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Space Coast Healthcare and Rehabilitation Center

All states › Florida › Merritt Island › Space Coast Healthcare and Rehabilitation Center

125 Alma Blvd Merritt Island, FL 32953 · Brevard County

(321) 453-0202

All 3 nursing homes in Merritt Island, FL (3 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 105325 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Space Coast Healthcare and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Space Coast Healthcare and Rehabilitation Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Florida average of 3.3. Inspectors issued 41 citations in the last three years. CMS imposed 4 penalties, including $87,610 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.41 hours per resident per day at Space Coast Healthcare and Rehabilitation Center, below the Florida median of 3.67 (US median: 3.72). About 0.60 of those hours are from registered nurses. On weekends it falls to 3.22 hours, 6% below its all-week average. 59.2% of nursing staff left within a year (Florida median 42%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.41 hours
Below the Florida median of 3.67 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.60 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.22 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 59.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 72.7% a year Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 107 About 89% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1978
Part of a chainExcelsior Care Group
Legal business nameISLAND OPERATING LLC

Paying for care at Space Coast Healthcare and Rehabilitation Center: Medicare and Medicaid

Space Coast Healthcare and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Florida's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on January 17, 2025 and found 14 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 41 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 41 citations at Space Coast Healthcare and Rehabilitation Center across 8 inspection dates, 12 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 28, 2026 (complaint inspection). The most common areas cited were resident rights (11) and quality of life and care (9). The most serious was cited under the CMS rule to "provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives" (tag F0678, level J, August 28, 2026). 5 citations were under CMS's abuse, neglect and exploitation rules.

August 28, 2026 · 2 citations · includes complaint inspection

JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0678 · Complaint inspection · Deficient, Provider has no plan of correction

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has no plan of correction

August 2, 2025 · 6 citations, includes immediate jeopardy · includes complaint inspection

JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Aug 29, 2025)

JProvide doctor's orders for the resident's immediate care at the time the resident was admitted.

Immediate jeopardy · Resident Assessment and Care Planning Deficiencies · Tag F0635 · Complaint inspection · Deficient, Provider has date of correction (Aug 29, 2025)

JEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Immediate jeopardy · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Aug 29, 2025)

ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Aug 29, 2025)

ERespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Aug 29, 2025)

ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Complaint inspection · Deficient, Provider has date of correction (Aug 29, 2025)

January 17, 2025 · 15 citations · includes complaint inspection

EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0568 · Deficient, Provider has date of correction (Feb 17, 2025)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Feb 17, 2025)

EDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Feb 17, 2025)

ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Feb 17, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Feb 17, 2025)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Feb 17, 2025)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Feb 17, 2025)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Feb 17, 2025)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Deficient, Provider has date of correction (Feb 17, 2025)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Feb 17, 2025)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Feb 17, 2025)

DAssist a resident in gaining access to vision and hearing services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0685 · Deficient, Provider has date of correction (Feb 17, 2025)

DProvide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (Feb 17, 2025)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Feb 17, 2025)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Feb 17, 2025)

May 16, 2024 · 1 citation · includes complaint inspection

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 16, 2024)

March 28, 2024 · 1 citation · includes complaint inspection

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Apr 28, 2024)

February 13, 2024 · 1 citation · includes complaint inspection

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Mar 13, 2024)

May 19, 2023 · 9 citations

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 26, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 26, 2023)

EDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Jun 26, 2023)

EEstablish 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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0837 · Deficient, Provider has date of correction (Jun 26, 2023)

EKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (Jun 26, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Deficient, Provider has date of correction (Jun 26, 2023)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Jun 26, 2023)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Jun 26, 2023)

DProvide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (Jun 26, 2023)

June 17, 2021 · 6 citations

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Jul 17, 2021)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jul 17, 2021)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Deficient, Provider has date of correction (Jul 17, 2021)

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Jul 17, 2021)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jul 17, 2021)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Jul 17, 2021)

Questions to ask on a tour of Space Coast Healthcare and Rehabilitation Center

  1. Inspectors cited the home at the immediate-jeopardy level on August 28, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 28, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 59.2% a year. How many of the staff come from agencies?
  5. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

4 penalties in the last three years, including $87,610 in fines.

DateTypeAmount or length
Aug 2, 2025 Fine $76,661
Dec 11, 2023 Fine $7,409
Nov 20, 2023 Fine $1,764
Oct 30, 2023 Fine $1,776

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 2/5 4/5
August 2026 1/5 1/5 2/5 4/5
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Location

Hospitals near Space Coast Healthcare and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 5.2 mi
    Cape Canaveral Hospital Cocoa Beach
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 50m for patients treated and sent home
  • 10.8 mi
    Viera Hospital Melbourne
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 3h 14m for patients treated and sent home
  • 18.6 mi
    Parrish Medical Center Titusville
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 25m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Solaris Healthcare Merritt Island Merritt Island · 0.4 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 180 beds · Medicaid
The Terrace at Courtenay Springs Merritt Island · 3.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 80 beds · Medicaid
Rockledge Healthcare & Rehabilitation Center Rockledge · 4.2 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 107 beds · Medicaid
Sunrise Point Health and Rehabilitation Center Rockledge · 4.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 100 beds · Medicaid
Viera Healthcare and Rehabilitation Center Viera · 10.0 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 114 beds · Medicaid

More nursing homes near Space Coast Healthcare and Rehabilitation Center ›   All nursing homes in Merritt Island ›

Compare Space Coast Healthcare and Rehabilitation Center with the 3 closest homes side by side ›

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Other Excelsior Care Group nursing homes in Florida

Affiliation comes from CMS's affiliated-entity data, October 2026. All 33 Excelsior Care Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/florida/merritt-island/space-coast-healthcare-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.