Abuse citation flag

Overview

Address
1420 SOUTH OAK STREET, MELBOURNE, FL 32901
Phone
3217233215
Certified beds
110
Avg daily residents
98 (89% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1989-07-01
Setting
Urban
1 /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.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
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.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 3/5

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
3.41 3.78 3.48 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.50 0.66 0.51 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.85 0.84 0.87
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.05 2.28 2.09
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.36
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

Total nurse (weekend)
3.14
hrs / resident / day
RN (weekend)
0.30
hrs / resident / day
Total nurse (adjusted, weekend)
3.21
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
49.5%
annual
RN turnover
55.6%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.34
higher acuity than avg
Case-Mix Index Ratio
0.97
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) 2025-02-14 16 12 4 152 1 152
Cycle 2/3 (prior) 2023-06-15 21 9 12 259 1 259
Total weighted health score
178.8
lower is better

Deficiencies (40)

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).

35 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
3 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. E 2025-07-28 2025-08-28
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-07-28 2025-08-28
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-04-10 2025-05-10
0840 Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. G 2025-04-10 2025-05-10
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2025-02-14 2025-03-13
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-02-14 2025-03-13
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 2025-02-14 2025-03-13
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2025-02-14 2025-03-13
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-02-14 2025-03-13
0692 Provide enough food/fluids to maintain a resident's health. D 2025-02-14 2025-03-13
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-02-14 2025-03-13
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-02-14 2025-03-13
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F 2025-02-14 2025-03-13
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-02-14 2025-03-13
0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F 2025-02-14 2025-03-13
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2025-02-14 2025-03-13
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2024-06-06 2024-07-06
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-01-09 2024-01-31
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2024-01-09 2024-01-31
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-01-09 2024-01-31
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2023-11-17 2023-12-16
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-11-17 2023-12-16
0610 Respond appropriately to all alleged violations. D 2023-11-17 2023-12-16
0635 Provide doctor's orders for the resident's immediate care at the time the resident was admitted. J 2023-11-17 2023-12-16
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. J 2023-11-17 2023-12-16
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-11-17 2023-12-16
0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care. D 2023-06-15 2023-07-17
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2023-06-15 2023-07-17
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2023-06-15 2023-07-17
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2023-06-15 2023-07-17
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2023-06-15 2023-07-17
0675 Honor each resident's preferences, choices, values and beliefs. D 2023-06-15 2023-07-17
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2023-06-15 2023-07-17
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2023-06-15 2023-07-17
0880 Provide and implement an infection prevention and control program. D 2023-06-15 2023-07-17
0760 Ensure that residents are free from significant medication errors. D 2023-06-15 2023-07-17
0610 Respond appropriately to all alleged violations. D 2023-05-05 2023-05-30
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2021-07-29 2021-08-31
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2021-07-29 2021-08-31
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2021-07-29 2021-08-31

Penalties (3)

Fines issued
2
last 3 years
Total fines
$87,952
Payment denials
1
Date Type Fine amount
2023-11-17 Fine $41,776
2025-04-10 Fine $46,176
2023-11-17 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 11.0% Medicaid 57.6% Other 31.4%

Operating performance

Operating Margin
-0.4%
Total Margin
5.1%
Occupancy Rate
86.3%
Cost per Resident Day
$34

Revenue & costs

Net Patient Revenue
$11.2M
Total Costs
$1.2M
Net Income
$607K

Balance sheet

Total Assets
$69.1M
Total Liabilities
$71.0M
Fund Balance
-$1.9M
Current Ratio
0.97

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

Ownership & Corporate Structure

Chain: AVANTE CENTERS

Chain ID
59
Facilities in chain
11
Legal business name
AVANTE AT MELBOURNE, INC.
Chain-average star ratings (for peer context)
Overall
2.7
Health
2.5
Staffing
2.5
QM
3.8

Owner / manager organizations (5)

Organization Role Association
AG HOLDINGS, INC. 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/17/2000
DEBBIE KLURMAN 1994 TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/20/1989
DEENA KLURMAN KRANZ 2000 TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/20/1989
MONA MIZRACHI 1994 TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/20/1989
SISEL KLURMAN 2001 REVOCABLE TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/09/2010

Owner / manager individuals (6)

Name Role Association
BEN-AVIV, ZIPORA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/02/2000
KLURMAN, DEENA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/20/1989
BIEGASIEWICZ, KIMBERLY OPERATIONAL/MANAGERIAL CONTROL since 02/04/2022
BIEGASIEWICZ, KIMBERLY CORPORATE DIRECTOR since 02/04/2022
BIEGASIEWICZ, KIMBERLY CORPORATE OFFICER since 02/04/2022
HORNACK, JOHN CORPORATE OFFICER since 04/24/2019

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
None
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
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.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $34 metrics.cost_per_resident_day
Cost Report Current Ratio 0.97 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 57.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 11.0% metrics.medicare_day_share
Cost Report Net Income ($) $606,953 metrics.net_income
Cost Report Net Patient Revenue ($) $11,182,176 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 86.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -0.4% metrics.operating_margin
Cost Report Total Assets ($) $69,088,306 metrics.total_assets
Cost Report Total Costs ($) $1,164,721 metrics.total_costs
Cost Report Total Fund Balances ($) $-1,932,907 metrics.fund_balance
Cost Report Total Liabilities ($) $71,021,213 metrics.total_liabilities
Cost Report Total Margin (%) 5.1% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.87309 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.09316 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.51495 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.48119 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.21428 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 98.1 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 0.83832 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.27837 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.66078 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.77747 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.32944 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 2.7 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.5 Chain Average Staffing Rating
Provider Information Chain ID 59 Chain ID
Provider Information Chain Name AVANTE CENTERS Chain Name
Provider Information City/Town MELBOURNE City/Town
Provider Information CMS Certification Number (CCN) 105671 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 1989-07-01 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 28.0795 Latitude
Provider Information Legal Business Name AVANTE AT MELBOURNE, INC. Legal Business Name
Provider Information Location 1420 SOUTH OAK STREET,MELBOURNE,FL,32901 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 -80.615 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 2 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 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 11 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.33819 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.97136 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 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 1420 SOUTH OAK STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name AVANTE AT MELBOURNE INC 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 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 152 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 4 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 12 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-02-14 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 152 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 16 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 2023-06-15 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 259 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 12 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 259 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 21 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.30382 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 55.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.35803 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.85421 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.04792 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04963 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.50382 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 3.40595 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 2 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 3217233215 Telephone Number
Provider Information Total Amount of Fines in Dollars 87952.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.14480 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 49.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 178.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council None With a Resident and Family Council
Provider Information ZIP Code 32901 ZIP Code