hours per resident day, slightly above the national average, and the 32.4% turnover is meaningfully better than the 45.8% national figure, but weekends drop about 11% below the home's own weekday levels. The real problem is the inspection record: 16 deficiencies, two at harm or jeopardy level, one abuse-related, with a one-star health inspection rating and the last review in September 2024. Strong staffing can't offset that kind of survey history, which is what drags the overall picture down to a middling grade.
Lilac At Bayview runs 120 beds in Saint Augustine under for-profit LLC ownership, and its staffing is the number that jumps out first: 3.53 nurse hours per resident per day, roughly 9% under the national average, with weekends about 8% thinner than weekdays. Turnover sits at 65.4% against a national 45.8%, nearly two-thirds of the nursing staff turning over in a year. The inspection record shows 22 deficiencies, five at harm or jeopardy level and two tied to abuse, with $125,355 in fines across three penalties and a survey as recent as April 2025. Resident care measures score well; the staffing and inspection side is where the trouble lives.