Tag 0568 · Severity E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-17For-profit
Space Coast Healthcare and Rehabilitation Center
125 Alma Blvd, Merritt Island, FL 32953
(321) 453-0202 · Excelsior Care Group
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 90.8% | Latest inspection | 2025-01-17 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
Health-inspection score
Facility: 227.3 points
Total nurse staffing
Facility: 3.29 hours/day
RN staffing
Facility: 0.41 hours/day
Staff turnover
Facility: 55.0%
Latest health deficiencies
Facility: 21 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 227.3 points | 64.0 points | 38.5 points |
| Total nurse staffing | 3.29 hours/day | 3.60 hours/day | 3.63 hours/day |
| RN staffing | 0.41 hours/day | 0.57 hours/day | 0.62 hours/day |
| Staff turnover | 55.0% | 41.6% | 41.8% |
| Latest health deficiencies | 21 deficiencies | 7 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-01-17
21 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 2025-02-17Tag 0814 · Severity E
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-02-17Tag 0867 · Severity E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2025-02-17Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-02-17Tag 0550 · Severity D
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 2025-02-17Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-17Tag 0583 · Severity D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-17Tag 0585 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-17Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-02-17Tag 0679 · Severity D
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-02-17Tag 0685 · Severity D
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-02-17Tag 0694 · Severity D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-02-17Tag 0756 · Severity D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-02-17Tag 0758 · Severity 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-02-172023-05-19
9 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0689 · Severity E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-06-26Tag 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 2023-06-26Tag 0814 · Severity E
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-06-26Tag 0837 · Severity E
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.
Administration Deficiencies · Deficient, Provider has date of correction 2023-06-26Tag 0908 · Severity E
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2023-06-26Tag 0585 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-06-26Tag 0644 · Severity D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-06-26Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-06-26Tag 0694 · Severity D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-06-262021-06-17
9 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-07-17Tag 0584 · Severity D
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 2021-07-17Tag 0585 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-07-17Tag 0623 · Severity D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-07-17Tag 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 2021-07-17Tag 0686 · Severity D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-07-17Staffing composition
2.15 hours/dayNurse aide
0.72 hours/dayLPN
0.41 hours/dayRN
- Total staffing
- 3.29 hours/day
- County median
- 3.60 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.11 hours/day
- Staff turnover
- 55.0%
- RN turnover
- 65.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.1 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.5 per 1,000 days20250101-20251231
Emergency-department visits
1.3 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.5 per 1,000 days20250101-20251231
Falls with major injury
3.7%worseFlorida: 2.2% · County: 2.7%2025Q2-2026Q1
Pressure ulcers
4.3%similarFlorida: 4.2% · County: 4.3%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
12.5%worseFlorida: 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
What corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconWhat caused the immediate-jeopardy citation from 2025-08-02, and how was it corrected?
Suggested because of: latest immediate jeopardyHow many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injury
Facility Details
- County
- Brevard County
- Certified beds
- 120
- Average daily residents
- 109
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1978-07-01
- CCN
- 105325
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.15418 |
| Lpn hours | 0.72121 |
| Rn hours | 0.41305 |
| Reported total hours | 3.28844 |
| Weekend total hours | 3.10899 |
| Weekend rn hours | 0.27378 |
| Adjusted total hours | 3.59085 |
| Total turnover percent | 55 |
| Rn turnover percent | 65 |
| Administrators left | Not reported by CMS |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$128,889.00Total fines
4Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-08-02 | Fine | $117,940.00 |
| 2023-12-11 | Fine | $7,409.00 |
| 2023-11-20 | Fine | $1,764.00 |
| 2023-10-30 | Fine | $1,776.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
21Health citations
13Fire 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.
3
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
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.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| ISLAND HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| MILLER, YOCHEVED | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% |
| ZAHLER, JACOB | CORPORATE OFFICER | NOT APPLICABLE |
| ZAHLER, JACOB | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology