MOULTRIE CREEK NURSING AND REHAB CENTER

200 MARINER HEALTH WAY
SAINT AUGUSTINE, FL, 32086
9047971800
CCN: 105548
5
Overall
5
Health
3
Staffing
5
Quality
ChainSOVEREIGN HEALTHCARE HOLDINGS→
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
BERKADIA COMMERCIAL MORTGAGE LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
FL MOULTRIE CREEK HOLDINGS, LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
HEALTH SERVICES PROPERTIES LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
MANGINE, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MELTON, DONALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SOUTHERN HEALTHCARE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PATEL, JIGNESHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NOTERMANN, WILLIAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CRONQUIST, ROYCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DAVIS, JASONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (7)
2024-10-03 · Health
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022-11-17 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2021-04-01 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.68
3.68
RN Hrs/Resident/Day
0.29
0.54
LPN Hrs/Resident/Day
1.24
0.81
CNA Hrs/Resident/Day
2.15
2.33
PT Hrs/Resident/Day
0.15
0.12
Data as of 2026-03-01