West Melbourne Health & Rehabilitation Center

Name: West Melbourne Health & Rehabilitation Center
Address: 2125 WEST NEW HAVEN AVE, West Melbourne, FL, 32904, US
Telephone: 3217257360

2125 West New Haven Ave, West Melbourne, FL 32904 · Brevard County · 180 certified beds · avg 152 residents/day · certified since Sep 3, 1980

Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.64

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · 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 (37)

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
Dec 4, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Dec 4, 2025	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.
Dec 4, 2025	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Dec 4, 2025	D · Potential for harm, one-off	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 4, 2025	D · Potential for harm, one-off	The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint
Dec 4, 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.
Dec 4, 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.
Dec 4, 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.
Dec 4, 2025	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.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Dec 4, 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.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Feb 6, 2024	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Feb 6, 2024	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. · from a complaint
Dec 14, 2023	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Dec 14, 2023	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.
Dec 14, 2023	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.
Dec 14, 2023	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.
Dec 14, 2023	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.
Dec 14, 2023	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.
Dec 14, 2023	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.
Dec 14, 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.
Dec 14, 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.
Dec 14, 2023	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.
Mar 16, 2022	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Mar 16, 2022	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Mar 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.
Mar 16, 2022	E · Potential for harm, repeated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Mar 16, 2022	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Mar 16, 2022	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Mar 16, 2022	D · Potential for harm, one-off	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 16, 2022	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Mar 16, 2022	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Mar 16, 2022	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 16, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 16, 2022	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (10 → 12).

Year	Citations	Worst severity that year
2022	12	F
2023	10	E
2024	2	E
2025	13	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)	4.64	4.03	3.95	top 13% in Florida; top 19% in the U.S.
Registered Nurse hours	0.72	0.76	0.69	top 43% in Florida; top 34% 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)	0.39	0.53	0.48	bottom 39% in Florida; top 50% in the U.S.
Total nursing staff turnover (%)	47.4	41.4	45.8	bottom 35% in Florida; bottom 43% in the U.S.
RN turnover (%)	40.0	46.0	42.9	top 38% in Florida; top 46% 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 3.73, RN 0.58, weekend 3.12. 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: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Estes, James	Individual	5% or Greater Direct Ownership Interest	68%	02/19/1999
James N Estes Jr Family Dynasty Tr No 2	Organization	5% or Greater Direct Ownership Interest	10%	09/30/2019
James Norman Estes Jr Tr	Organization	5% or Greater Direct Ownership Interest	6%	06/30/2013
Jennifer E Agee Family Dynasty Tr No 2	Organization	5% or Greater Direct Ownership Interest	10%	09/30/2019
Jennifer Lee Estes Tr 031093	Organization	5% or Greater Direct Ownership Interest	6%	06/30/2013
Caiati, Denise	Individual	W-2 Managing Employee	NOT APPLICABLE	11/07/2022
Caiati, Denise	Individual	Operational/Managerial Control	NOT APPLICABLE	11/07/2022
Estes, James	Individual	Corporate Officer	NOT APPLICABLE	02/19/1999
Long, Phillip	Individual	Corporate Officer	NOT APPLICABLE	10/01/2019
McVea, Cheri	Individual	Corporate Director	NOT APPLICABLE	06/06/2022
McVea, Cheri	Individual	Operational/Managerial Control	NOT APPLICABLE	06/06/2022
Rasco, Lynn	Individual	Corporate Director	NOT APPLICABLE	07/01/2022
Rasco, Lynn	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Regions Bank	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	05/05/2010
Regions Bank	Organization	5% or Greater Security Interest	NOT APPLICABLE	08/26/2014
Schneider, Julie	Individual	Corporate Director	NOT APPLICABLE	04/21/2023
Schneider, Julie	Individual	Operational/Managerial Control	NOT APPLICABLE	04/21/2023
Toney, Darin	Individual	Corporate Director	NOT APPLICABLE	04/15/2024
Toney, Darin	Individual	Operational/Managerial Control	NOT APPLICABLE	04/15/2024

Questions to ask on your visit

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

"Does your facility have an active resident council, and how does management respond to its concerns?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you manage residents' personal funds, and how often do families receive an accounting?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"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?"
"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
Indian River Center	1.6 mi	West Melbourne, FL	★★☆☆☆	2/5
Melbourne Terrace Rehabilitation Center	2.4 mi	Melbourne, FL	★★★★☆	3/5
Avante at Melbourne INC	2.5 mi	Melbourne, FL	★★☆☆☆	1/5
Melbourne Healthcare and Rehabilitation Center	2.6 mi	Melbourne, FL	★☆☆☆☆	1/5
Life Care Center of Melbourne	2.7 mi	Melbourne, FL	★★★★★	4/5
Atlantic Shores Nursing and Rehab Center	2.8 mi	Melbourne, FL	★★★★☆	4/5
Nursing & Rehabilitation Center of Melbourne	3.3 mi	Melbourne, FL	★★☆☆☆	2/5
Aviata at Palm Bay	4.9 mi	Palm Bay, FL	★★★★☆	4/5
Anchor Care & Rehabilitation Center	5.1 mi	Palm Bay, FL	★★★★☆	4/5
Life Care Center of Palm Bay	6.0 mi	Palm Bay, FL	★★★★★	4/5
Viera Del Mar Health and Rehabilitation Center	10.3 mi	Viera, FL	★★☆☆☆	1/5
Viera Healthcare and Rehabilitation Center	11.4 mi	Viera, FL	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in West Melbourne →

Facility data as of CMS processing date 2026-08-01. CCN 105376.

The Care File

Visit checklist — West Melbourne Health & Rehabilitation Center

2125 West New Haven Ave, West Melbourne, FL 32904 · 3217257360

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

Questions for the administrator:

☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you manage residents' personal funds, and how often do families receive an accounting?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "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?"
☐ "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 105376 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)