Tag 0565 · Severity E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-01-14For-profit
West Melbourne Health & Rehabilitation Center
2125 West New Haven Ave, West Melbourne, FL 32904
(321) 725-7360 · Nhs Management
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 180 |
|---|---|---|---|
| Estimated occupancy | 84.6% | Latest inspection | 2025-12-04 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 64.0 points
Total nurse staffing
Facility: 3.73 hours/day
RN staffing
Facility: 0.58 hours/day
Staff turnover
Facility: 47.4%
Latest health deficiencies
Facility: 13 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 64.0 points | 64.0 points | 38.5 points |
| Total nurse staffing | 3.73 hours/day | 3.60 hours/day | 3.63 hours/day |
| RN staffing | 0.58 hours/day | 0.57 hours/day | 0.62 hours/day |
| Staff turnover | 47.4% | 41.6% | 41.8% |
| Latest health deficiencies | 13 deficiencies | 7 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-12-04
13 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 2026-01-14Tag 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 2026-01-14Tag 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 2026-01-14Tag 0568 · Severity D
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 2026-01-14Tag 0582 · Severity D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-01-14Tag 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 2026-01-14Tag 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 2026-01-14Tag 0656 · Severity D
Develop 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 2026-01-14Tag 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 2026-01-14Tag 0688 · Severity D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-01-14Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-01-14Tag 0699 · Severity D
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-01-142023-12-14
10 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0623 · Severity E
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 2024-01-15Tag 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 2024-01-15Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-01-15Tag 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 2024-01-15Tag 0657 · Severity D
Develop 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 2024-01-15Tag 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 2024-01-15Tag 0689 · Severity D
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 2024-01-15Tag 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 2024-01-15Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-01-15Tag 0726 · Severity D
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.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-01-152022-03-16
14 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0814 · Severity F
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-04-15Tag 0867 · Severity F
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 2022-04-15Tag 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 2022-04-15Tag 0636 · Severity E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-04-15Tag 0638 · Severity E
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-04-15Tag 0803 · Severity E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-04-15Tag 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 2022-04-15Tag 0640 · Severity D
Encode 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 2022-04-15Tag 0679 · Severity D
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-04-15Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-04-15Tag 0697 · Severity D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-04-15Tag 0908 · Severity D
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2022-04-15Staffing composition
2.28 hours/dayNurse aide
0.87 hours/dayLPN
0.58 hours/dayRN
- Total staffing
- 3.73 hours/day
- County median
- 3.60 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.12 hours/day
- Staff turnover
- 47.4%
- RN turnover
- 40.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.5 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.5 per 1,000 days20250101-20251231
Emergency-department visits
1.9 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.5 per 1,000 days20250101-20251231
Falls with major injury
3.6%worseFlorida: 2.2% · County: 2.7%2025Q2-2026Q1
Pressure ulcers
5.1%worseFlorida: 4.2% · County: 4.3%2025Q2-2026Q1
Urinary tract infections
0.4%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
3.4%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
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 turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow 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
Facility Details
- County
- Brevard County
- Certified beds
- 180
- Average daily residents
- 152.3
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1980-09-03
- CCN
- 105376
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.27937 |
| Lpn hours | 0.86902 |
| Rn hours | 0.58049 |
| Reported total hours | 3.72888 |
| Weekend total hours | 3.11632 |
| Weekend rn hours | 0.39012 |
| Adjusted total hours | 4.64274 |
| Total turnover percent | 47.4 |
| Rn turnover percent | 40 |
| Administrators left | 1 |
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
13Health citations
11Fire 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
| Name | Role | Share |
|---|---|---|
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| JAMES NORMAN ESTES JR TR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| JENNIFER LEE ESTES TR 031093 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| ESTES, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 68% |
| REGIONS BANK | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| CAIATI, DENISE | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| MCVEA, CHERI | CORPORATE DIRECTOR | NOT APPLICABLE |
| RASCO, LYNN | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCHNEIDER, JULIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| TONEY, DARIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| ESTES, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| LONG, PHILLIP | CORPORATE OFFICER | NOT APPLICABLE |
| CAIATI, DENISE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCVEA, CHERI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RASCO, LYNN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHNEIDER, JULIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TONEY, DARIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology