SPACE COAST HEALTHCARE AND REHABILITATION CENTER
CCN: 105325 · MERRITT ISLAND, FL 32953 · Brevard County
Overview
- Address
- 125 ALMA BLVD, MERRITT ISLAND, FL 32953
- Phone
- 3214530202
- Certified beds
- 120
- Avg daily residents
- 109 (91% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1978-07-01
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.46 | 3.31 | 4.04 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.60 | 0.58 | 0.70 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.74 | 0.74 | 0.86 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.12 | 2.00 | 2.47 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.34 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.05 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-01-17 | 21 | 15 | 7 | 279 | 1 | 279 |
| Cycle 2/3 (prior) | 2023-05-19 | 15 | 9 | 7 | 88 | 1 | 88 |
Deficiencies (42)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-08-02 | 2025-08-29 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-08-02 | 2025-08-29 |
| 0610 | Respond appropriately to all alleged violations. | E | 2025-08-02 | 2025-08-29 |
| 0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | J | 2025-08-02 | 2025-08-29 |
| 0726 | 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. | J | 2025-08-02 | 2025-08-29 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2025-08-02 | 2025-08-29 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-17 | 2025-02-17 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-01-17 | 2025-02-17 |
| 0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2025-01-17 | 2025-02-17 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2025-01-17 | 2025-02-17 |
| 0584 | 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. | E | 2025-01-17 | 2025-02-17 |
| 0585 | 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. | D | 2025-01-17 | 2025-02-17 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-01-17 | 2025-02-17 |
| 0679 | Provide activities to meet all resident's needs. | D | 2025-01-17 | 2025-02-17 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-01-17 | 2025-02-17 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2025-01-17 | 2025-02-17 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-01-17 | 2025-02-17 |
| 0758 | 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. | D | 2025-01-17 | 2025-02-17 |
| 0814 | Dispose of garbage and refuse properly. | E | 2025-01-17 | 2025-02-17 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2025-01-17 | 2025-02-17 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-01-17 | 2025-02-17 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-16 | 2024-06-16 |
| 0610 | Respond appropriately to all alleged violations. | D | 2024-03-28 | 2024-04-28 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-02-13 | 2024-03-13 |
| 0585 | 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. | D | 2023-05-19 | 2023-06-26 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-05-19 | 2023-06-26 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-05-19 | 2023-06-26 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-05-19 | 2023-06-26 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-05-19 | 2023-06-26 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-05-19 | 2023-06-26 |
| 0814 | Dispose of garbage and refuse properly. | E | 2023-05-19 | 2023-06-26 |
| 0908 | Keep all essential equipment working safely. | E | 2023-05-19 | 2023-06-26 |
| 0837 | 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. | E | 2023-05-19 | 2023-06-26 |
| 0584 | 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. | E | 2023-05-19 | 2023-06-26 |
| 0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | 2023-05-19 | 2023-06-26 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-05-19 | 2023-06-26 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2021-06-17 | 2021-07-17 |
| 0584 | 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. | D | 2021-06-17 | 2021-07-17 |
| 0585 | 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. | D | 2021-06-17 | 2021-07-17 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2021-06-17 | 2021-07-17 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2021-06-17 | 2021-07-17 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2021-06-17 | 2021-07-17 |
Penalties (4)
| Date | Type | Fine amount |
|---|---|---|
| 2023-11-20 | Fine | $1,764 |
| 2023-10-30 | Fine | $1,776 |
| 2023-12-11 | Fine | $7,409 |
| 2025-08-02 | Fine | $117,940 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: EXCELSIOR CARE GROUP
- Chain ID
217- Facilities in chain
- 33
- Legal business name
- ISLAND OPERATING LLC
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| ISLAND HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/05/2023 |
Owner / manager individuals (7)
| Name | Role | Association |
|---|---|---|
| DAVID, ROCHEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/05/2023 |
| FRIEDMAN, LEAH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/05/2023 |
| MILLER, YOCHEVED | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/05/2023 |
| ZAHLER, CHARLES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/05/2023 |
| ZAHLER, JACOB | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/05/2023 |
| ZAHLER, JACOB | OPERATIONAL/MANAGERIAL CONTROL | since 09/05/2023 |
| ZAHLER, JACOB | CORPORATE OFFICER | since 09/05/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- Yes — last 2 cycles
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $25 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.70 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 64.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 3.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-642,277 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $3,216,211 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 78.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -20.0% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,704,614 | metrics.total_assets |
| Cost Report | Total Costs ($) | $274,560 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-642,277 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,346,891 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -20.0% | metrics.total_margin |
| Provider Information | Abuse Icon | Y | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.86006 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.47428 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.70096 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.03530 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.69934 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 109.3 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.73549 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.99889 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.57972 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.31410 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.92103 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.1 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 217 | Chain ID |
| Provider Information | Chain Name | EXCELSIOR CARE GROUP | Chain Name |
| Provider Information | City/Town | MERRITT ISLAND | City/Town |
| Provider Information | CMS Certification Number (CCN) | 105325 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Brevard | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1978-07-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 28.3834 | Latitude |
| Provider Information | Legal Business Name | ISLAND OPERATING LLC | Legal Business Name |
| Provider Information | Location | 125 ALMA BLVD,MERRITT ISLAND,FL,32953 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -80.704 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 120 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 33 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 4 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.17404 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.85220 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 125 ALMA BLVD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | SPACE COAST HEALTHCARE AND REHABILITATION CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 040 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 279 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 7 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 15 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-01-17 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 279 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 21 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 9 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-05-19 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 88 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 7 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 88 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 15 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.40835 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 45.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.33993 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.73825 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.12384 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04842 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.60168 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.46378 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | FL | State |
| Provider Information | Telephone Number | 3214530202 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 128889.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.17540 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 4 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 58.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 231.250 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 32953 | ZIP Code |