SNF

SEA BREEZE REHAB AND NURSING CENTER

CCN: 105399 · VERO BEACH, FL 32960 · Indian River County

Overview

Address
3663 15TH AVE, VERO BEACH, FL 32960
Phone
7725672552
Certified beds
110
Avg daily residents
99 (90% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1982-01-11
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 2/5

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
 3.40 4.24 3.10 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.54 0.74 0.49 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.77 0.94 0.70 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.09 2.56 1.91 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.30 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.07 — — —

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

Total nurse (weekend)
3.20
hrs / resident / day
RN (weekend)
0.35
hrs / resident / day
Total nurse (adjusted, weekend)
2.92
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
42.5%
annual
RN turnover
41.7%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.50
higher acuity than avg
Case-Mix Index Ratio
1.09
facility / state ratio

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) 2025-01-09 6 6 2 24 1 24
Cycle 2/3 (prior) 2023-10-12 11 6 5 44 1 44
Total weighted health score
29.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (27)

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).

27 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
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 2025-01-09 2025-02-07
0641 Ensure each resident receives an accurate assessment. D 2025-01-09 2025-02-07
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-01-09 2025-02-07
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-01-09 2025-02-07
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-01-09 2025-02-07
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 2025-01-09 2025-02-07
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-10-03 2024-11-01
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2023-10-12 2023-11-03
0641 Ensure each resident receives an accurate assessment. D 2023-10-12 2023-11-03
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-10-12 2023-11-03
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-10-12 2023-11-03
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-10-12 2023-11-03
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2023-10-12 2023-11-03
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. D 2023-04-27 2023-05-02
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-04-27 2023-05-02
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-03-23 2023-04-22
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2023-03-23 2023-04-22
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 2022-06-16 2022-07-16
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-06-16 2022-07-16
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2022-06-16 2022-07-16
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2022-06-16 2022-07-16
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2022-06-16 2022-07-16
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. D 2022-06-16 2022-07-16
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2022-06-16 2022-07-16
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2022-06-16 2022-07-16
0814 Dispose of garbage and refuse properly. D 2022-06-16 2022-07-16
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2022-06-16 2022-07-16

Penalties (2)

Fines issued
2
last 3 years
Total fines
$7,456
Date Type Fine amount
2023-03-23 Fine $3,728
2023-03-23 Fine $3,728

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 16.0% Medicaid 50.5% Other 33.5%

Operating performance

Operating Margin
-3.0%
Total Margin
-2.4%
Occupancy Rate
89.2%
Cost per Resident Day
$39

Revenue & costs

Net Patient Revenue
$12.4M
Total Costs
$1.4M
Net Income
-$298K

Balance sheet

Total Assets
$5.4M
Total Liabilities
$6.4M
Fund Balance
-$1.0M
Current Ratio
0.36

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: ASTON HEALTH

Chain ID
800
Facilities in chain
30
Legal business name
ATLANTIC CARE ACQUISITION, LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.5
Staffing
1.8
QM
3.9

Owner / manager organizations (1)

Organization Role Association
AC CARE HOLDINGS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 05/07/2018

Owner / manager individuals (6)

Name Role Association
FRIEDMAN, LEOPOLD 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/07/2018
BALLOUT, HUSSIEN OPERATIONAL/MANAGERIAL CONTROL since 09/01/2022
CANCELLI, COLEEN OPERATIONAL/MANAGERIAL CONTROL since 07/02/2024
JOSEPH-SAINT FLEUR, LINA OPERATIONAL/MANAGERIAL CONTROL since 12/05/2023
WARD, GRETCHEN OPERATIONAL/MANAGERIAL CONTROL since 12/04/2023
THACKER, TRICIA CORPORATE OFFICER since 04/05/2022

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
No
Methodology & sources

Full methodology →

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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $39 metrics.cost_per_resident_day
Cost Report Current Ratio 0.36 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 50.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 16.0% metrics.medicare_day_share
Cost Report Net Income ($) $-297,953 metrics.net_income
Cost Report Net Patient Revenue ($) $12,408,857 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 89.2% metrics.occupancy_rate
Cost Report Operating Margin (%) -3.0% metrics.operating_margin
Cost Report Total Assets ($) $5,382,764 metrics.total_assets
Cost Report Total Costs ($) $1,379,865 metrics.total_costs
Cost Report Total Fund Balances ($) $-1,035,422 metrics.fund_balance
Cost Report Total Liabilities ($) $6,418,186 metrics.total_liabilities
Cost Report Total Margin (%) -2.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.69898 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.90816 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.48876 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.09589 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.91612 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 99.4 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 0.94061 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.55636 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.74140 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.23837 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.73568 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.8 Chain Average Staffing Rating
Provider Information Chain ID 800 Chain ID
Provider Information Chain Name ASTON HEALTH Chain Name
Provider Information City/Town VERO BEACH City/Town
Provider Information CMS Certification Number (CCN) 105399 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Indian River County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1982-01-11 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 27.6599 Latitude
Provider Information Legal Business Name ATLANTIC CARE ACQUISITION, LLC Legal Business Name
Provider Information Location 3663 15TH AVE,VERO BEACH,FL,32960 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 -80.4 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 110 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 30 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.50147 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.08988 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 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 3663 15TH AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name SEA BREEZE REHAB AND NURSING CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 300 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 24 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 2 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 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-09 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 24 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 6 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 6 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-10-12 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 44 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 5 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 44 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 11 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.34887 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 41.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.30385 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.76731 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.09470 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.06684 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.53654 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 3.39855 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 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 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 7725672552 Telephone Number
Provider Information Total Amount of Fines in Dollars 7456.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.20120 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 42.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 29.000 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 32960 ZIP Code