Melbourne Healthcare and Rehabilitation Center
1415 S Hickory St, Melbourne, FL 32901 · Brevard County · 138 certified beds · avg 127 residents/day · certified since May 26, 1969
Part of chain: EXCELSIOR CARE GROUP (33 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: 1/5
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 22, 2024 · 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: Nov 23, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 22, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Nov 23, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 |
|---|---|---|
| Mar 6, 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. |
| Mar 6, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 6, 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. |
| Mar 6, 2025 | E · Potential for harm, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Mar 6, 2025 | E · Potential for harm, repeated | 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. |
| Mar 6, 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. |
| Mar 6, 2025 | 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. |
| Mar 6, 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. |
| Mar 6, 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. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Dec 3, 2024 | 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 22, 2024 | ▲ 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 22, 2024 | ▲ J · Immediate jeopardy, one-off | 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 |
| Nov 22, 2024 | E · Potential for harm, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Jun 22, 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 22, 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 22, 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 22, 2023 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Jun 22, 2023 | 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. |
| Jun 22, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Jun 22, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 5, 2021 | E · Potential for harm, repeated | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | E |
| 2023 | 7 | 0 | D |
| 2024 | 4 | 2 | J ▲ |
| 2025 | 10 | 0 | F |
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)
1 fine totaling $40,132.
| Date | Type | Amount / length |
|---|---|---|
| Nov 22, 2024 | Fine | $40,132 |
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) | 4.05 | 4.03 | 3.95 | top 35% in Florida; top 38% in the U.S. |
| Registered Nurse hours | 0.77 | 0.76 | 0.69 | top 37% in Florida; top 30% in the U.S. |
| Weekend total nurse staffing | 3.88 | 3.68 | 3.50 | top 23% in Florida; top 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.62 | 0.53 | 0.48 | top 28% in Florida; top 22% in the U.S. |
| Total nursing staff turnover (%) | 40.9 | 41.4 | 45.8 | top 47% in Florida; top 39% in the U.S. |
| RN turnover (%) | 60.0 | 46.0 | 42.9 | bottom 25% in Florida; bottom 22% 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 3.43, RN 0.65, weekend 3.29. 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: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| BDCC Consutking Group LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| Carnegie Gardens Operating Investments LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/09/2022 |
| FDZ Consulting LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| JZ Consulting LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| Powers, Brian | Individual | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| Rubenstein, David | Individual | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| Rubiweb Florida Services Group USA LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| Weber, Aron | Individual | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| Parisi, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/21/2025 |
| Parisi, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 07/21/2025 |
| Patel, Gaurang | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2019 |
| Patel, Gaurang | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2019 |
| Zahler, Jacob | Individual | Corporate Officer | NOT APPLICABLE | 12/09/2021 |
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?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "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 |
|---|---|---|---|---|---|
| Life Care Center of Melbourne | 0.2 mi | Melbourne, FL | ★★★★★ | 4/5 | |
| Avante at Melbourne INC | 0.5 mi | Melbourne, FL | ★★☆☆☆ | 1/5 | |
| Melbourne Terrace Rehabilitation Center | 2.2 mi | Melbourne, FL | ★★★★☆ | 3/5 | |
| West Melbourne Health & Rehabilitation Center | 2.6 mi | West Melbourne, FL | ★★☆☆☆ | 2/5 | |
| Atlantic Shores Nursing and Rehab Center | 2.9 mi | Melbourne, FL | ★★★★☆ | 4/5 | |
| Indian River Center | 3.8 mi | West Melbourne, FL | ★★☆☆☆ | 2/5 | |
| Nursing & Rehabilitation Center of Melbourne | 4.6 mi | Melbourne, FL | ★★☆☆☆ | 2/5 | |
| Anchor Care & Rehabilitation Center | 4.7 mi | Palm Bay, FL | ★★★★☆ | 4/5 | |
| Aviata at Palm Bay | 5.0 mi | Palm Bay, FL | ★★★★☆ | 4/5 | |
| Life Care Center of Palm Bay | 6.1 mi | Palm Bay, FL | ★★★★★ | 4/5 | |
| Viera Del Mar Health and Rehabilitation Center | 10.6 mi | Viera, FL | ★★☆☆☆ | 1/5 | |
| Viera Healthcare and Rehabilitation Center | 11.9 mi | Viera, FL | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105207.