Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Clyde E Lassen State Veterans Nursing Home during CMS and state inspections, most recent first.
Incorrect Oxygen Flow Rate: A resident with COPD and chronic respiratory failure was observed receiving oxygen at flow rates that did not match the physician order. The resident was seen using a portable O2 tank set at 1 L/min and later a bedside concentrator set at 2.5 L/min, while the order was for 2 L/min via NC as needed to maintain O2 saturation above 90%. Nursing documentation indicated oxygen was provided as ordered, and staff confirmed they were responsible for verifying the correct flow rate by checking the order and the equipment gauge.
Incorrect Oxygen Flow Rate
Penalty
Summary
The facility failed to ensure that a resident who required respiratory care received oxygen at the ordered flow rate. Resident #91 had diagnoses including COPD, chronic respiratory failure with hypoxia, and obesity, and the active oxygen order was for oxygen at 2 liters per minute via nasal cannula as needed to maintain oxygen saturation greater than 90%, with oxygen saturation to be monitored every shift. On 8/18/25, the resident was observed using a portable oxygen tank set at 1 L/min while seated in an electric wheelchair outside the doorway. On 8/19/25 and 8/20/25, the resident was observed in bed receiving oxygen from a bedside concentrator set at 2.5 L/min, which did not match the 2 L/min order. The MDS assessment documented that the resident reported wearing oxygen continuously throughout the day, and a recommendation had been made to change oxygen from as needed to routine per the resident’s preference, but this had not been carried out by 8/20/25. Nursing documentation indicated oxygen was provided as ordered, and staff confirmed that nursing was responsible for verifying the correct oxygen flow rate by checking the physician order and the gauge on the tank or concentrator.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 54 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Saint Augustine
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westminster St Augustine | 2 mi | ★★★★★ | 0 | 0 |
| St Augustine Health And Rehabilitation Center | 10.1 mi | ★★★★★ | 2 | 2 |
| Ponce Therapy Care Center And Rehab, The | 10.7 mi | ★★★★★ | 0 | 0 |
| Lilac At Bayview, The | 11 mi | ★★★★★ | 0 | 0 |
| Bartram Crossing | 12.7 mi | ★★★★★ | 5 | 3 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Clyde E Lassen State Veterans Nursing Home.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.