Clyde E Lassen State Veterans Nursing Home
4650 State Rd 16, Saint Augustine, FL 32092 · St. Johns County · 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★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5
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 self-reported quality measures.
All citations in the current public record (5)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 22, 2025 | D · Potential for harm, one-off | 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. |
| Nov 4, 2021 | E · Potential for harm, repeated | 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. |
| Nov 4, 2021 | D · Potential for harm, one-off | 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. |
| Nov 4, 2021 | D · Potential for harm, one-off | 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. |
| Nov 4, 2021 | D · Potential for harm, one-off | 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. |
Inspection trend by year
| 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.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 0.00 | 4.03 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.76 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.68 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 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, 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 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
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 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| 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 →
All facilities in Saint Augustine →
Facility data as of CMS processing date 2026-08-01. CCN 106088.