For-profit

Royal Oaks Nursing and Rehab Center

2225 Knox Mcrae Dr, Titusville, FL 32780

(321) 267-0060 · Sovereign Healthcare Holdings

4CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
4 of 5Overall
4 of 5Health inspections
4 of 5Staffing
4 of 5Resident quality
OwnershipFor profit - CorporationCertified beds120
Estimated occupancy93.3%Latest inspection2026-02-25

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 4 of 5
better
Health-inspection score
Facility: 18.0 points
better
Total nurse staffing
Facility: 4.00 hours/day
better
RN staffing
Facility: 0.60 hours/day
similar
Staff turnover
Facility: 30.0%
better
Latest health deficiencies
Facility: 4 deficiencies
better
View data table
MetricFacilityCountyFlorida
Overall rating4 of 52 of 53 of 5
Health-inspection score18.0 points64.0 points38.5 points
Total nurse staffing4.00 hours/day3.60 hours/day3.63 hours/day
RN staffing0.60 hours/day0.57 hours/day0.62 hours/day
Staff turnover30.0%41.6%41.8%
Latest health deficiencies4 deficiencies7 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2026-02-25
4 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0584 · Severity 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.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-25

Tag 0554 · Severity D

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

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-25

Tag 0684 · Severity D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-03-25

Tag 0880 · Severity D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2026-03-25
2024-06-26
2 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0812 · Severity E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-07-29

Tag 0692 · Severity D

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-29
2022-12-15
3 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0550 · Severity E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-01-13

Tag 0791 · Severity E

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-01-13

Tag 0655 · Severity D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-01-13

Staffing composition

2.32 hours/dayNurse aide
1.08 hours/dayLPN
0.60 hours/dayRN
Total staffing
4.00 hours/day
County median
3.60 hours/day
Florida median
3.63 hours/day
Weekend total
3.47 hours/day
Staff turnover
30.0%
RN turnover
16.7%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

1.8 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.5 per 1,000 days
20250101-20251231

Emergency-department visits

2.0 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.5 per 1,000 days
20250101-20251231

Falls with major injury

6.9%worseFlorida: 2.2% · County: 2.7%
2025Q2-2026Q1

Pressure ulcers

6.6%worseFlorida: 4.2% · County: 4.3%
2025Q2-2026Q1

Urinary tract infections

2.0%unavailableFlorida: 0.0% · County: 0.3%
2025Q2-2026Q1

Antipsychotic medication use

2.3%betterFlorida: 7.0% · County: 5.6%
2025Q2-2026Q1

These group measures do not predict an individual resident’s experience.

Questions to ask

Use these prompts during a tour or phone call
  1. What fall-prevention program is used, and how are families notified after a fall?

    Suggested because of: falls major injury
  2. How does the care team prevent and treat pressure injuries?

    Suggested because of: pressure ulcers
  3. How will the care plan be developed, reviewed, and shared with our family?

    Suggested because of: general care planning

Facility Details

County
Brevard County
Certified beds
120
Average daily residents
112
Ownership
For profit - Corporation
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1993-04-09
CCN
105793

Staffing Data

Reported measureValue
Nurse aide hours2.31598
Lpn hours1.0816
Rn hours0.60151
Reported total hours3.99908
Weekend total hours3.46631
Weekend rn hours0.25472
Adjusted total hours3.93444
Total turnover percent30
Rn turnover percent16.7
Administrators left0

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$0.00Total fines
0Number of fines
0Payment denials

No matching penalties in the supplied CMS records.

Totals reflect the supplied CMS records, not a lifetime total.

Citations

4Health citations
0Fire safety citations

Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.

Serious Deficiencies

FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.

0

Ownership & Operators

NameRoleShare
SOVEREIGN HEALTHCARE HOLDINGS LLCDIRECT OWNERSHIP INTERESTNOT APPLICABLE
CRONQUIST 2015 FAMILY TRINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
JOHN J NOTERMANN BUSINESS TRINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
MANGINE, JOHNINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
BERKADIA COMMERCIAL MORTGAGE LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
FL ROYAL OAKS HOLDINGS, LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
HEALTH SERVICES PROPERTIES LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
CHERY, DAWNMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
GERRITY, HENRYMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
KAAR, SUSANMANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
SOUTHERN HEALTHCARE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CRONQUIST, ROYCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MANGINE, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCKINNEY, ERICOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MELTON, DONALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NOTERMANN, WILLIAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
OCHOA, ALUINOOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NOTERMANN, BRENDAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
FL ROYAL OAKS HOLDINGS, LLCADP OF THE SNFNOT APPLICABLE
FORVIS MAZARS LLPADP OF THE SNFNOT APPLICABLE
HEALTH SERVICES PROPERTIES LLCADP OF THE SNFNOT APPLICABLE
SOUTHERN HEALTHCARE MANAGEMENT LLCADP OF THE SNFNOT APPLICABLE
SOVEREIGN HEALTHCARE DISBURSEMENTS LLCADP OF THE SNFNOT APPLICABLE
CHERY, DAWNADP OF THE SNFNOT APPLICABLE
CRONQUIST, ROYCEADP OF THE SNFNOT APPLICABLE
GERRITY, HENRYADP OF THE SNFNOT APPLICABLE
KAAR, SUSANADP OF THE SNFNOT APPLICABLE
KELLY, MICHELLEADP OF THE SNFNOT APPLICABLE
MANGINE, JOHNADP OF THE SNFNOT APPLICABLE
MCKINNEY, ERICADP OF THE SNFNOT APPLICABLE
MELTON, DONALDADP OF THE SNFNOT APPLICABLE
NOTERMANN, WILLIAMADP OF THE SNFNOT APPLICABLE
OCHOA, ALUINOADP OF THE SNFNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology