Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-05-041100 South Courtenay Parkway, Merritt Island, FL 32952
(321) 452-1233 · Serenity Estates
| Ownership | For profit - Corporation | Certified beds | 80 |
|---|---|---|---|
| Estimated occupancy | 111.6% | Latest inspection | 2026-04-16 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 29.0 points | 64.0 points | 38.5 points |
| Total nurse staffing | 3.61 hours/day | 3.60 hours/day | 3.63 hours/day |
| RN staffing | 0.39 hours/day | 0.57 hours/day | 0.62 hours/day |
| Staff turnover | 69.9% | 41.6% | 41.8% |
| Latest health deficiencies | 4 deficiencies | 7 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-05-04Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-05-04Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-05-04Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-05-04Immediate-jeopardy citations: 0
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 2024-06-30Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-06-30Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-06-30Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2024-06-30Provide 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 2024-06-30Coordinate 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 2024-06-30Ensure 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 2024-06-30Provide 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 2024-06-30Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-06-30Set 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 2024-06-30Immediate-jeopardy citations: 2
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 2022-12-29Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2022-12-29Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-12-29Procure 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 2022-12-29Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-12-29Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-12-29Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-29Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2022-12-29Provide 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 2022-12-29Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-12-29Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-29Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How 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 turnoverHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.18569 |
| Lpn hours | 1.04132 |
| Rn hours | 0.38685 |
| Reported total hours | 3.61385 |
| Weekend total hours | 3.24232 |
| Weekend rn hours | 0.36667 |
| Adjusted total hours | 4.23151 |
| Total turnover percent | 69.9 |
| Rn turnover percent | 54.5 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
2
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
| Name | Role | Share |
|---|---|---|
| ISLAND CITY EQUITY PARTNERS LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| MAJ CONSULTANTS LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| WHEAT CHAFF LP | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| NUCKOLLS, MARY | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| TAPIA, JILL | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| WEINFELD, AVRUM | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| WEISS, DANIEL | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| FULTON, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MUNIM, MOHAMMED | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WEINFELD, AVRUM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FULTON, NICOLE | ADP OF THE SNF | NOT APPLICABLE |
| MUNIM, MOHAMMED | ADP OF THE SNF | NOT APPLICABLE |
| WEINFELD, AVRUM | ADP OF THE SNF | NOT APPLICABLE |
| WEISS, DANIEL | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology