Nursing homeActive

Space Coast Healthcare And Rehabilitation Center

125 Alma Blvd, Merritt Island, FL 329533214530202120 certified beds · 109 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2021
Deficiencies
39
0363
Penalties · 3 yrs
$128,889
4 fines
Last survey
2025-08-02
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Agency for Health Care Administration (AHCA) · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-08-02Complaint033CMS-2567 (Care Compare)
2025-01-17Standard0150CMS-2567 (Care Compare)
2024-05-16Complaint010CMS-2567 (Care Compare)
2024-03-28Complaint010CMS-2567 (Care Compare)
2024-02-13Complaint010CMS-2567 (Care Compare)
2023-05-19Standard090CMS-2567 (Care Compare)
2021-06-17Standard060CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Agency for Health Care Administration (AHCA) publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-08-02Complaint survey · 6 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-08-29Record 105325-20250802-F600
F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.Scope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-08-29Record 105325-20250802-F635
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity JHarm
Staffing
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-08-29Record 105325-20250802-F726
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 105325-20250802-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 105325-20250802-F610
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 105325-20250802-F867
2025-01-17Standard survey · 15 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F550
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F554
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F568
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F583
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F584
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F585
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F677
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F679
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F685
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F694
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F756
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F758
F814Dispose of garbage and refuse properly.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F814
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F867
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 105325-20250117-F880
2024-05-16Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-16Record 105325-20240516-F689
2024-03-28Complaint survey · 1 deficiencyOfficial report
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 105325-20240328-F610
2024-02-13Complaint survey · 1 deficiencyOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-13Record 105325-20240213-F755
2023-05-19Standard survey · 9 deficienciesOfficial report
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-26Record 105325-20230519-F585
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-26Record 105325-20230519-F644
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-26Record 105325-20230519-F645
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-26Record 105325-20230519-F689
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-26Record 105325-20230519-F694
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-26Record 105325-20230519-F812
F814Dispose of garbage and refuse properly.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-26Record 105325-20230519-F814
F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-26Record 105325-20230519-F837
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-26Record 105325-20230519-F908
2021-06-17Standard survey · 6 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-07-17Record 105325-20210617-F554
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-07-17Record 105325-20210617-F584
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-07-17Record 105325-20210617-F585
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-07-17Record 105325-20210617-F623
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-07-17Record 105325-20210617-F655
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-07-17Record 105325-20210617-F686

Penalties & enforcement

DateActionAmountSource
2025-08-02Civil money penalty$117,940CMS · Penalties
2023-12-11Civil money penalty$7,409CMS · Penalties
2023-11-20Civil money penalty$1,764CMS · Penalties
2023-10-30Civil money penalty$1,776CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.41
Facility
Florida
National
Florida 0.73 · National 0.69
Total nurse hours per resident day3.29
Facility
Florida
National
Florida 3.82 · National 3.86
Weekend total nurse hours3.11
Facility
Florida
National
Florida 3.49 · National 3.42
Total nursing staff turnover55%
Facility
Florida
National
Florida 41% · National 46%
Registered nurse turnover65%
Facility
Florida
National
Florida 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityFloridaNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.3%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.7%2.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
12.5%8.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%0.7%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
1.8%8.7%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
12.2%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
16.4%14.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Island Holdco LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Miller, Yocheved
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST23%
Zahler, Jacob
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Zahler, Jacob
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Excelsior Care Group33 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Florida.

No county cost figures on file for Brevard.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Solaris Healthcare Merritt Island
Merritt Island
0.4 mi2024-08-220110
The Terrace At Courtenay Springs
Merritt Island
3.2 mi2026-04-160140
Rockledge Healthcare & Rehabilitation Center
Rockledge
4.2 mi2025-04-03080
Sunrise Point Health And Rehabilitation Center
Rockledge
4.4 mi2025-10-30063
Viera Healthcare And Rehabilitation Center
Viera
10.0 mi2026-02-120132
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01