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 Westminster St Augustine during CMS and state inspections, most recent first.
Failure to Record and Resolve Resident Grievances: Two residents with intact cognition voiced complaints to staff, but the facility did not consistently document or track them as grievances. One resident reported missing personal nightgowns and said she received no update or reimbursement until later, while another said her wheelchair did not fit well and staff knew of the concern, but it was not reported to Social Services or entered in the grievance log. The facility’s policy required verbal complaints to be recorded and tracked through resolution.
An LPN failed to perform hand hygiene after removing gloves and before putting on a new pair during resident care, and also flushed a resident’s PICC line wearing gloves only instead of the required gown and gloves under Enhanced Barrier Precautions. The resident had active orders for EBP and PICC maintenance, and the facility policy required hand hygiene between glove changes and gown-and-glove use for device care.
Failure to Record and Resolve Resident Grievances
Penalty
Summary
The facility failed to record, address, and resolve grievances for two residents who voiced complaints to staff. Resident #4, who had diagnoses including nonrheumatic aortic valve stenosis, anxiety disorder, obstructive reflux uropathy, and palliative care status, reported that the facility had lost three nightgowns she purchased with her own money. She stated she had told the laundry supervisor, who was no longer employed by the facility, and later spoke with someone from Social Services, but she did not know the person's name. She reported that one gown was found, but two gowns were still missing and she had not been reimbursed or given an update. Her most recent MDS showed a BIMS score of 15/15, indicating intact cognition. A review of the grievance log for the period reviewed showed no recorded grievance for Resident #4 regarding missing items, and the facility had no grievances available for review during that time. The Social Services Director, who also served as the Grievance Officer, stated that if missing clothing could not be located, she would complete a grievance form so reimbursement could begin. She also stated she was aware of Resident #4's missing nightgowns and that the resident had reported them missing before, but a grievance form was not completed because the items were usually found in laundry. The facility's grievance policy required prompt efforts to resolve grievances, tracking through conclusion, and written grievance decisions, and the admission packet stated that a log would be maintained of all complaints and grievances showing progression of resolution. Resident #7, who had diagnoses including gait and mobility abnormalities, generalized muscle weakness, bilateral age-related macular degeneration, osteoporosis, and osteoarthritis, reported that her wheelchair did not fit her well and that she told her CNA and nurse she was uncomfortable in it. Her MDS also showed a BIMS score of 15/15. Interviews with staff showed the CNA could not recall the complaint, the LPN was aware the resident had complained to therapy several weeks earlier, and the Therapy Program Director confirmed she had received the complaint earlier in the year but did not report it to Social Services. The grievance log contained no grievance for Resident #7 about her wheelchair, despite the facility policy stating that verbal complaints to staff are grievances and that staff receiving a grievance will record the nature and specifics on the designated grievance form.
Hand Hygiene and PPE Not Followed During Resident Care
Penalty
Summary
Facility staff failed to properly perform hand hygiene between disposable glove changes for Resident #1 during medication administration. During observation on 08/05/2025 at 11:10 AM, an LPN completed the resident’s blood glucose monitoring, removed gloves from both hands, disposed of the used gloves, and donned a new pair of gloves without performing hand hygiene in between. When interviewed shortly afterward, the LPN stated, “I forgot to wash my hands.” The facility’s hand hygiene policy stated that gloves do not replace hand hygiene and that hand hygiene should be performed prior to donning gloves and immediately after removing gloves. Facility staff also failed to don the proper PPE when accessing Resident #1’s PICC line. During the same observation, the LPN flushed the resident’s PICC line wearing gloves only, despite a sign posted outside the room indicating Enhanced Barrier Precautions and requiring a gown and gloves for internal dwelling device care. Resident #1 had active physician’s orders for Enhanced Barrier Precautions and for normal saline flushes to the PICC line every shift. When asked, the LPN stated that a gown should have been worn when dealing with the resident’s PICC line. The facility’s Enhanced Barrier Precautions policy identified device care, including central lines, as a high-contact resident care activity requiring gown and gloves.
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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.
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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) |
|---|---|---|---|---|
| Clyde E Lassen State Veterans Nursing Home | 2 mi | ★★★★★ | 0 | 0 |
| Bartram Crossing | 10.7 mi | ★★★★★ | 5 | 3 |
| St Augustine Health And Rehabilitation Center | 11.8 mi | ★★★★★ | 2 | 2 |
| Aviata At Green Cove Springs | 12.1 mi | ★★★★★ | 0 | 0 |
| Ponce Therapy Care Center And Rehab, The | 12.5 mi | ★★★★★ | 0 | 0 |
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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.