Cycle 1
Health 2024-12-05 · Fire 2024-12-05
6 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Melbourne, FL
Melbourne Terrace Rehabilitation Center
3-star overall rating with 3-star inspections with $15,646 in total fines with 6 recent health deficiencies
251 Florida Ave, Melbourne, FL
(321) 725-3990
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
179
Certified beds
Average residents
165
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Clear Choice Healthcare
Operator or chain grouping
Approved since
1989-02-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.69
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.27
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.51
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
4.47
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.96
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.80
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.32
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
4.23
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,199
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.53
Composite VBP score used to determine payment impact.
Payment multiplier
0.9988
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.38
Baseline 22.68% · Performance 20.49% · Measure score 3.38 · Achievement 2.04 · Improvement 3.38
Healthcare-associated infections
6.56
Baseline 8.31% · Performance 5.97% · Measure score 6.56 · Achievement 6.24 · Improvement 6.56
Total nurse turnover
4.72
Baseline 49.01% · Performance 44.39% · Measure score 4.72 · Achievement 4.72 · Improvement 1.41
Adjusted total nurse staffing
3.55
Baseline 4.47 hours · Performance 4.09 hours · Measure score 3.55 · Achievement 3.55 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.34% |
10.72%
3.6 pts worse
|
Worse than the National Rate · Eligible stays 1326 · Observed rate 15.01% · Lower 95% interval 12.5% |
| Discharge to community | 17.08% |
50.57%
33.5 pts worse
|
Worse than the National Rate · Eligible stays 1197 · Observed rate 14.95% · Lower 95% interval 15.09% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.74% |
95.27%
4.5 pts better
|
Numerator 755 · Denominator 757 |
| Falls with major injury | 0.79% |
0.77%
About the same
|
Numerator 6 · Denominator 757 |
| Discharge self-care score | 67.39% |
53.69%
13.7 pts better
|
Numerator 281 · Denominator 417 |
| Discharge mobility score | 77.22% |
50.94%
26.3 pts better
|
Numerator 322 · Denominator 417 |
| Pressure ulcers or injuries, new or worsened | 1.85% |
2.29%
0.4 pts better
|
Numerator 14 · Denominator 757 · Adjusted rate 1.92% |
| Healthcare-associated infections requiring hospitalization | 5.97% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 771 · Observed rate 5.45% · Lower 95% interval 4.79% |
| Staff COVID-19 vaccination coverage | 11.53% |
8.2%
3.3 pts better
|
Numerator 40 · Denominator 347 |
| Staff flu vaccination coverage | 23.48% |
42%
18.5 pts worse
|
Numerator 170 · Denominator 724 |
| Discharge function score | 76.26% |
56.45%
19.8 pts better
|
Numerator 318 · Denominator 417 |
| Transfer of health information to provider | 99.37% |
95.95%
3.4 pts better
|
Numerator 475 · Denominator 478 |
| Transfer of health information to patient | 99.04% |
96.28%
2.8 pts better
|
Numerator 206 · Denominator 208 |
| Resident COVID-19 vaccinations up to date | 7.75% |
25.2%
17.4 pts worse
|
Numerator 29 · Denominator 374 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.1
0.8 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.2
0.1 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
99.2%
0.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
2.6%
1.2 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.0% · Q3 1.2% · Q4 1.1% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
3.7%
2.9 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 1.5% |
5.9%
4.4 pts better
|
5.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.0% |
15.7%
8.3 pts worse
|
19.6%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 26.9% · Q3 19.1% · Q4 26.0% · 4Q avg 24.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.8% |
9.8%
7 pts better
|
16.7%
13.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.8% · Q3 0.0% · Q4 1.7% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.7% |
11.7%
6 pts better
|
16.3%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 9.4% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.7% |
9.8%
6.1 pts better
|
14.9%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.5% · Q3 3.1% · Q4 4.2% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.4%
0.1 pts worse
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
0.8%
0.4 pts worse
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.2% · Q3 1.2% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.5% |
12.5%
6 pts better
|
19.8%
13.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 12.4% · Q3 3.9% · Q4 2.5% · 4Q avg 6.5% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
5.1%
0.3 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 5.1% · Q3 1.9% · Q4 4.4% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.3%
5.7 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
9.3%
3.4 pts worse
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 11.1% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.5%
0.4 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.5% · Q3 1.0% · Q4 0.6% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.7%
5.3 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% |
26.2%
0.6 pts worse
|
23.9%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 24.3% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-04-13 · Fire 2023-04-13
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2021-06-10 · Fire 2021-06-10
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-04-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-15
D · Potential for more than minimal harm
2023-04-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-15
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-12-05
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-05
E · Potential for more than minimal harm
2024-12-05
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-12-05
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-12-05
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-12-05
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-12-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-05
J · Immediate jeopardy
2024-09-19
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-20
J · Immediate jeopardy
2024-09-19
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-20
E · Potential for more than minimal harm
2023-04-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-15
Penalties and ownership
What sits behind the stars
$7,823
2024-09-19
Fine
Fine · fine $7,823
Fine
$7,823
2024-09-19
Fine
Fine · fine $7,823
Fine
Ownership
Sbk Capital, LLC
5% Or Greater Direct Ownership Interest · Organization
Capital One Na
5% Or Greater Mortgage Interest · Organization
Clear Choice Health Care LLC
Operational/Managerial Control · Organization
Cone, Tina
W-2 Managing Employee · Individual
Kennedy, Deborah
Operational/Managerial Control · Individual
Partee, Leslie
Operational/Managerial Control · Individual
Partee, Leslie
Corporate Officer · Individual
Partee, Leslie
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Atlantic Shores Nursing And Rehab Center
Melbourne, FL
4-star overall rating with 4-star inspections with 1 recent health deficiencies
#2
Avante At Melbourne Inc
Melbourne, FL
1-star overall rating with 1-star inspections with abuse icon flag with $87,952 in total fines with 16 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Melbourne Healthcare And Rehabilitation Center
Melbourne, FL
1-star overall rating with 1-star inspections with $59,140 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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