Avante at Melbourne INC
1420 South Oak Street, Melbourne, FL 32901 · Brevard County · 110 certified beds · avg 91 residents/day · certified since Jul 1, 1989
Part of chain: AVANTE CENTERS (11 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Nov 17, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 16, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 17, 2023 · F-0635 · triggered by a complaint
The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.
Why it matters: Without admission orders, a new resident may miss critical medications or treatments during their first days.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 16, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 17, 2023 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 16, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 10, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 10, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 10, 2025 · F-0840 · triggered by a complaint
The facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff.
Why it matters: Residents can go without required services — like therapy or dietitian care — that no one qualified is providing.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 10, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (38)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 28, 2025 | E · Potential for harm, repeated | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Jul 28, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 10, 2025 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 10, 2025 | ▲ G · Actual harm, one-off | The facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff. · from a complaint |
| Feb 14, 2025 | F · Potential for harm, facility-wide | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Feb 14, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 14, 2025 | F · Potential for harm, facility-wide | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Feb 14, 2025 | F · Potential for harm, facility-wide | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 6, 2024 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Jan 9, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Nov 17, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 17, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · from a complaint |
| Nov 17, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Nov 17, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Nov 17, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Nov 17, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jun 15, 2023 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 29, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 29, 2021 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 29, 2021 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (9 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | D |
| 2023 | 15 | 3 | J ▲ |
| 2024 | 4 | 0 | E |
| 2025 | 16 | 2 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $87,952, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 10, 2025 | Fine | $46,176 |
| Nov 17, 2023 | Fine | $41,776 |
| Nov 17, 2023 | Payment Denial | 34 days from Dec 28, 2023 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.86 | 4.03 | 3.95 | bottom 49% in Florida; top 46% in the U.S. |
| Registered Nurse hours | 0.49 | 0.76 | 0.69 | bottom 21% in Florida; bottom 36% in the U.S. |
| Weekend total nurse staffing | 3.51 | 3.68 | 3.50 | bottom 49% in Florida; top 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.53 | 0.48 | bottom 16% in Florida; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 36.0 | 41.4 | 45.8 | top 35% in Florida; top 26% in the U.S. |
| RN turnover (%) | 28.6 | 46.0 | 42.9 | top 17% in Florida; top 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.60, RN 0.46, weekend 3.28. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ag Holdings, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/17/2000 |
| Debbie Klurman 1994 Trust | Organization | 5% or Greater Indirect Ownership Interest | 8% | 06/20/1989 |
| Deena Klurman Kranz 2000 Trust | Organization | 5% or Greater Indirect Ownership Interest | 8% | 06/20/1989 |
| Mona Mizrachi 1994 Trust | Organization | 5% or Greater Indirect Ownership Interest | 8% | 06/20/1989 |
| Sisel Klurman 2001 Revocable Trust | Organization | 5% or Greater Indirect Ownership Interest | 25% | 04/09/2010 |
| Biegasiewicz, Kimberly | Individual | Corporate Director | NOT APPLICABLE | 02/04/2022 |
| Biegasiewicz, Kimberly | Individual | Corporate Officer | NOT APPLICABLE | 02/04/2022 |
| Biegasiewicz, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/04/2022 |
| Caiati, Denise | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2026 |
| Chopra, Shawn | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2026 |
| Hornack, John | Individual | Corporate Officer | NOT APPLICABLE | 04/24/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "For services you don't staff in-house, which outside professionals do you contract with?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Melbourne Healthcare and Rehabilitation Center | 0.5 mi | Melbourne, FL | ★☆☆☆☆ | 1/5 | |
| Life Care Center of Melbourne | 0.7 mi | Melbourne, FL | ★★★★★ | 4/5 | |
| Melbourne Terrace Rehabilitation Center | 1.7 mi | Melbourne, FL | ★★★★☆ | 3/5 | |
| Atlantic Shores Nursing and Rehab Center | 2.4 mi | Melbourne, FL | ★★★★☆ | 4/5 | |
| West Melbourne Health & Rehabilitation Center | 2.5 mi | West Melbourne, FL | ★★☆☆☆ | 2/5 | |
| Indian River Center | 3.8 mi | West Melbourne, FL | ★★☆☆☆ | 2/5 | |
| Anchor Care & Rehabilitation Center | 4.2 mi | Palm Bay, FL | ★★★★☆ | 4/5 | |
| Aviata at Palm Bay | 4.5 mi | Palm Bay, FL | ★★★★☆ | 4/5 | |
| Nursing & Rehabilitation Center of Melbourne | 4.8 mi | Melbourne, FL | ★★☆☆☆ | 2/5 | |
| Life Care Center of Palm Bay | 5.6 mi | Palm Bay, FL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105671.