Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Moultrie Creek Nursing And Rehab Center during CMS and state inspections, most recent first.
A resident's room was found to contain shaving razors left unattended, contrary to facility policy requiring their removal and disposal after use. The resident, who required assistance with personal hygiene due to physical impairments, had razors left in his room on multiple occasions. Interviews with CNAs confirmed that razors should be stored in the central supply room and disposed of in sharps containers, but the facility's guidelines lacked specific procedures for handling sharp objects.
A facility failed to maintain a medication error rate of 5% or less, resulting in an 11% error rate. An LPN was unable to administer the correct dosage of Vitamin D3 to a resident due to unavailability. An RN crushed an enteric-coated Aspirin tablet for another resident, which should not have been crushed. Additionally, an LPN held blood pressure medications for a resident without a physician's order, based on her nursing judgment. The DON confirmed that medications should not be held without an order.
Failure to Remove Shaving Razors from Resident's Room
Penalty
Summary
The facility failed to ensure that a resident's environment was free from accident hazards, specifically regarding the presence of shaving razors in the resident's room. During multiple observations, a shaving razor was found inside a plastic container on the bedside table, and another was found on the nightstand behind the resident's oxygen concentrator equipment. These razors were left unattended in the room without any facility staff present, contrary to the facility's policy that required razors to be removed and disposed of in a sharps container after use. The resident involved had a history of hemiplegia and hemiparesis following a cerebral infarction, among other medical conditions, and required substantial to maximal assistance with personal hygiene tasks. The resident's care plan indicated a need for assistance with grooming, and there was no documentation permitting the resident to independently perform personal hygiene tasks such as shaving. Despite having intact cognition, the resident's physical impairments necessitated assistance, which was not adequately provided, leading to the oversight of leaving razors in the room. Interviews with CNAs revealed that the facility's practice was to keep razors in the central supply room and dispose of them in sharps containers after use. However, the facility's procedural guidelines did not specifically address the handling and storage of sharp objects like razors. This lack of specific procedural guidance contributed to the oversight, resulting in the razors being left in the resident's room, posing a potential hazard.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to maintain a medication error rate of 5% or less, resulting in an 11% error rate during the survey. This deficiency was identified through observations, record reviews, and staff interviews, impacting three residents. For Resident #48, the facility did not have the correct dosage of Vitamin D3 as ordered, and the LPN was unable to administer the medication. The LPN attempted to resolve the issue by contacting the pharmacy and central supply, but the correct medication was not available, and the physician had to be notified. For Resident #259, an RN crushed an enteric-coated Aspirin tablet, which should not have been crushed, and administered it to the resident. The RN later confirmed the error. Additionally, for Resident #33, an LPN held blood pressure medications without a physician's order, based on her nursing judgment due to the resident's low blood pressure reading. The Director of Nursing confirmed that medications should not be held without an order, and the facility's policy requires contacting the physician if there are concerns with a resident's vital signs.
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 22 citations issued within 25 miles in the last 12 months — including the 3 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) |
|---|---|---|---|---|
| Ponce Therapy Care Center And Rehab, The | 3.7 mi | ★★★★★ | 0 | 0 |
| St Augustine Health And Rehabilitation Center | 4.3 mi | ★★★★★ | 2 | 2 |
| Lilac At Bayview, The | 5 mi | ★★★★★ | 0 | 0 |
| Clyde E Lassen State Veterans Nursing Home | 13.4 mi | ★★★★★ | 3 | 0 |
| Westminster St Augustine | 15.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.