Merritt Island, FL

Space Coast Healthcare And Rehabilitation Center

2-star overall rating with 1-star inspections with abuse icon flag with $128,889 in total fines with 21 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

125 Alma Blvd, Merritt Island, FL

(321) 453-0202

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

109

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Excelsior Care Group

Operator or chain grouping

Approved since

1978-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 3 overall / 2 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

0.60

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.46

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.34

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.18

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.70

CMS adjusted RN staffing hours

Adjusted total hours

4.04

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

45%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 42% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.67%
10.72%
0.1 pts better
No Different than the National Rate · Eligible stays 51 · Observed rate 11.76% · Lower 95% interval 7.35%
Discharge to community 44.88%
50.57%
5.7 pts worse
No Different than the National Rate · Eligible stays 27 · Observed rate 29.63% · Lower 95% interval 31.94%
Medicare spending per beneficiary 1.13
1.02
0.1 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 77 · Denominator 77
Falls with major injury 1.3%
0.77%
0.5 pts worse
Numerator 1 · Denominator 77
Discharge self-care score 59.02%
53.69%
5.3 pts better
Numerator 36 · Denominator 61
Discharge mobility score 52.46%
50.94%
1.5 pts better
Numerator 32 · Denominator 61
Pressure ulcers or injuries, new or worsened 6.49%
2.29%
4.2 pts worse
Numerator 5 · Denominator 77 · Adjusted rate 6.12%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage 79.73%
42%
37.7 pts better
Numerator 118 · Denominator 148
Discharge function score 63.93%
56.45%
7.5 pts better
Numerator 39 · Denominator 61
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 28 · Denominator 28
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 41

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
2.1
1.2 pts better
1.9
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.2
0.3 pts worse
1.8
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
97.8%
1.4 pts better
93.4%
5.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 100.0% · Q3 100.0% · Q4 97.8% · 4Q avg 99.2%
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 3.9%
2.6%
1.3 pts worse
3.3%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.4% · Q3 4.6% · Q4 2.2% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.2%
3.7%
2.5 pts better
11.4%
10.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.6% · Q4 1.2% · 4Q avg 1.2%
Percentage of long-stay residents who lose too much weight 10.5%
5.9%
4.6 pts worse
5.4%
5.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 13.7% · Q3 9.4% · Q4 11.4% · 4Q avg 10.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.6%
15.7%
1.9 pts worse
19.6%
2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 15.1% · Q3 13.8% · Q4 17.1% · 4Q avg 17.6%
Percentage of long-stay residents who received an antipsychotic medication 17.1%
9.8%
7.3 pts worse
16.7%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 17.6% · Q3 14.9% · Q4 18.4% · 4Q avg 17.1% · 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 6.5%
11.7%
5.2 pts better
16.3%
9.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 9.5% · Q3 6.3% · Q4 0.0% · 4Q avg 6.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 3.5%
9.8%
6.3 pts better
14.9%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 1.4% · Q3 3.1% · Q4 0.0% · 4Q avg 3.5% · 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 0.6%
0.8%
0.2 pts better
1.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 4.2%
12.5%
8.3 pts better
19.8%
15.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 3.5% · Q3 3.4% · Q4 1.1% · 4Q avg 4.2%
Percentage of long-stay residents with pressure ulcers 4.5%
5.1%
0.6 pts better
5.1%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 5.7% · Q3 6.4% · Q4 4.2% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.9%
94.3%
0.4 pts worse
81.7%
12.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 98.7% · Q3 94.1% · Q4 86.1% · 4Q avg 93.9%
Percentage of short-stay residents who had an outpatient emergency department visit 16.1%
9.3%
6.8 pts worse
12.0%
4.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 18.2% · Expected 12.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.2%
1.5%
0.3 pts better
1.6%
0.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.5% · Q3 0.0% · Q4 1.5% · 4Q avg 1.2% · 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 11.5%
26.2%
14.7 pts better
23.9%
12.4 pts better
Short Stay · 20240701-20250630 · Adjusted 11.5% · Observed 12.1% · Expected 25.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-17 · Fire 2025-01-17

21 health deficiencies

Top issue: Resident Rights (6 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-05-19 · Fire 2023-05-19

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2021-06-17 · Fire 2021-06-17

10 health deficiencies

Top issue: Resident Rights (5 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-01-17

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-02-17

F · Potential for more than minimal harm 2023-05-19

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-06-26

F · Potential for more than minimal harm 2023-05-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-26

F · Potential for more than minimal harm 2023-05-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-26

F · Potential for more than minimal harm 2023-05-19

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-05-19

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-05-19

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-05-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-05-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-06-26

F · Potential for more than minimal harm 2021-06-17

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-07-17

E · Potential for more than minimal harm 2021-06-17

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-07-17

E · Potential for more than minimal harm 2021-06-17

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-07-17

D · Potential for more than minimal harm 2021-06-17

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2021-07-17

Inspection history

Recent health citations

J · Immediate jeopardy 2025-08-02

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 2025-08-29

J · Immediate jeopardy 2025-08-02

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2025-08-29

J · Immediate jeopardy 2025-08-02

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-08-29

E · Potential for more than minimal harm 2025-08-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-08-29

E · Potential for more than minimal harm 2025-08-02

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-08-29

E · Potential for more than minimal harm 2025-08-02

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-08-29

E · Potential for more than minimal harm 2025-01-17

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-02-17

E · Potential for more than minimal harm 2025-01-17

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-02-17

E · Potential for more than minimal harm 2025-01-17

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-02-17

E · Potential for more than minimal harm 2025-01-17

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-02-17

E · Potential for more than minimal harm 2025-01-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-17

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 2025-02-17

D · Potential for more than minimal harm 2025-01-17

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-17

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-17

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-17

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-17

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-17

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-17

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-17

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-17

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-02-17

D · Potential for more than minimal harm 2024-05-16

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 2024-06-16

D · Potential for more than minimal harm 2024-03-28

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-04-28

E · Potential for more than minimal harm 2024-02-13

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-03-13

E · Potential for more than minimal harm 2023-05-19

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-05-19

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 2023-06-26

E · Potential for more than minimal harm 2023-05-19

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 2023-06-26

E · Potential for more than minimal harm 2023-05-19

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-05-19

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-05-19

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-05-19

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-05-19

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-05-19

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-05-19

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-05-19

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-05-19

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2023-06-26

D · Potential for more than minimal harm 2021-06-17

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2021-07-17

D · Potential for more than minimal harm 2021-06-17

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2021-07-17

D · Potential for more than minimal harm 2021-06-17

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2021-07-17

D · Potential for more than minimal harm 2021-06-17

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2021-07-17

D · Potential for more than minimal harm 2021-06-17

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 2021-07-17

D · Potential for more than minimal harm 2021-06-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-07-17

Penalties and ownership

What sits behind the stars

$117,940 2025-08-02

Fine

Fine · fine $117,940

Fine

$7,409 2023-12-11

Fine

Fine · fine $7,409

Fine

$1,764 2023-11-20

Fine

Fine · fine $1,764

Fine

$1,776 2023-10-30

Fine

Fine · fine $1,776

Fine

Ownership

Island Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2023-09-05
David, Rochel

5% Or Greater Indirect Ownership Interest · Individual

23% 14 facilities 2023-09-05
Friedman, Leah

5% Or Greater Indirect Ownership Interest · Individual

23% 15 facilities 2023-09-05
Miller, Yocheved

5% Or Greater Indirect Ownership Interest · Individual

23% 5 facilities 2023-09-05
Zahler, Charles

5% Or Greater Indirect Ownership Interest · Individual

23% 11 facilities 2023-09-05
Zahler, Jacob

5% Or Greater Indirect Ownership Interest · Individual

0% 12 facilities 2023-09-05
Zahler, Jacob

Operational/Managerial Control · Individual

0% 12 facilities 2023-09-05
Zahler, Jacob

Corporate Officer · Individual

0% 12 facilities 2023-09-05

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