Sea Breeze Rehab and Nursing Center

Name: Sea Breeze Rehab and Nursing Center
Address: 3663 15TH AVE, Vero Beach, FL, 32960, US
Telephone: 7725672552

3663 15th Ave, Vero Beach, FL 32960 · Indian River County · 110 certified beds · avg 105 residents/day · certified since Jan 11, 1982

Part of chain: ASTON HEALTH (38 facilities, chain avg rating 2.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.44

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · 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.

All citations in the current public record (25)

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
May 6, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint
May 6, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
Jan 9, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
Jan 9, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 9, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jan 9, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 9, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 9, 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.
Oct 3, 2024	D · Potential for harm, 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
Oct 12, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 12, 2023	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.
Oct 12, 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.
Oct 12, 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.
Oct 12, 2023	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.
Jun 16, 2022	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.
Jun 16, 2022	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.
Jun 16, 2022	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jun 16, 2022	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 16, 2022	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jun 16, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 16, 2022	D · Potential for harm, one-off	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 16, 2022	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jun 16, 2022	D · Potential for harm, 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.
Jun 16, 2022	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).

Year	Citations	Worst severity that year
2022	10	E
2023	6	D
2024	1	D
2025	6	D
2026	2	D

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)	3.44	4.03	3.95	bottom 11% in Florida; bottom 33% in the U.S.
Registered Nurse hours	0.40	0.76	0.69	bottom 9% in Florida; bottom 23% in the U.S.
Weekend total nurse staffing	3.10	3.68	3.50	bottom 7% in Florida; bottom 36% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.53	0.48	bottom 4% in Florida; bottom 8% in the U.S.
Total nursing staff turnover (%)	56.8	41.4	45.8	bottom 13% in Florida; bottom 22% in the U.S.
RN turnover (%)	73.3	46.0	42.9	bottom 9% in Florida; bottom 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 3.57, RN 0.42, weekend 3.22. Staffing rating: 1/5.

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: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ac Care Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/07/2018
Citadel Care Group LLC	Organization	5% or Greater Indirect Ownership Interest	100%	05/07/2018
Gutman, Samuel	Individual	Indirect Ownership Interest	NOT APPLICABLE	05/07/2018
Aston Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Ballout, Hussien	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Ballout, Hussien	Individual	ADP of the SNF	NOT APPLICABLE	05/05/2025
Cancelli, Coleen	Individual	Operational/Managerial Control	NOT APPLICABLE	07/02/2024
Joseph-Saint Fleur, Lina	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/05/2023
Joseph-Saint Fleur, Lina	Individual	Operational/Managerial Control	NOT APPLICABLE	12/05/2023
Rayner, Mark	Individual	Operational/Managerial Control	NOT APPLICABLE	12/22/2025
Rayner, Mark	Individual	ADP of the SNF	NOT APPLICABLE	12/23/2025
Wildes, Donna	Individual	Corporate Officer	NOT APPLICABLE	08/28/2025
Wildes, Donna	Individual	Operational/Managerial Control	NOT APPLICABLE	08/28/2025
Wildes, Donna	Individual	ADP of the SNF	NOT APPLICABLE	08/28/2025

Questions to ask on your visit

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

"How do you explain health changes and treatment options to residents and their families?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"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
Vero Beach Care Center	0.0 mi	Vero Beach, FL	★☆☆☆☆	1/5
Palm Garden of Vero Beach	0.1 mi	Vero Beach, FL	★★★☆☆	3/5
Hidden Lakes Senior Living Community	0.6 mi	Vero Beach, FL	★★★☆☆	2/5
Garden View Health and Rehabilitation Center	1.4 mi	Vero Beach, FL	★☆☆☆☆	1/5
Willowbrooke Court at Indian River Estates	5.5 mi	Vero Beach, FL	★★★★★	5/5
Sandgate Gardens Rehab and Nursing Center	15.3 mi	Fort Pierce, FL	★★☆☆☆	2/5
Vivo Healthcare Fort Pierce	15.3 mi	Fort Pierce, FL	★★★☆☆	2/5
Aviata at Saint Lucie	15.5 mi	Fort Pierce, FL	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Vero Beach →

Facility data as of CMS processing date 2026-08-01. CCN 105399.

The Care File

Visit checklist — Sea Breeze Rehab and Nursing Center

3663 15th Ave, Vero Beach, FL 32960 · 7725672552

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "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 105399 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)