Saint Augustine, FL

Clyde E Lassen State Veterans Nursing Home

4-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

4650 State Rd 16, Saint Augustine, FL

(904) 940-2193

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

117

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Florida Department Of Veterans' Affairs

Operator or chain grouping

Approved since

2011-03-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 3 overall / 3 health / 4 staffing / 2 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.85

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

1.24

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.98

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

5.07

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

2.09

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

4.39

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.48

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.92

CMS adjusted RN staffing hours

Adjusted total hours

5.49

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

65%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,904

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

47.02

Composite VBP score used to determine payment impact.

Payment multiplier

1.0005

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.29

Performance 54.34% · Measure score 2.29 · Achievement 2.29 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

7.12

Baseline 5.36 hours · Performance 5.10 hours · Measure score 7.12 · Achievement 7.12 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 185
Staff flu vaccination coverage	20.67%	42% 21.3 pts worse	Numerator 31 · Denominator 150
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.5	2.1 0.4 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.3 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	1.2 0.8 pts worse	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	84.5%	97.8% 13.3 pts worse	93.4% 8.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 79.8% · Q3 76.6% · Q4 84.5% · 4Q avg 84.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.9%	99.2% 8.3 pts worse	95.5% 4.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.9%
Percentage of long-stay residents experiencing one or more falls with major injury	4.3%	2.6% 1.7 pts worse	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.9% · Q3 4.5% · Q4 6.0% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.8%	3.7% 0.9 pts better	11.4% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.2% · Q3 2.0% · Q4 3.7% · 4Q avg 2.8%
Percentage of long-stay residents who lose too much weight	7.3%	5.9% 1.4 pts worse	5.4% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 11.0% · Q3 7.8% · Q4 5.9% · 4Q avg 7.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	36.3%	15.7% 20.6 pts worse	19.6% 16.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 41.0% · Q3 33.8% · Q4 31.8% · 4Q avg 36.3%
Percentage of long-stay residents who received an antipsychotic medication	22.8%	9.8% 13 pts worse	16.7% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 19.4% · Q3 27.0% · Q4 20.8% · 4Q avg 22.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	29.1%	11.7% 17.4 pts worse	16.3% 12.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 34.7% · Q3 21.2% · Q4 27.5% · 4Q avg 29.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.0%	9.8% 12.2 pts worse	14.9% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 16.9% · Q3 21.9% · Q4 21.9% · 4Q avg 22.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.4% 0.2 pts worse	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.2%	0.8% 2.4 pts worse	1.7% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 4.6% · Q4 4.3% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.4%	12.5% 9.9 pts worse	19.8% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 19.9% · Q3 25.0% · Q4 23.4% · 4Q avg 22.4%
Percentage of long-stay residents with pressure ulcers	4.3%	5.1% 0.8 pts better	5.1% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 6.1% · Q3 3.4% · Q4 2.4% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	60.7%	94.3% 33.6 pts worse	81.7% 21 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 59.3% · Q3 50.0% · Q4 70.8% · 4Q avg 60.7%
Percentage of short-stay residents who had an outpatient emergency department visit	11.7%	9.3% 2.4 pts worse	12.0% 0.3 pts better	Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 13.0% · Expected 12.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	6.2%	1.5% 4.7 pts worse	1.6% 4.6 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	81.5%	94.7% 13.2 pts worse	79.7% 1.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	9.6%	26.2% 16.6 pts better	23.9% 14.3 pts better	Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 8.7% · Expected 21.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-22 · Fire 2025-08-22

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2023-09-08 · Fire 2023-09-08

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-11-04 · Fire 2021-11-04

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-08-22

K791 · Miscellaneous Deficiencies

Fire Safety

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.

Corrected 2025-10-05

D · Potential for more than minimal harm 2025-08-22

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-10-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-22

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-10-05

E · Potential for more than minimal harm 2021-11-04

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2021-12-17

D · Potential for more than minimal harm 2021-11-04

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2021-12-17

D · Potential for more than minimal harm 2021-11-04

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2021-12-17

D · Potential for more than minimal harm 2021-11-04

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2021-12-17

Penalties and ownership