Cycle 1
Health 2024-06-26 · Fire 2024-06-26
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Titusville, FL
Royal Oaks Nursing And Rehab Center
4-star overall rating with 4-star inspections with 2 recent health deficiencies
2225 Knox Mcrae Dr, Titusville, FL
(321) 267-0060
Overall
4 / 5
CMS overall stars
Health inspections
4 / 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
120
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sovereign Healthcare Holdings
Operator or chain grouping
Approved since
1993-04-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 4 overall / 3 health / 3 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
0.57
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.42
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
4.10
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.68
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.43
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.20
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.72
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,325
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.59
Composite VBP score used to determine payment impact.
Payment multiplier
0.9900
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.33
Baseline 18.07% · Performance 19.89% · Measure score 3.33 · Achievement 3.33 · Improvement 0
Healthcare-associated infections
0
Baseline 6.22% · Performance 9.26% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
9.46
Baseline 41.79% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 9
Adjusted total nurse staffing
1.84
Baseline 3.69 hours · Performance 3.60 hours · Measure score 1.84 · Achievement 1.84 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.48% |
10.72%
2.8 pts worse
|
Worse than the National Rate · Eligible stays 582 · Observed rate 13.06% · Lower 95% interval 11.25% |
| Discharge to community | 57.28% |
50.57%
6.7 pts better
|
Better than the National Rate · Eligible stays 549 · Observed rate 55.01% · Lower 95% interval 53.45% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 459 · Denominator 459 |
| Falls with major injury | 0.44% |
0.77%
0.3 pts better
|
Numerator 2 · Denominator 459 |
| Discharge self-care score | 75.38% |
53.69%
21.7 pts better
|
Numerator 199 · Denominator 264 |
| Discharge mobility score | 87.12% |
50.94%
36.2 pts better
|
Numerator 230 · Denominator 264 |
| Pressure ulcers or injuries, new or worsened | 6.54% |
2.29%
4.2 pts worse
|
Numerator 30 · Denominator 459 · Adjusted rate 5.66% |
| Healthcare-associated infections requiring hospitalization | 9.26% |
7.12%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 355 · Observed rate 9.58% · Lower 95% interval 6.73% |
| Staff COVID-19 vaccination coverage | 5.65% |
8.2%
2.5 pts worse
|
Numerator 10 · Denominator 177 |
| Staff flu vaccination coverage | 28.26% |
42%
13.7 pts worse
|
Numerator 52 · Denominator 184 |
| Discharge function score | 84.85% |
56.45%
28.4 pts better
|
Numerator 224 · Denominator 264 |
| Transfer of health information to provider | 99.73% |
95.95%
3.8 pts better
|
Numerator 364 · Denominator 365 |
| Transfer of health information to patient | 96.88% |
96.28%
0.6 pts better
|
Numerator 31 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 18.97% |
25.2%
6.2 pts worse
|
Numerator 48 · Denominator 253 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.3 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.2
0.6 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.0 · Expected 1.8 · 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 | 7.0% |
2.6%
4.4 pts worse
|
3.3%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.2% · Q3 8.5% · Q4 9.2% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 19.2% |
3.7%
15.5 pts worse
|
11.4%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 19.0% · Q3 18.8% · Q4 23.6% · 4Q avg 19.2% |
| Percentage of long-stay residents who lose too much weight | 5.2% |
5.9%
0.7 pts better
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 9.8% · Q3 3.8% · Q4 0.0% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.7% |
15.7%
1 pts worse
|
19.6%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 25.5% · Q3 9.4% · Q4 6.5% · 4Q avg 16.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.3% |
9.8%
3.5 pts better
|
16.7%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 12.0% · Q3 3.5% · Q4 1.8% · 4Q avg 6.3% · 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 | 6.1% |
11.7%
5.6 pts better
|
16.3%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 13.7% · Q3 0.0% · Q4 3.9% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.9% |
9.8%
6.9 pts better
|
14.9%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 7.4% · Q3 0.0% · Q4 2.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.6% |
0.8%
3.8 pts worse
|
1.7%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 11.7% · Q3 2.9% · Q4 1.6% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.7% |
12.5%
5.8 pts better
|
19.8%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 15.0% · Q3 2.9% · Q4 1.6% · 4Q avg 6.7% |
| Percentage of long-stay residents with pressure ulcers | 7.8% |
5.1%
2.7 pts worse
|
5.1%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.1% · Q3 10.5% · Q4 9.8% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
94.3%
5.5 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.7% · Q3 99.7% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.1% |
9.3%
0.2 pts better
|
12.0%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 8.9% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.5% · Q3 0.5% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.4% |
94.7%
4.7 pts better
|
79.7%
19.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.6% |
26.2%
0.4 pts worse
|
23.9%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.6% · Observed 26.3% · Expected 23.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-12-15 · Fire 2022-12-15
3 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-03-11 · Fire 2021-03-11
4 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-06-26
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 2024-07-29
D · Potential for more than minimal harm
2024-06-26
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-29
E · Potential for more than minimal harm
2022-12-15
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 2023-01-13
E · Potential for more than minimal harm
2022-12-15
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2023-01-13
D · Potential for more than minimal harm
2022-12-15
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-01-13
E · Potential for more than minimal harm
2021-03-11
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 2021-04-09
D · Potential for more than minimal harm
2021-03-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-04-09
D · Potential for more than minimal harm
2021-03-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-04-09
D · Potential for more than minimal harm
2021-03-11
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2021-04-09
Penalties and ownership
What sits behind the stars
Ownership
Berkadia Commercial Mortgage LLC
5% Or Greater Security Interest · Organization
Cronquist, Royce
Operational/Managerial Control · Individual
Fl Royal Oaks Holdings, LLC
5% Or Greater Security Interest · Organization
Health Services Properties LLC
5% Or Greater Security Interest · Organization
Mangine, John
Operational/Managerial Control · Individual
Mckinney, Eric
Operational/Managerial Control · Individual
Melton, Donald
Operational/Managerial Control · Individual
Notermann, William
Operational/Managerial Control · Individual
Ochoa, Aluino
Operational/Managerial Control · Individual
Southern Healthcare Management LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
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Titusville Rehabilitation & Nursing Center
Titusville, FL
2-star overall rating with 2-star inspections with $17,369 in total fines with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Vista Manor Healthcare And Rehabilitation Center
Titusville, FL
2-star overall rating with 2-star inspections with $13,335 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Solaris Healthcare Merritt Island
Merritt Island, FL
3-star overall rating with 2-star inspections with 11 recent health deficiencies
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