How to file a complaint about care →
No fines or payment denials in the published 3-year window.
4650 State Rd 16, Saint Augustine, FL 32092 (opens Google Maps) · St. Johns County · (904) 940-2193· 120 certified beds · avg 114 residents/day · certified since Mar 4, 2011 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: FLORIDA DEPARTMENT OF VETERANS' AFFAIRS (7 facilities, chain avg rating 3.9★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Showing the latest 3 of 5 inspection findings. Open the full record below to read every finding.
The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. F-0695
The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. F-0919
The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. F-0561
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 22, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Nov 4, 2021 | E · Potential for more than minimal harm, pattern | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919 |
| Nov 4, 2021 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Nov 4, 2021 | D · Potential for more than minimal harm, isolated | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · F-0676 |
| Nov 4, 2021 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 0 | E |
| 2025 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | — | 4.03 | 3.95 | — |
| Registered Nurse hours | — | 0.76 | 0.69 | — |
| Weekend total nurse staffing | — | 3.68 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | — | 0.53 | 0.48 | — |
| Total nursing staff turnover (%) | 56.0 | 41.4 | 45.8 | bottom 15% in Florida; bottom 23% in the U.S. |
| RN turnover (%) | 57.6 | 46.0 | 42.9 | bottom 28% in Florida; bottom 24% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total —, RN —, weekend —.Comparing with Medicare Care Compare? Care Compare shows the raw figure (— here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Clyde E Lassen State Veterans Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Government - State
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Carter, Alfred | Individual | Corporate Director | NOT APPLICABLE | 11/28/2011 |
| Carter, Alfred | Individual | ADP of the SNF | NOT APPLICABLE | 11/28/2011 |
| Rodriguez, Cattibell | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/18/2024 |
| Rodriguez, Cattibell | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2014 |
| Sanchez, Carlos | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
All 5 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Florida Department of Veterans' Affairs — 7 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Westminster St Augustine | 2.0 mi | Saint Augustine, FL | ★★★★★ | 5/5 | |
| St Augustine Health and Rehabilitation Center | 10.1 mi | Saint Augustine, FL | ★☆☆☆☆ | 1/5 | abuse |
| Ponce Therapy Care Center and Rehab, the | 10.7 mi | Saint Augustine, FL | ★★★★★ | 5/5 | |
| Lilac at Bayview, the | 11.0 mi | Saint Augustine, FL | ★★☆☆☆ | 2/5 | |
| Bartram Crossing | 12.7 mi | Jacksonville, FL | ★★☆☆☆ | 1/5 | abuse |
| Aviata at Green Cove Springs | 13.0 mi | Green Cove Springs, FL | ★★☆☆☆ | 2/5 | |
| Moultrie Creek Nursing and Rehab Center | 13.4 mi | Saint Augustine, FL | ★★★★★ | 5/5 | |
| Westminster Woods on Julington Creek | 14.5 mi | Jacksonville, FL | ★★★★★ | 5/5 | |
| Isle Healthcare & Rehabilitation Center | 16.3 mi | Orange Park, FL | ★★★★★ | 4/5 | |
| River Garden Hebrew Home for the Aged | 16.4 mi | Jacksonville, FL | ★★★★★ | 5/5 | |
| Pruitthealth - Fleming Island | 17.3 mi | Fleming Island, FL | ★★☆☆☆ | 2/5 | |
| Terrace of Jacksonville, the | 17.4 mi | Jacksonville, FL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
CMS records place this facility in St. Johns, FL — 8 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 106088.
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