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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D26 | E18 | F4 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 4, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 4, 2025 | Health | Health Complaint, Health Standard | 13 | Potential harm | — | Open → |
| Nov 7, 2024 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Feb 6, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 14, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 14, 2023 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Mar 16, 2022 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Mar 16, 2022 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D26 | E18 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 4, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jan 15, 2026 | |
| Dec 4, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 14, 2026 | |
| Dec 4, 2025 | F-0565 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 5 facilities.
43 facilities in 3 states. CMS chain ID 372.
Chain average overall rating (CMS): 2.9
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Estes | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 68% | Feb 19, 1999 |
| James N Estes Jr Family Dynasty Tr No 2 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | Sep 30, 2019 |
| Jennifer E Agee Family Dynasty Tr No 2 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | Sep 30, 2019 |
| James Norman Estes Jr Tr | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | Jun 30, 2013 |
| Jennifer Lee Estes Tr 031093 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | Jun 30, 2013 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Estes | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 68% | Feb 19, 1999 |
| James N Estes Jr Family Dynasty Tr No 2 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | Sep 30, 2019 |
| Jennifer E Agee Family Dynasty Tr No 2 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | Sep 30, 2019 |
| James Norman Estes Jr Tr | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | Jun 30, 2013 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Daytona Beach Health and Rehabilitation Center 1055 3rd Street, Daytona Beach, FL 32117 CCN 105311 | 180 | Jan 15, 2026 | 14 | — | |
| St Augustine Health and Rehabilitation Center 51 Sunrise Blvd, Saint Augustine, FL 32084 CCN 105315Abuse icon |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Daytona Beach Health and Rehabilitation Center 1055 3rd Street, Daytona Beach, FL 32117 CCN 105311 | 180 | Jan 15, 2026 | 14 | — | |
| St Augustine Health and Rehabilitation Center 51 Sunrise Blvd, Saint Augustine, FL 32084 CCN 105315Abuse icon |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Indian River Center 7201 Greenboro Dr, West Melbourne, FL 32904 CCN 105673 | 2.5 km | 179 | Jul 30, 2026 | 183 IJ | $74k | |
| Melbourne Terrace Rehabilitation Center 251 Florida Ave, Melbourne, FL 32901 CCN 105635 | 3.8 km | 179 | Dec 5, 2024 | 112 IJ | $16k | |
| Avante at Melbourne Inc 1420 South Oak Street, Melbourne, FL 32901 CCN 105671 | 4 km | 110 | Jul 28, 2025 | 443 IJ2 harm | $88k | |
| Melbourne Healthcare and Rehabilitation Center 1415 S Hickory St, Melbourne, FL 32901 CCN 105207 | 4.2 km | 138 | Mar 6, 2025 | 342 IJ | $40k | |
| Life Care Center of Melbourne 606 E Sheridan Rd, Melbourne, FL 32901 CCN 105291 | 4.4 km | 120 | Sep 25, 2025 | 15 | — | |
| Atlantic Shores Nursing and Rehab Center 4251 Stack Blvd, Melbourne, FL 32901 CCN 105904 | 4.4 km | 120 | Jun 11, 2026 | 15 | — | |
| Nursing & Rehabilitation Center of Melbourne 3033 Sarno Rd, Melbourne, FL 32934 CCN 105861 | 5.2 km | 167 | Aug 12, 2026 | 514 open | $6,949 | |
| Aviata at Palm Bay 5405 Babcock St NE, Palm Bay, FL 32905 CCN 105985 | 7.8 km | 120 | Mar 12, 2026 | 212 IJ1 harm | $22k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 105376 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 105376 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| E · Potential harm Pattern |
| Corrected Jan 14, 2026 |
| Dec 4, 2025 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 4, 2025 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 14, 2026 | Complaint |
| Dec 4, 2025 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 4, 2025 | F-0585 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 4, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 4, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 4, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 4, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 4, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 4, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 14, 2026 |
| Dec 4, 2025 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jan 14, 2026 |
| Nov 7, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 7, 2024 | Complaint |
| Feb 6, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 6, 2024 | Complaint |
| Feb 6, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 6, 2024 | Complaint |
| Dec 14, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 15, 2024 |
| Dec 14, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 15, 2024 |
| Mar 16, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 15, 2022 |
| Mar 16, 2022 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 15, 2022 |
| Mar 16, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 15, 2022 |
| Mar 16, 2022 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 15, 2022 |
| Mar 16, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 15, 2022 |
| Mar 16, 2022 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Apr 15, 2022 |
| Mar 16, 2022 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 15, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.76 (case-mix index 1.14).
| Jennifer Lee Estes Tr 031093 |
| Organization |
| Direct owner |
| 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| 6% |
| Jun 30, 2013 |
| Denise Caiati | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 7, 2022 |
| Cheri Mcvea | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 6, 2022 |
| Lynn Rasco | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2022 |
| Julie Schneider | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 21, 2023 |
| Darin Toney | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 15, 2024 |
| Cheri Mcvea | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 6, 2022 |
| Lynn Rasco | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2022 |
| Julie Schneider | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 21, 2023 |
| Darin Toney | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 15, 2024 |
| James Estes | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 19, 1999 |
| Phillip Long | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2019 |
| Denise Caiati | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Nov 7, 2022 |
| Regions Bank | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 5, 2010 |
| Regions Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Aug 26, 2014 |
| 120 |
| May 21, 2026 |
292 IJ |
| $27k |
| Crystal River Health and Rehabilitation Center 136 Northeast 12th Avenue, Crystal River, FL 34429 CCN 105317 | 150 | Apr 2, 2026 | 40 | — |
| Ocala Health and Rehabilitation Center 1201 SE 24th Rd, Ocala, FL 34471 CCN 105321 | 180 | Sep 18, 2025 | 28 | — |
| 120 |
| May 21, 2026 |
292 IJ |
| $27k |
| Crystal River Health and Rehabilitation Center 136 Northeast 12th Avenue, Crystal River, FL 34429 CCN 105317 | 150 | Apr 2, 2026 | 40 | — |
| Ocala Health and Rehabilitation Center 1201 SE 24th Rd, Ocala, FL 34471 CCN 105321 | 180 | Sep 18, 2025 | 28 | — |