Royal Oaks Nursing and Rehab Center

Name: Royal Oaks Nursing and Rehab Center
Address: 2225 KNOX MCRAE DR, Titusville, FL, 32780, US
Telephone: 3212670060

2225 Knox McRae Dr, Titusville, FL 32780 · Brevard County · 120 certified beds · avg 112 residents/day · certified since Apr 9, 1993

Part of chain: SOVEREIGN HEALTHCARE HOLDINGS (43 facilities, chain avg rating 3.7★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.93

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (9)

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
Feb 25, 2026	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 25, 2026	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 25, 2026	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 25, 2026	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.
Jun 26, 2024	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.
Jun 26, 2024	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.
Dec 15, 2022	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.
Dec 15, 2022	E · Potential for harm, repeated	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Dec 15, 2022	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 4).

Year	Citations	Worst severity that year
2022	3	E
2024	2	E
2026	4	E

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)

No fines or payment denials in the published 3-year window.

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)	3.93	4.03	3.95	top 45% in Florida; top 42% in the U.S.
Registered Nurse hours	0.59	0.76	0.69	bottom 38% in Florida; top 49% in the U.S.
Weekend total nurse staffing	3.41	3.68	3.50	bottom 35% in Florida; top 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.53	0.48	bottom 12% in Florida; bottom 23% in the U.S.
Total nursing staff turnover (%)	30.0	41.4	45.8	top 22% in Florida; top 14% in the U.S.
RN turnover (%)	16.7	46.0	42.9	top 6% in Florida; top 9% 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 4.00, RN 0.60, weekend 3.47. Staffing rating: 4/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Cronquist 2015 Family Tr	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2015
John J Notermann Business Tr	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/12/2017
Mangine, John	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/25/2012
Sovereign Healthcare Holdings LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	05/01/2014
Berkadia Commercial Mortgage LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	09/23/2014
Chery, Dawn	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/08/2017
Chery, Dawn	Individual	ADP of the SNF	NOT APPLICABLE	06/08/2017
Cronquist, Royce	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2018
Cronquist, Royce	Individual	ADP of the SNF	NOT APPLICABLE	02/18/2018
FL Royal Oaks Holdings, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	05/19/2009
FL Royal Oaks Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/19/2009
Forvis Mazars LLP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2025
Gerrity, Henry	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2014
Gerrity, Henry	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
Health Services Properties LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	05/19/2009
Health Services Properties LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/19/2009
Kaar, Susan	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2003
Kaar, Susan	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2003
Kelly, Michelle	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2018
Mangine, John	Individual	Operational/Managerial Control	NOT APPLICABLE	06/25/2012

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
"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
Titusville Rehabilitation & Nursing Center	3.9 mi	Titusville, FL	★★☆☆☆	1/5
Vista Manor Healthcare and Rehabilitation Center	3.9 mi	Titusville, FL	★☆☆☆☆	1/5	abuse
Solaris Healthcare Merritt Island	14.6 mi	Merritt Island, FL	★★★☆☆	2/5
Space Coast Healthcare and Rehabilitation Center	15.1 mi	Merritt Island, FL	★☆☆☆☆	1/5	abuse
Rockledge Healthcare & Rehabilitation Center	17.6 mi	Rockledge, FL	★★☆☆☆	2/5
Sunrise Point Health and Rehabilitation Center	17.9 mi	Rockledge, FL	★☆☆☆☆	1/5	abuse
The Terrace at Courtenay Springs	18.2 mi	Merritt Island, FL	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Titusville →

Facility data as of CMS processing date 2026-08-01. CCN 105793.

The Care File

Visit checklist — Royal Oaks Nursing and Rehab Center

2225 Knox McRae Dr, Titusville, FL 32780 · 3212670060

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 105793 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)