Federal inspection record · CMS data as of October 1, 2026
Melbourne Healthcare And Rehabilitation Center
1415 S Hickory St, Melbourne, FL · (321) 723-1321
- Certified beds
- 138
- Residents per day
- 123
- Ownership
- For-Profit
- Chain
- Excelsior Care Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 26, 1969
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Melbourne Healthcare And Rehabilitation Center carries 98.5 inspection points. That is fewer than 16% of Florida's 691 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–25 pts
- 3★ 25–46 pts
- 2★ 46–85 pts
- 1★ over 85 pts
Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
22 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights4E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor 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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning3D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Pharmacy Service3D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1E
- E
Post nurse staffing information every day.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1E
- E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspection history
2025-03-06
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-06-22
11 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2021-08-05
1 health deficiencies · 6 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
3 h 30 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 54% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$40,132 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-22 | Fine | $40,132 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.3 pts better | 0.7 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 1.5 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 100.0% | 98.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 100.0% | 99.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 3.1% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts better | 1.9% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts worse | 6.5% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.5 pts better | 8.4% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.2 pts worse | 13.9% | 8.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.7 pts better | 2.7% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.6 pts better | 3.7% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.0% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.9 pts better | 3.6% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.3 pts worse | 6.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts better | 98.5% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.7 pts worse | 12.6% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.3 pts worse | 3.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 100.0% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7 pts better | 18.8% | 25.8% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Carnegie Gardens Operating Investments LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Bdcc Consutking Group LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Fdz Consulting LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Jz Consulting LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Parisi, Thomas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Parisi, Thomas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Patel, Gaurang | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Patel, Gaurang | Adp Of The SNF · Individual | 0% | 3 facilities |
| Powers, Brian | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 5 facilities |
| Rubenstein, David | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 53 facilities |
| Rubiweb Florida Services Group Usa LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Weber, Aron | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 5 facilities |
| Zahler, Jacob | Corporate Officer · Individual | 0% | 22 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems3F
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
Emergency Preparedness1D
- D
Develop and maintain an Emergency Preparedness Program (EP).
Construction1D
- D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1D
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
-
Life Care Center Of Melbourne
Melbourne, FL · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 39 min
- Fines
- $0
-
Avante At Melbourne Inc
Melbourne, FL · Avante Centers
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $87,952
-
Melbourne Terrace Rehabilitation Center
Melbourne, FL · Clear Choice Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 14 min
- Fines
- $15,646