CCN 105315 · St. Johns County, Florida
St Augustine Health and Rehabilitation Center
51 Sunrise Blvd, Saint Augustine, FL 32084
St Augustine Health and Rehabilitation Center is a 120-bed for-profit nursing home in Saint Augustine, Florida, first certified for Medicare or Medicaid in 1977. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 111.6 residents a day, about 93% of its certified beds. It has an active FHA-insured Section 232 loan: $5.2 million originally, at 4.23%, with $1.8 million outstanding as of September 30, 2026 and maturity in August 2032.
Facility facts
- Certified beds
- 120
- Average residents per day
- 111.6 (93.0% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Northport Health Services of Florida, LLC
- Certified since
- Sep 1, 1977
- Chain or affiliated group
- Nhs Management (43 facilities, chain average 2.9 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Florida median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 89 at 1, 143 at 2, 125 at 3, 156 at 4, 178 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.89 | 3.63 | 3.68 |
| RN hours per resident per day | 0.48 | 0.62 | 0.58 |
| Weekend nurse hours per resident per day | 3.47 | ||
| Nursing staff turnover | 32.4% | 41.9% | 44.9% |
| Occupancy (residents / beds) | 93.0% | 92.2% | 85.7% |
| Fines reported by CMS | 1 totaling $26,685 | ||
| Health deficiencies, latest standard survey | 5 (May 21, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). St Augustine Health and Rehabilitation Center does not meet it today: overall rating 1, health inspection rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| James N Estes Jr Family Dynasty Tr No 2Organization | Direct Ownership Interest | 10% | 09/30/2019 |
| James Norman Estes Jr TrOrganization | Direct Ownership Interest | 6% | 06/30/2013 |
| Jennifer E Agee Family Dynasty Tr No 2Organization | Direct Ownership Interest | 10% | 09/30/2019 |
| Jennifer Lee Estes Tr 031093Organization | Direct Ownership Interest | 6% | 06/30/2013 |
| Estes, JamesIndividual | Direct Ownership Interest | 68% | 02/19/1999 |
| Regions BankOrganization | Security Interest | n/a | 08/27/2013 |
| Hughes, ThomasIndividual | Operational / Managerial Control | n/a | 09/17/2021 |
| McVea, CheriIndividual | Operational / Managerial Control | n/a | 09/27/2021 |
| Rasco, LynnIndividual | Operational / Managerial Control | n/a | 07/01/2022 |
| Schneider, JulieIndividual | Operational / Managerial Control | n/a | 04/21/2023 |
| Toney, DarinIndividual | Operational / Managerial Control | n/a | 04/15/2024 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jul 23, 2002 | 223(f) refinance or purchaseHUD project name: St. Augustine Health & Rehabilitation Center, 120 beds. Lender at endorsement: Capital Funding Group | $5,227,500 | Active: 4.23%, $1,750,164 balanceMatures Aug 1, 2032. Servicer: Capital Funding LLC | 06322009 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.