Atlantic Shores Nursing And Rehab Center
4251 Stack Blvd, Melbourne, FL 32901 · For profit - Limited Liability company · 120 certified beds · (321) 953-2219 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 4 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 5.3% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 6.0% | 5.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.3% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.6% | 0.7% | 2.0% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 11.2% | 4.6% | 6.5% | worse |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 5.3% | 2.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 7.7% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 3.9% | 14.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.4% | 4.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 4.2% | 10.5% | 21.2% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 8.7% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.1% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 97.2% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 24.4% | 26.1% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 11.2% | 9.1% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 2.08 | 2.13 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.50 | 1.15 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
52.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 100 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 74.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 119 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.67 therapist hours per resident per day in 2026Q1 — more than 91% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 52.5%CMS range 42.8–62.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.7%CMS range 10.1–16.0 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 74.0% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 68.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 72.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 86.8% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 99.3% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.8% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.4% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.5%CMS range 4.0–11.1 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.92 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 120 beds and averages 112.6 residents a day — about 94% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.29 hrs/resident/day on weekends vs 3.79 on weekdays — 13% thinner on weekends. RN hours go from 0.66 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.
- Potential for harm · E2026-06-11 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, and interview, the facility failed to maintain a clean and homelike environment for 6 out of 12 resident rooms on the South wing, resulting in an environment that did not promote resident comfort and safety.Findings:During environmental tours conducted between 6/08/26 and 6/11/26 on the South wing of the facility, the following observations were made:1. In room [ROOM NUMBER]-B, a hole on the wall above the baseboard with crumbling dry wall between beds A and B was observed on 6/08/26 at 9:30 AM, on 6/09/26 at 2:30 PM, and on 6/10/26 at 11:10 AM. On 6/08/26 at 9:30 AM, the resident in room [ROOM NUMBER] bed B said she did not recall how long the hole in the wall above the baseboard was there, but she did not like to see the hole on the wall. 2. In room [ROOM NUMBER]-B, the wall next to the bed had been patched but an area measuring approximately 1 foot by 1 foot was still not sanded nor painted on 6/08/26 at 9:40 AM, on 6/09/26 at 12:47 PM, and on 6/10/26 at 11:25 AM.3. In room [ROOM…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-06-11 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, and interview, the facility failed to maintain an effective infection prevention and control program to prevent the spread of infection by ensuring staff performed hand hygiene while assisting the residents in the dining room before, during and after lunch, in one of two dining rooms of the facility, (South wing). Findings:On 6/08/26 at 11:30 AM, residents were sitting in the South wing dining room in their wheelchairs waiting for the lunch meal service. On 6/08/26 at 11:52 AM, two Certified Nursing Assistants (CNA)s and the Infection Prevention nurse (IP) were in the dining room providing beverages to the residents, setting up the residents' lunches in preparation for them to eat their meal. Staff placed items from each resident's meal tray to the table, helped to open the condiment packages and cut up food items for several residents. CNA F brought the lunch tray from the tray cart to a resident sitting at a table, cut the resident's food then opened the condiment packages for that resident. The CNA returned to the tray cart where the other residents' lunch…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-06-11 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to revise and review a comprehensive person-centered care plan to meet the resident's needs for their highest well-being, for 2 of 2 residents reviewed for hearing/sensory aids, of a total sample of 41 residents, (#88, and #14).Findings: 1. Review of the medical record revealed resident #88 was admitted to the facility on [DATE] with diagnoses that included atrial fibrillation, diabetes, and brain bleed.Review of the Minimum Data Set (MDS) admission assessment with Assessment Reference Date (ARD) of 8/05/25 showed section B-hearing revealed resident had minimal hearing difficulty/difficulty with some environments and no hearing aids present. Section C for memory recall showed a Brief Interview for Mental Status (BIMS) of 13 out of 15, which meant the resident had normal cognitive function.Review of the MDS Quarterly assessment with ARD of 3/24/26 showed section B hearing revealed resident had a minimal hearing difficulty/difficulty with some…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-06-11 · tag F0699 — isolatedProvide care or services that was trauma informed and/or culturally competent.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure a resident who was a trauma survivor received culturally competent, trauma-informed care in accordance with professional standards of practice that took account of the resident's experiences and preferences in order to eliminate or mitigate triggers which could cause re-traumatization of the resident, for 1 of 2 residents reviewed for diagnosis of Post Traumatic Disorder (PTSD), of a total sample of 41 residents, (#11).Findings:Resident # 11 was admitted to the facility on [DATE] with diagnoses that included wedge compression fracture of T11-T12 vertebra, subsequent encounter for fracture with routine healing, Type 2 diabetes mellitus, major depressive disorder, unspecified dementia and PTSD.Review of the Minimum Data Set (MDS) admission assessment with assessment reference date of [DATE] showed the resident had a Brief Interview for Mental Status Score of 8 out of 15, which indicated her cognition was moderately impaired. The assessment listed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-06-11 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to timely review pharmacy consultant recommendations and implement the physician's revised medication order for 1 of 5 residents reviewed for unnecessary medications, of a total sample of 41 residents, (#5).Findings:Review of the medical record revealed resident #5, an [AGE] year-old male was admitted to the facility from an acute care hospital on 5/25/24. The resident's diagnoses included type 2 diabetes mellitus, hypertension, hyperlipidemia, history of pulmonary embolism, and dementia with psychotic disturbance.The most recent Comprehensive Minimum Data Set (MDS) Annual Assessment with an Assessment Reference Date of 4/28/26 indicated during the look-back period, resident #5 had severely impaired cognitive daily decision making skills, short term and long term memory problems, was dependent on staff to complete activities of daily living/functioning, able to propel himself in a wheelchair up to 150 feet, and sustained one fall with minor…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-01-29 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, nurses failed to follow physician's orders and failed to monitor condition changes in a timely manner for 1 of 3 residents reviewed for Change of Condition, of a total sample of 4 residents, (#4). Findings: Review of the medical record revealed resident #4, an [AGE] year old male was admitted to the facility on [DATE], re-hospitalized on [DATE], and re-admitted from an acute care hospital on [DATE]. The resident's diagnoses included hemiplegia and hemiparesis following cerebral infarction (stroke), aphasia (language communication dysfunction), dysphagia (difficulty swallowing), end stage kidney disease, seizures, encephalopathy (brain dysfunction), hypertensive (high blood pressure) urgency, dialysis dependence, anemia, primary hypertension, and coronary (heart) artery disease (CAD). The Minimum Data Set 5-Day assessment with an Assessment Reference Date of 11/06/24 showed during the look back periods, resident #4 scored 13 out of 15 on the Brief Interview for Mental Status…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-09-25 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to conduct medication self-administration assessment to ensure safety for 1 of 1 resident reviewed for self-administration of medications, of a total sample of 39 residents, (#57). Findings: Resident #57 was admitted to the facility on [DATE] with diagnoses including pneumonitis due to inhalants of food and vomit, adult failure to thrive, hypertensive heart disease, anemia, CVA with Left-sided hemiparesis. Review of the Minimum Data Set admission assessment with an assessment reference of 8/30/24 revealed resident #57 had a Brief Interview for Mental Status score of 2 out of 15, which indicated she was severely cognitively impaired. On 9/23/24 at 11:59 AM, resident #57 was observed lying on her back in bed watching television. Her nightstand had a square basket with personal items, including a bottle of 15 millimeter (ml) Visine eye drops and B& C Ointment wound dressing with a 60-gram tube observed at the bedside. The resident, unable to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-21 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure nurses administered Intravenous (IV) medications according to physician's orders for 1 of 4 residents reviewed for Quality of Care and Treatment, of a total sample of 10 residents, (#1). Findings: A review of the medical record revealed resident #1, a [AGE] year old female was admitted to the facility on [DATE] from an acute care hospital with diagnoses of fractures of the right arm and shoulder, severe aortic (main heart artery) valve stenosis (narrowing), severe malnutrition, need for assistance with personal care, and osteoporosis. On 2/09/24, she was diagnosed with a stage four pressure wound to her sacrum (tailbone), sacral osteomyelitis (infection of bone), deep tissue pressure wounds to her left and right heels and ankles, and a non-pressure wound to her right elbow. The Minimum Data Set (MDS) Modified admission assessment with Assessment Reference Date (ARD) 1/19/24 noted resident #1 scored 15 out of 15 for the Brief…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-12-22 · tag F0657 — failed to keep the care plan current — patternDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interview, the facility failed to involve residents and/or their representatives in the care planning process for 3 of 3 residents reviewed for care planning of a total sample of 42 residents, (#19, #44, #67). Findings: 1. Review of resident #19's medical record revealed she was admitted to the facility on [DATE] with diagnoses that included dementia, depression, and anxiety. Review of resident #19's Minimum Data Set (MDS) Change in Status assessment with Assessment Reference Date (ARD) 9/08/22 revealed she had a Brief Interview for Mental Status score of 0 which indicated she was severely cognitively impaired. On 12/20/22 at 9:29 AM, during a telephone interview, resident #19's daughter and Power of Attorney (POA) stated she had only been invited to and attended one care plan meeting since her mother was admitted to the facility. She explained the care plan meeting was held around the summer time and she had not heard of any other care planning meetings since then. On 12/20/22 at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-12-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to obtain a physician order for 1 of 1 resident receiving oxygen, failed to follow physician ordered dosage for oxygen administration for 2 of 2 residents, and failed to monitor water in the oxygen humidifier for 1 of 1 resident out of 8 residents reviewed for oxygen therapy of a total sample size of 42 residents, ( 89, 551, 76, 38). Findings: 1. Resident #89 was admitted to the facility on [DATE] with diagnoses of anxiety disorder, vascular dementia, and transient ischemic attack. Review of the resident's medical record showed a Minimum Data Set (MDS) admission assessment dated [DATE] that did not show oxygen therapy. Review of the care plan dated 9/26/22 showed no focus, goals, or interventions for oxygen. Review of the resident's physician orders active and discontinued from 9/26/22 to current showed no orders for oxygen. On 12/19/22 at 10:49 AM and 12:16 PM, resident #89 was noted with oxygen via nasal cannula infusing at 2 liters per…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 5 citations
- Potential for harm · D2022-12-22 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to complete and submit the Minimum Data Set (MDS) comprehensive annual assessment within the required 366 days of the previous comprehensive assessment for 1 of 5 residents reviewed for completion of MDS annual assessments of a total sample of 42 residents, (#63). Findings: Resident #63 was admitted to the facility on [DATE]. A review of the resident's medical record revealed the MDS comprehensive annual assessment with Assessment Reference Date (ARD) 12/01/22 was not completed. In interviews on 12/20/22 at 2:54 PM, and on 12/22/22 at 12:15 PM, the Licensed Practical Nurse MDS Coordinator confirmed resident #63's comprehensive annual assessment ARD was 12/01/22 and should have been completed and submitted by 12/15/22. She explained she had not completed the assessment as she had too much on her plate. On 12/22/22 at 12:17 PM, the Regional Director of Clinical Services stated her expectation was the MDS assessments were completed and submitted by the ARD…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-22 · tag F0638 — isolatedAssure that each resident’s assessment is updated at least once every 3 months.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to complete and electronically transmit Minimum Data Set (MDS) assessments timely for 1 of 5 residents reviewed for MDS assessment completion and submission from a total sample of 42 residents, (#75). Findings: Resident #75 was admitted to the facility on [DATE]. A review of resident #75's medical record revealed the MDS quarterly assessment had an assessment reference date (ARD) of 11/11/22. Review of the history of the quarterly MDS assessment showed it was completed on 12/19/22, locked and accepted on 12/19/22. On 12/20/22 at 2:54 PM, the Licensed Practical Nurse MDS Coordinator reviewed the resident's medical record and stated his quarterly assessment was due 14 days from the ARD date, 11/25/22. She confirmed the quarterly assessment was not completed and submitted until 12/19/22, 24 days late. The MDS Coordinator stated she was responsible for ensuring MDS assessments were submitted timely and explained she had too much on her plate at that time. On…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-22 · tag F0640 — isolatedEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to electronically transmit Minimum Data Set (MDS) quarterly assessments timely for 2 of 2 residents reviewed for MDS assessments, from a total sample of 42 residents, (#73, #72). Findings: 1. Resident #73 was admitted to the facility on [DATE] . A review of the resident's medical record revealed the MDS quarterly assessment dated [DATE] had not been transmitted. 2. Resident #72 was admitted to the facility on [DATE] with a previous admission on [DATE]. A review of the resident's medical record revealed the MDS quarterly assessment dated [DATE] had not been transmitted. On 12/20/22 at 2:53 PM, the Licensed Practical Nurse (LPN) MDS Coordinator stated MDS Quarterly, Annual and Discharge assessments submissions were due in 14 days from the Assessment Reference Date (ARD). She validated the Quarterly assessments for resident #73 and resident #72 were greater than 120 days, and was not submitted timely. She stated her superiors as well as corporate personnel…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-22 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to develop a baseline/interim care plan related to fall risk for 1 of 2 residents reviewed for hospitalization of a total sample of 42 residents, (#99). Findings: Resident #99 's medical record revealed she was admitted to the facility on [DATE] from an acute care hospital with diagnoses of dizziness, repeated falls, and muscle weakness. The AHCA (Agency for Healthcare Administration) Form 5000-3008 dated 9/23/22 showed primary diagnoses included orthostatic (to stand up) falls and patient risk alerts included falls. The form noted the resident ambulated with an assistive device and needed assistance of 1 staff person for transfers. The 5 Day Minimum Data Set (MDS) assessment dated [DATE] showed the resident had 1 fall without major injury since her admission to the facility. The baseline care plans created on 9/28/22 included ADL (Activities of Daily Living) Self Care Performance, Decreased Nutritional Status, Impaired Communication, Impaired Gas…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-12-22 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure drug regimen review was done monthly for 2 of 5 residents, (#7 and #67), and failed to address a pharmacy recommendation for 1 of 5 residents (#63) reviewed for unnecessary medications of a total sample of 42 residents. Findings: 1. Resident #7 was admitted to the facility on [DATE] with diagnoses to include heart disease, diabetes, dementia, heart failure, anxiety, and schizophrenia. Review of the Medication Regimen Review Report revealed no monthly pharmacy reviews for resident #7 to indicate the pharmacist had reviewed the resident's drug regimen for the months of July, August and September 2022. 2. Resident #67 was admitted to the facility on [DATE] with diagnoses of diverticulosis, peptic ulcer, suicidal ideations, mood disorder, anxiety disorder, and post-traumatic stress disorder. Review of the Medication Regimen Review Report revealed no monthly pharmacy reviews for resident #67 to indicate the pharmacist had reviewed the resident's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to SOVEREIGN HEALTHCARE HOLDINGS — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.7 | +0.3 vs chain |
| Health inspection | 4 of 5 | 3.2 | +0.8 vs chain |
| Staffing | 3 of 5 | 3.1 | -0.1 vs chain |
| Quality measures | 4 of 5 | 4.5 | -0.5 vs chain |
The other 42 homes this chain runs (chain average 3.7★, per CMS)
Showing 40 of 42; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| SOVEREIGN HEALTHCARE HOLDINGS LLC | Organization | DIRECT OWNERSHIP INTEREST | since 01/01/2006 |
| CRONQUIST 2015 FAMILY TR | Organization | INDIRECT OWNERSHIP INTEREST | since 12/31/2015 |
| JOHN J NOTERMANN BUSINESS TR | Organization | INDIRECT OWNERSHIP INTEREST | since 11/12/2017 |
| MANGINE, JOHN | Individual | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2025 |
| BERKADIA COMMERCIAL MORTGAGE LLC | Organization | 5% OR GREATER SECURITY INTEREST | since 09/23/2014 |
| FL ATLANTIC SHORES HOLDINGS, LLC | Organization | 5% OR GREATER SECURITY INTEREST; ADP OF THE SNF | since 05/19/2009 |
| HEALTH SERVICES PROPERTIES LLC | Organization | 5% OR GREATER SECURITY INTEREST | since 05/19/2009 |
| CHERY, DAWN | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 01/01/2025 |
| GERRITY, HENRY | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 01/01/2025 |
| KAAR, SUSAN | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 01/01/2025 |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2025 |
| CRONQUIST, ROYCE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/01/2018 |
| GUY, JOHNNY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/02/2025 |
| HERZOG, ANTHONY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/09/2023 |
| MELTON, DONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/15/2009 |
| NOTERMANN, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2025 |
| NOTERMANN, BRENDA | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 11/11/2025 |
| FORVIS MAZARS LLP | Organization | ADP OF THE SNF | since 01/01/2025 |
| SOVEREIGN HEALTHCARE DISBURSEMENTS LLC | Organization | ADP OF THE SNF | since 01/01/2025 |
| KELLY, MICHELLE | Individual | ADP OF THE SNF | since 02/01/2018 |
CMS files one row per role, so the 32 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $659K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in FL
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105904. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-11, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.