Home / Florida / Saint Augustine
Clyde E Lassen State Veterans Nursing Home
4650 State Rd 16, Saint Augustine, FL 32092 · St. Johns County · (904) 940-2193
120 certified beds, about 114 residents a day · Government - State · Medicare and Medicaid since 2011
CMS Care Compare ratings, data as of September 1, 2026 · CCN 106088 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 22, 2025, inspectors cited 1 health deficiency (the Florida average is 7.1, the national average 9.2).
None of its 5 health citations since November 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.30 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.
56.0% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Florida Department of Veterans' Affairs, an affiliated group of 7 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.
August 22, 2025Standard inspection · 1 citation
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, record review, and a review of the facility's policies and procedures, the facility failed to ensure that residents who required respiratory care, received such care, consistent with professional standards of practice for one (Resident #91) of seven residents receiving respiratory care from a total survey sample of 26 residents.
September 8, 2023Standard inspection · 0 citations
November 4, 2021Standard inspection · 4 citations
- E Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observations and staff interviews, the facility failed to ensure a fully functioning resident call light system in one (House 3) of six resident care units in the facility. This failure potentially affected 15 of 78 residents residing in the facility.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observations, staff and resident interviews, and record reviews, the facility failed to promote and facilitate resident self-determination through support of resident choice, by not allowing the resident to make choices about aspects of his/her life in the facility that were significant to the resident for one (Resident #21) out of a total sample of 24 residents.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on record review and interviews, the facility failed to provide appropriate treatment and services to maintain or improve a resident's ability to carry out activities of daily living for one (Resident #32) of 24 residents sampled.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on record review, observations and staff interviews, the facility failed to provide appropriate treatment and services to prevent potential complications of enteral feeding, by failing to adhere to physician's orders for the administration of water flushes through the feeding tube for one (Resident #70) of three residents sampled for enteral feedings from a total sample of 24 residents.
Fire safety inspections
2 fire safety citations on file: 2 on August 22, 2025.
Every fire safety citation2 citations
- E Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
- D Provide a written emergency evacuation plan.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.30 | 3.82 | 3.86 |
| Registered nurses | 0.74 | 0.73 | 0.69 |
| All nursing staff on weekends | 4.62 | 3.49 | 3.42 |
| Nurse aides | 3.35 | ||
| Licensed practical nurses | 1.21 | ||
| Nursing staff turnover (share who left in a year) | 56.0% | 41.4% | 45.8% |
| Registered nurse turnover | 57.6% | 46.0% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.66 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.58 on weekdays and 4.62 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.01 in April to June 2025 to 5.30 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.30 | 0.74 | 5.58 | 4.62 | 9.7% | 0 of 90 | 114 |
| Oct to Dec 2025 | 5.31 | 0.74 | 5.55 | 4.69 | 14.3% | 0 of 92 | 115 |
| Jul to Sep 2025 | 5.07 | 0.85 | 5.34 | 4.39 | 21.1% | 0 of 92 | 117 |
| Apr to Jun 2025 | 5.01 | 0.83 | 5.22 | 4.48 | 23.3% | 0 of 91 | 113 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.5 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.1 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 8.7 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.8 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.1 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.4 | 8.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.1 | 1.8 |
Owners and operators
Legal business name: FLORIDA DEPARTMENT OF VETERANS AFFAIRS. CMS links this home to Florida Department of Veterans' Affairs, a group of 7 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Carter, Alfred | Corporate director | Individual | 11/28/2011 | |
| Rodriguez, Cattibell | Operational/managerial control | Individual | 08/18/2024 | |
| Carter, Alfred | Adp of the SNF | Individual | 11/28/2011 | |
| Rodriguez, Cattibell | Adp of the SNF | Individual | 06/01/2014 | |
| Sanchez, Carlos | Adp of the SNF | Individual | 03/10/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 22, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on November 4, 2021: "Make sure that a working call system is available in each resident's bathroom and bathing area."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on November 4, 2021: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
Other nursing homes nearby
- Westminster St. Augustine Saint Augustine, 2 mi · 5 of 5 stars · 3 citations
- St. Augustine Health and Rehabilitation Center Saint Augustine, 10.1 mi · 1 of 5 stars · 16 citations
- Ponce Therapy Care Center and Rehab, the Saint Augustine, 10.7 mi · 5 of 5 stars · 9 citations
- Lilac at Bayview, the Saint Augustine, 11 mi · 2 of 5 stars · 22 citations
- Bartram Crossing Jacksonville, 12.7 mi · 2 of 5 stars · 13 citations
- Aviata at Green Cove Springs Green Cove Springs, 13 mi · 2 of 5 stars · 18 citations
- Moultrie Creek Nursing and Rehab Center Saint Augustine, 13.4 mi · 5 of 5 stars · 7 citations
- Westminster Woods on Julington Creek Jacksonville, 14.5 mi · 5 of 5 stars · 0 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Clyde E Lassen State Veterans Nursing Home's Medicare star rating?
- CMS rates Clyde E Lassen State Veterans Nursing Home 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Clyde E Lassen State Veterans Nursing Home get at its last inspection?
- 1 health deficiency at the standard inspection on August 22, 2025. The Florida average is 7.1.
- Has Clyde E Lassen State Veterans Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Clyde E Lassen State Veterans Nursing Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Clyde E Lassen State Veterans Nursing Home?
- CMS lists 5 owners and managers, and links the home to Florida Department of Veterans' Affairs. Legal business name: FLORIDA DEPARTMENT OF VETERANS AFFAIRS.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.