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

Staffing

Hours and turnover

RN hours / resident day

0.85

Registered nurse staffing

LPN hours / resident day

1.24

Licensed practical nurse staffing

Aide hours / resident day

2.98

Nurse aide staffing

Weekend hours

4.39

Weekend nurse staffing

RN turnover

57%

Annual RN turnover

Total nurse turnover

65%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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

What sits behind the stars

Ownership

Florida Department Of Veterans Affairs

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2010-09-01
Carter, Alfred

Corporate Director · Individual

0% 6 facilities 2011-11-28
Rodriguez, Cattibell

Operational/Managerial Control · Individual

0% 1 facilities 2024-08-18

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Staffing
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Fines
$0
#2

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3-star overall rating with 3-star inspections with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
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Health
3 / 5
Staffing
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Fines
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