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BROOKDALE ST AUGUSTINE in SAINT AUGUSTINE, FL

150 MARINER HEALTH WAY, SAINT AUGUSTINE, FL 32086

(904) 794-9988

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Active License
Last Updated: 4/23/2026
Sourced from state & federal public records

Facility Intelligence Overview

Safety & Inspections
CMS Citations Record
Clear Record
0
Severe
0
Standard
Questions to ask on your tour

• Ask if they have had any state or federal inspections recently.

• Ask how they ensure a safe environment for residents.

Staffing Adequacy
No Data Filed
Capacity
115
Beds
Legal Sanctions
7
On Record

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Sanctions
7
Inspection rows
0
CMS citations
0
Owner records
6
What we found
Source Evidence Preview
Florida AHCALegal sanctionVERIFIED FINDING

Reporting

Apr 28, 2019$50Severity: SanctionStatus: 01

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Florida AHCALegal sanctionVERIFIED FINDING

Reporting

May 24, 2018$500Severity: SanctionStatus: 01

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Florida AHCALegal sanctionVERIFIED FINDING

Reporting

May 12, 2018$500Severity: SanctionStatus: 01

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Ownership and control
Public Record Summary
  • Ownership entity: SUMMERVILLE AT ST AUGUSTINE LLC (For-Profit)
  • Administrator listed in AHCA profile: THEODORE BOLT
  • 3 principal stakeholder records available from the AHCA profile.

Health Inspections & Citations

Reporting2019-04-28

Sanction Applied: Fine

Fine: $50
Reporting2018-05-24

Sanction Applied: Fine

Fine: $500
Reporting2018-05-12

Sanction Applied: Fine

Fine: $500
Reporting2018-04-04

Sanction Applied: Fine

Fine: $500
Reporting2018-04-04

Sanction Applied: Fine

Fine: $500
Reporting2018-03-19

Sanction Applied: Fine

Fine: $500
Survey2015-06-12

Sanction Applied: Fine

Fine: $5,000

Location & Contact Information

Operational History

Originally Licensed
9/1/2005

Room & Unit Types

Private Rooms64 units
Semi-Private Rooms25 units
Extended Congregate Care Beds0 capacity
Optional State Supplement Beds0 capacity
Private Beds115 capacity
Total Capacity Beds115 capacity

Amenities & Services

Payment Forms Accepted

  • Medicaid
  • VA

Languages Spoken

  • English

Activities

  • Arts and Crafts
  • Cooking Classes
  • Dancing
  • Exercise Classes
  • Games/Cards
  • Gardening
  • Music Programs
  • Shopping
  • Social Events/Outings
  • Theater and Movies

Nurse Availability

  • Direct Part-Time

Staffing Snapshot

The CMS staffing levels for RNs, LPNs, and CNAs assigned to handle the resident capacity.

Executive Roster

Ownership Entity

SUMMERVILLE AT ST AUGUSTINE LLC For-Profit

CFO

DAWN KUSSOW

Administrator

THEODORE BOLT

Individual Stakeholders

  • SUMMERVILLE SENIOR LIVING, INC — 100%
  • CHADWICK WHITEBOARD MEMBER/OFFICER
  • DAWN KUSSOWBOARD MEMBER/OFFICER

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