Nursing homeActive

Avante At Melbourne Inc

1420 South Oak Street, Melbourne, FL 329013217233215110 certified beds · 91 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2021
Deficiencies
38
0335
Penalties · 3 yrs
$87,952
2 fines · 1 action
Last survey
2025-07-28
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 3
Quality 5
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
2025-07-28Complaint020CMS-2567 (Care Compare)
2025-04-10Complaint002CMS-2567 (Care Compare)
2025-02-14Standard0120CMS-2567 (Care Compare)
2024-06-06Complaint010CMS-2567 (Care Compare)
2024-01-09Complaint030CMS-2567 (Care Compare)
2023-11-17Complaint033CMS-2567 (Care Compare)
2023-06-15Standard090CMS-2567 (Care Compare)
2021-07-29Standard030CMS-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.

2025-07-28Complaint survey · 2 deficienciesOfficial report
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-28Record 105671-20250728-F694
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-28Record 105671-20250728-F842
2025-04-10Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-10Record 105671-20250410-F600
F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.Scope/severity GHarm
Records
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-10Record 105671-20250410-F840
2025-02-14Standard survey · 12 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 2025-03-13Record 105671-20250214-F554
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 105671-20250214-F558
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 2025-03-13Record 105671-20250214-F584
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 2025-03-13Record 105671-20250214-F644
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 105671-20250214-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 105671-20250214-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 105671-20250214-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 105671-20250214-F755
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 105671-20250214-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 105671-20250214-F812
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 105671-20250214-F847
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 105671-20250214-F865
2024-06-06Complaint survey · 1 deficiencyOfficial report
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-06Record 105671-20240606-F695
2024-01-09Complaint survey · 3 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-31Record 105671-20240109-F580
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 2024-01-31Record 105671-20240109-F689
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-31Record 105671-20240109-F842
2023-11-17Complaint 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 2023-12-16Record 105671-20231117-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 2023-12-16Record 105671-20231117-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 2023-12-16Record 105671-20231117-F726
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-16Record 105671-20231117-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-16Record 105671-20231117-F610
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-16Record 105671-20231117-F755
2023-06-15Standard survey · 9 deficienciesOfficial report
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 105671-20230615-F553
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 105671-20230615-F578
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 2023-07-17Record 105671-20230615-F644
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 105671-20230615-F645
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 105671-20230615-F657
F675Honor each resident's preferences, choices, values and beliefs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 105671-20230615-F675
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 2023-07-17Record 105671-20230615-F694
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 105671-20230615-F806
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 105671-20230615-F880
2021-07-29Standard survey · 3 deficienciesOfficial report
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 2021-08-31Record 105671-20210729-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-31Record 105671-20210729-F695
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-31Record 105671-20210729-F842

Penalties & enforcement

DateActionAmountSource
2025-04-10Civil money penalty$46,176CMS · Penalties
2023-11-17Civil money penalty$41,776CMS · Penalties
2023-11-17Denial of payment for new admissions
Payment denial for 34 days, from 2023-12-28
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.46
Facility
Florida
National
Florida 0.73 · National 0.69
Total nurse hours per resident day3.60
Facility
Florida
National
Florida 3.82 · National 3.86
Weekend total nurse hours3.28
Facility
Florida
National
Florida 3.49 · National 3.42
Total nursing staff turnover36%
Facility
Florida
National
Florida 41% · National 46%
Registered nurse turnover29%
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
7.2%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.9%2.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
5.7%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
3.7%8.7%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.4%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.8%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
Ag Holdings, Inc.
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Debbie Klurman 1994 Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST8%
Deena Klurman Kranz 2000 Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST8%
Mona Mizrachi 1994 Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST8%
Sisel Klurman 2001 Revocable Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST25%
Biegasiewicz, Kimberly
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Biegasiewicz, Kimberly
Individual
CORPORATE DIRECTORNOT APPLICABLE
Biegasiewicz, Kimberly
Individual
CORPORATE OFFICERNOT APPLICABLE
Caiati, Denise
Individual
ADP OF THE SNFNOT APPLICABLE
Chopra, Shawn
Individual
ADP OF THE SNFNOT APPLICABLE
Hornack, John
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Avante Centers11 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
Melbourne Healthcare And Rehabilitation Center
Melbourne
0.5 mi2025-03-060122
Life Care Center Of Melbourne
Melbourne
0.7 mi2025-09-25090
Melbourne Terrace Rehabilitation Center
Melbourne
1.7 mi2024-12-05062
Atlantic Shores Nursing And Rehab Center
Melbourne
2.4 mi2026-06-11080
West Melbourne Health & Rehabilitation Center
West Melbourne
2.5 mi2025-12-040250
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