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Westminster St. Augustine

230 Towerview Drive, Saint Augustine, FL 32092 · St. Johns County · (904) 940-4801

30 certified beds, about 27 residents a day · Non profit - Church related · Medicare since 2002

CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 106040 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 6, 2025, inspectors cited 2 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 3 health citations since June 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 4.38 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.95 of those hours.

16.7% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Westminster Communities of Florida, an affiliated group of 9 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 3 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
0E
0F
Potential for minimal harm
0A
0B
0C
August 6, 2025Standard inspection · 2 citations
  1. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2025
    Inspectors wroteBased on resident and staff interviews and resident/facility record reviews, the facility failed to record, address, and resolve grievances for two (Residents #4 and #7) of two residents reviewed for grievances from a total survey sample of 15 residents.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on observation, interview and record review, facility staff failed to 1) Properly perform hand hygiene between disposable glove changes for one (Resident #1) of six residents observed during medication administration, and 2) Ensure to don the proper personal protective equipment for accessing a Peripherally Inserted Central Catheter (PICC) line for one (Resident #1) of one resident with a PICC line.
January 5, 2024Standard inspection · 0 citations
June 2, 2022Standard inspection · 1 citation
  1. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 2, 2022
    Inspectors wroteBased on record review and interviews, the facility failed to adequately monitor resident behaviors for one resident (#16) receiving antipsychotic medications from a total sample of 11 residents.

Fire safety inspections

11 fire safety citations on file: 11 on August 6, 2025.

Every fire safety citation11 citations
  1. D
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · August 6, 2025 · Corrected (the home has a date of correction)
  2. D
    Include a process for Emergency Preparedness collaboration.
    E 9 · August 6, 2025 · Corrected (the home has a date of correction)
  3. D
    Establish policies and procedures for medical documentation.
    E 23 · August 6, 2025 · Corrected (the home has a date of correction)
  4. D
    Conduct testing and exercise requirements.
    E 39 · August 6, 2025 · Corrected (the home has a date of correction)
  5. D
    Meet the requirements of an integrated health system.
    E 42 · August 6, 2025 · Corrected (the home has a date of correction)
  6. D
    Provide properly protected cooking facilities.
    K 324 · August 6, 2025 · Corrected (the home has a date of correction)
  7. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 6, 2025 · Corrected (the home has a date of correction)
  8. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 6, 2025 · Corrected (the home has a date of correction)
  9. D
    Provide a written emergency evacuation plan.
    K 711 · August 6, 2025 · Corrected (the home has a date of correction)
  10. D
    Have simulated fire drills held at unexpected times.
    K 712 · August 6, 2025 · Corrected (the home has a date of correction)
  11. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 6, 2025 · Corrected (the home has a date of correction)

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.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)4.383.823.86
Registered nurses0.950.730.69
All nursing staff on weekends4.173.493.42
Nurse aides2.70
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)16.7%41.4%45.8%
Registered nurse turnover14.3%46.0%42.9%
Administrators who left0

CMS expects 4.01 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 4.46 on weekdays and 4.17 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.32 in April to June 2025 to 4.38 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.380.954.464.17 8.1%0 of 9027
Oct to Dec 20254.380.894.434.26 5.7%0 of 9226
Jul to Sep 20254.300.874.414.01 11.8%0 of 9227
Apr to Jun 20254.321.104.374.20 4.2%0 of 9127
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%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.

MeasureThis homeFloridaUS
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.82.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.04.54.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
14.126.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.49.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.52.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.01.11.8

Owners and operators

Legal business name: WESTMINSTER PINES INC. CMS links this home to Westminster Communities of Florida, a group of 9 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Keith, HenryCorporate directorIndividual01/01/2024
Doddridge, DonaldCorporate officerIndividual01/01/2025
Faubel, MeganCorporate officerIndividual01/01/2024
Hennis, GarryCorporate officerIndividual01/01/2024
Keith, HenryCorporate officerIndividual01/01/1995
Westminster Services IncOperational/managerial controlOrganization10/24/2017
Degross, MistyOperational/managerial controlIndividual03/03/2022
Heise, DavidOperational/managerial controlIndividual01/01/2017
Keith, HenryOperational/managerial controlIndividual01/01/2024
Westminster Services IncAdp of the SNFOrganization01/29/2025
Degross, MistyAdp of the SNFIndividual04/16/2025
Heise, DavidAdp of the SNFIndividual04/16/2025
Keith, HenryAdp of the SNFIndividual01/01/2024

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.

  1. 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 August 6, 2025: "Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 6, 2025: "Provide and implement an infection prevention and control program."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 2, 2022: "Ensure each resident’s drug regimen must be free from unnecessary drugs."

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Common questions

What is Westminster St. Augustine's Medicare star rating?
CMS rates Westminster St. Augustine 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Westminster St. Augustine get at its last inspection?
2 health deficiencies at the standard inspection on August 6, 2025. The Florida average is 7.1.
Has Westminster St. Augustine been fined?
CMS lists no fines in the last three years.
Does Westminster St. Augustine accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Westminster St. Augustine?
CMS lists 13 owners and managers, and links the home to Westminster Communities of Florida. Legal business name: WESTMINSTER PINES INC.

Sources

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