Space Coast Healthcare and Rehabilitation Center

125 Alma Blvd · Merritt Island, FL · 32953 · 3214530202

120 certified beds For profit - Corporation Chain: Excelsior Care Group

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $117,940 in fines in the last 24 months.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

3 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$117,940 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 23
Serious harm & abuse 20% 0
Staffing 20% 58
Federal penalties 15% 24
Trend 10% 19
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.323.48 min · 4.1 strong
RN hours / resident-day0.440.55–0.75
Weekend hours / resident-day3.22≈ weekday level
Nursing turnover / year59%median 45%
Fines (3-yr window)4 · $128,889

Inspection citations (39 in the current record)

  • Immediate jeopardy · J August 2, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J August 2, 2025 · found via complaint

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Corrected August 29, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J August 2, 2025 · found via complaint

    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.

    Corrected August 29, 2025 · Nursing and Physician Services

  • Potential for harm · E August 2, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E August 2, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E August 2, 2025 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected August 29, 2025 · Administration

  • Potential for harm · D January 17, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 17, 2025 · Resident Rights

  • Potential for harm · D January 17, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected February 17, 2025 · Resident Rights

  • Potential for harm · E January 17, 2025

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Corrected February 17, 2025 · Resident Rights

  • Potential for harm · D January 17, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected February 17, 2025 · Resident Rights

  • Potential for harm · E January 17, 2025

    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.

    Corrected February 17, 2025 · Resident Rights

  • Potential for harm · D January 17, 2025

    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.

    Corrected February 17, 2025 · Resident Rights

  • Potential for harm · D January 17, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 17, 2025 · Quality of Life and Care

  • Potential for harm · D January 17, 2025

    Provide activities to meet all resident's needs.

    Corrected February 17, 2025 · Quality of Life and Care

  • Potential for harm · D January 17, 2025

    Assist a resident in gaining access to vision and hearing services.

    Corrected February 17, 2025 · Quality of Life and Care

  • Potential for harm · D January 17, 2025

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected February 17, 2025 · Quality of Life and Care

  • Potential for harm · D January 17, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected February 17, 2025 · Pharmacy Service

  • Potential for harm · D January 17, 2025

    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.

    Corrected February 17, 2025 · Pharmacy Service

  • Potential for harm · E January 17, 2025

    Dispose of garbage and refuse properly.

    Corrected February 17, 2025 · Nutrition and Dietary

  • Potential for harm · E January 17, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected February 17, 2025 · Administration

  • Potential for harm · E January 17, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 17, 2025 · Infection Control

  • Potential for harm · D May 16, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 16, 2024 · Quality of Life and Care

  • Potential for harm · D March 28, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected April 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 13, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 13, 2024 · Pharmacy Service

  • Potential for harm · D May 19, 2023

    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.

    Corrected June 26, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 2, 2025Fine$117,940
December 11, 2023Fine$7,409
November 20, 2023Fine$1,764
October 30, 2023Fine$1,776

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105325 · certified since July 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.