Home / Florida / Saint Augustine
Ponce Therapy Care Center and Rehab, the
1999 Old Moultrie Road, Saint Augustine, FL 32086 · St. Johns County · (904) 824-3311
120 certified beds, about 116 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105468 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 25, 2025, inspectors cited 0 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 9 health citations since January 2022 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 3.32 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
43.8% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Gold Fl Trust II, an affiliated group of 36 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 9 health citations on file.
September 25, 2025Standard inspection · 0 citations
October 26, 2023Standard inspection · 5 citations
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that one (Resident #85) of a total sample of 34 residents, received housekeeping services to maintain a sanitary interior in their room.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that one (Resident #52) of four residents reviewed for inability to carry out Activities of Daily Living (ADLs), from a total sample of 34 residents, received proper grooming.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, staff, resident and family interviews, record review, and facility policy review, the facility failed to ensure that one (Resident #36) of two residents reviewed for skin conditions, from a total of 34 residents sampled, received wound treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure that the resident environment remained as free of accident hazards as was possible for one (Resident #1) of 34 residents sampled. Resident #1's room was observed over a period of three days with several razors left lying on the resident's sink. This practice could result in injury to this resident or any other resident who entered this room and had access to the razors.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, staff, resident and family interviews, medical record review, and facility policy review, the facility failed to ensure that one (Resident #36) of two residents reviewed who required respiratory care, from a total of 34 residents sampled, was provided such care, consistent with professional standards of practice and the comprehensive person-centered care plan.
January 6, 2022Standard inspection · 4 citations
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on staff and resident interviews, observations and record review, the facility failed to ensure a resident requiring respiratory care, received such care in accordance with professional standards of practice, by failing to 1) Properly monitor and report to the physician the non-usage of the bilevel positive airway pressure (BIPAP) device, and 2) Maintain an operable BIPAP device to carry out physician's orders for evening and night BIPAP usage for one (Resident #38) of one resident reviewed, from a total of 38 residents in the sample.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to treat a resident's pain to the extent possible, by failing to identify and treat pain that persisted beyond the resident's current pain regimen for one (Resident #85) of three residents reviewed for pain management from a total of 38 sampled residents.
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observations, record review, and staff and resident interviews, the facility failed to meet the needs of residents in accordance with established national guidelines for five (Residents #83, #79, #2, #139, and #145) from a total of 38 sampled residents. Specifically, the facility failed to ensure that with reasonable efforts, the residents' allergies, food preferences, and therapeutic diets were honored/followed.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interviews, the facility failed to maintain accurately documented resident medical records by failing to accurately document the use of a bilevel positive airway pressure (BIPAP) device during the evening and night shifts for one (Resident #38) of one resident reviewed, from a total of 38 sampled residents. Specifically, the nursing staff executed 137 Treatment Administration Record (TAR) entries indicating use of a BIPAP device when the resident's BIPAP device was inoperable.
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) | 3.32 | 3.82 | 3.86 |
| Registered nurses | 0.46 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.05 | 3.49 | 3.42 |
| Nurse aides | 2.08 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 43.8% | 41.4% | 45.8% |
| Registered nurse turnover | 42.1% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.80 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 3.44 on weekdays and 3.05 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.30 in April to June 2025 to 3.32 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 | 3.32 | 0.46 | 3.44 | 3.05 | 3.8% | 0 of 90 | 116 |
| Oct to Dec 2025 | 3.40 | 0.50 | 3.52 | 3.10 | 0.1% | 0 of 92 | 114 |
| Jul to Sep 2025 | 3.36 | 0.52 | 3.44 | 3.14 | 0.7% | 0 of 92 | 110 |
| Apr to Jun 2025 | 3.30 | 0.52 | 3.38 | 3.07 | 3.5% | 0 of 91 | 116 |
| 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 | 1.8 | 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 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.2 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.4 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.4 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 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: THE PONCE THERAPY CARE CENTER AND REHAB LLC. CMS links this home to Gold Fl Trust II, a group of 36 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| The Ponce SNF Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 03/23/2022 |
| Fl Master Opco Holdco LLC | 5% or greater indirect ownership interest | Organization | 100% | 07/24/2022 |
| Devaul, John | W-2 managing employee | Individual | 07/27/2022 | |
| Shelby, Jack | Corporate officer | Individual | 07/27/2022 |
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 6 problems in this area, most recently on October 26, 2023: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- 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 October 26, 2023: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on January 6, 2022: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on January 6, 2022: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- St. Augustine Health and Rehabilitation Center Saint Augustine, 0.7 mi · 1 of 5 stars · 16 citations
- Lilac at Bayview, the Saint Augustine, 1.7 mi · 2 of 5 stars · 22 citations
- Moultrie Creek Nursing and Rehab Center Saint Augustine, 3.7 mi · 5 of 5 stars · 7 citations
- Clyde E Lassen State Veterans Nursing Home Saint Augustine, 10.7 mi · 5 of 5 stars · 5 citations
- Westminster St. Augustine Saint Augustine, 12.5 mi · 5 of 5 stars · 3 citations
- Bartram Crossing Jacksonville, 22.5 mi · 2 of 5 stars · 13 citations
- Aviata at Grand Oaks Palm Coast, 22.6 mi · 2 of 5 stars · 22 citations
- Aviata at Green Cove Springs Green Cove Springs, 23 mi · 2 of 5 stars · 18 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 Ponce Therapy Care Center and Rehab, the's Medicare star rating?
- CMS rates Ponce Therapy Care Center and Rehab, the 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ponce Therapy Care Center and Rehab, the get at its last inspection?
- 0 health deficiencies at the standard inspection on September 25, 2025. The Florida average is 7.1.
- Has Ponce Therapy Care Center and Rehab, the been fined?
- CMS lists no fines in the last three years.
- Does Ponce Therapy Care Center and Rehab, the 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 Ponce Therapy Care Center and Rehab, the?
- CMS lists 4 owners and managers, and links the home to Gold Fl Trust II. Legal business name: THE PONCE THERAPY CARE CENTER AND REHAB LLC.
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.