Atlantic Shores Nursing and Rehab Center — nursing home in Melbourne, FL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 111.3 CMS, MDS-derived
CMS Certification Number: 105904
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 31, 1996
Ownership type: For profit - Limited Liability company
Operator (legal business name): Sovereign Healthcare of Atlantic Shores LLC
CMS chain: Sovereign Healthcare Holdings 43 facilities
Phone: (321) 953-2219
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jun 11, 2026

Citations

15

15 health · 0 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E4	F·
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 105904
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jan 31, 1996
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Florida.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 11, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jun 11, 2026	Health	Health Standard	5	Potential harm	—	Open →
Jan 29, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Sep 25, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Sep 25, 2024	Health	Health Standard	1	Potential harm	—	Open →
Mar 21, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Dec 22, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Dec 22, 2022	Health	Health Standard	7	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E4	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 11, 2026	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 Jul 11, 2026
Jun 11, 2026	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 Jul 11, 2026
Jun 11, 2026	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 Jul 11, 2026
Jun 11, 2026	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 11, 2026
Jun 11, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 11, 2026
Jan 29, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 21, 2025	Complaint
Sep 25, 2024	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 25, 2024
Mar 21, 2024	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 Apr 10, 2024	Complaint
Dec 22, 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	D · Potential harm Isolated	Corrected Jan 23, 2023
Dec 22, 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	D · Potential harm Isolated	Corrected Jan 23, 2023
Dec 22, 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 Jan 23, 2023
Dec 22, 2022	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 23, 2023
Dec 22, 2022	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	E · Potential harm Pattern	Corrected Jan 23, 2023
Dec 22, 2022	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 23, 2023
Dec 22, 2022	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 23, 2023

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.3

Health inspectionsstate 2.9

Staffingstate 3.3

Quality measuresstate 4.3

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.64

State avg 3.86US avg 3.90

Registered nurse (RN)0.56

State avg 0.73US avg 0.69

Licensed practical nurse0.98

State avg 0.80US avg 0.86

Nurse aide2.10

State avg 2.33US avg 2.35

Weekend total nurse3.26

State avg 3.51US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.85 (case-mix index 1.32).

Staff turnover

Total nursing staff turnover33.0%

State avg 41.5%US avg 45.3%

Registered nurse turnover37.5%

State avg 46.1%US avg 42.5%

Administrators who left2

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 11, 2026
Cycle 1 health score: 28
Total weighted score: 24

Operating entity

Sovereign Healthcare of Atlantic Shores LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Sovereign Healthcare Holdings

43 facilities in 3 states. CMS chain ID 482.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.8

Ownership disclosures

Disclosures

32

Organizations

9

Individuals

21

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Sovereign Healthcare Holdings LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2006
Cronquist 2015 Family Tr	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 31, 2015
John J Notermann Business Tr	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Nov 12, 2017
John Mangine	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Sovereign Healthcare Holdings LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2006
Cronquist 2015 Family Tr	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 31, 2015
John J Notermann Business Tr	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Nov 12, 2017
John Mangine	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2025
Brenda Notermann	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Nov 11, 2025
Dawn Chery	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2025
Henry Gerrity	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2025
Susan Kaar	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2025
Southern Healthcare Management LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Royce Cronquist	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2018
Johnny Guy	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 2, 2025
Anthony Herzog	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 9, 2023
John Mangine	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Donald Melton	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 15, 2009
William Notermann	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Berkadia Commercial Mortgage LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Sep 23, 2014
Fl Atlantic Shores Holdings, LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	May 19, 2009
Health Services Properties LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	May 19, 2009
Fl Atlantic Shores Holdings, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 19, 2009
Forvis Mazars LLP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Southern Healthcare Management LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 10, 2025
Sovereign Healthcare Disbursements LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Dawn Chery	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Royce Cronquist	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2018
Henry Gerrity	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Johnny Guy	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 2, 2025
Anthony Herzog	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 9, 2023
Susan Kaar	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Michelle Kelly	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2018
John Mangine	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Donald Melton	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 15, 2009
William Notermann	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025

Same chain in Florida

All 42 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Braden River Rehabilitation Center LLC 2010 Manatee Ave E, Bradenton, FL 34208 CCN 105045	208	Jun 4, 2025	34	—
Boulevard Rehabilitation Center 2839 S Seacrest Blvd, Boynton Beach, FL 33435 CCN 105067	167	Feb 27, 2025	33	—
Crestview Rehabilitation Center, LLC 1849 First Avenue East, Crestview, FL 32539 CCN 105190	180	Aug 21, 2025	8	—
Medicana Nursing and Rehab Center 1710 Lake Worth Road, Lake Worth, FL 33460 CCN 105259	116	May 14, 2026	25	—
Fort Walton Rehabilitation Center, LLC 1 Lbj Sr Drive, Fort Walton Beach, FL 32547 CCN 105295	120	Jun 26, 2025	10	—
Parkview Rehabilitation Center at Winter Park 2075 Loch Lomond Drive, Winter Park, FL 32792 CCN 105307	138	Aug 14, 2026	18	—
River Valley Rehabilitation Center 17884 NE Crozier St, Blountstown, FL 32424 CCN 105473	150	Jul 10, 2026	7	—
Moultrie Creek Nursing and Rehab Center 200 Mariner Health Way, Saint Augustine, FL 32086 CCN 105548	120	Jul 10, 2026	11	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 4251 Stack Blvd, Melbourne, FL 32901
ZIP: 32901
County: Brevard County FIPS 12009
State: Florida
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Melbourne Terrace Rehabilitation Center 251 Florida Ave, Melbourne, FL 32901 CCN 105635	1.2 km	179	Dec 5, 2024	112 IJ	$16k
Aviata at Palm Bay 5405 Babcock St NE, Palm Bay, FL 32905 CCN 105985	3.6 km	120	Mar 12, 2026	212 IJ1 harm	$22k
Anchor Care & Rehabilitation Center 1515 Port Malabar Blvd NE, Palm Bay, FL 32905 CCN 105464	3.8 km	120	Jun 12, 2025	182 IJ	$15k
Avante at Melbourne Inc 1420 South Oak Street, Melbourne, FL 32901 CCN 105671	3.9 km	110	Jul 28, 2025	443 IJ2 harm	$88k
West Melbourne Health & Rehabilitation Center 2125 West New Haven Ave, West Melbourne, FL 32904 CCN 105376	4.4 km	180	Dec 4, 2025	48	—
Melbourne Healthcare and Rehabilitation Center 1415 S Hickory St, Melbourne, FL 32901 CCN 105207	4.7 km	138	Mar 6, 2025	342 IJ	$40k
Life Care Center of Melbourne 606 E Sheridan Rd, Melbourne, FL 32901 CCN 105291	4.9 km	120	Sep 25, 2025	15	—
Life Care Center of Palm Bay 175 Villa Nueva Ave, Palm Bay, FL 32907 CCN 106060	5.5 km	141	Jan 9, 2025	102 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	105904	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	105904	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

Record-level source links for CCN 105904

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction