The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Space Coast Healthcare And Rehabilitation Center are:
F-0600 · August 2, 2025 · Grade J — Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date August 29, 2025
F-0635 · August 2, 2025 · Grade J — Immediate jeopardy
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date August 29, 2025
F-0726 · August 2, 2025 · Grade J — Immediate jeopardy
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.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date August 29, 2025
K-0345 · May 19, 2023 · Grade F — Potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Status: Deficient, Provider has date of correction · correction date June 26, 2023
K-0353 · May 19, 2023 · Grade F — Potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Status: Deficient, Provider has date of correction · correction date June 26, 2023
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Space Coast Healthcare And Rehabilitation Center, 14 subject areas appear across health and fire-safety inspections.
Freedom from abuse, neglect, and exploitation
4 citations between March 28, 2024 and August 2, 2025. The most serious was graded J — immediate jeopardy, affecting one or a very small number of residents. Surveyors found a situation that caused — or was likely to cause — serious injury, harm, impairment, or death, and that needed immediate correction. 4 of these citations came out of complaint investigations. Correction record: 4 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0600 · August 2, 2025 · Grade J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0609 · August 2, 2025 · Grade E — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0610 · August 2, 2025 · Grade E — Respond appropriately to all alleged violations.
Assessments and care planning
4 citations between June 17, 2021 and August 2, 2025. The most serious was graded J (immediate jeopardy). 1 of these citations came out of complaint investigations. Correction record: 4 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0635 · August 2, 2025 · Grade J — Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
F-0644 · May 19, 2023 · Grade D — Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F-0645 · May 19, 2023 · Grade D — PASARR screening for Mental disorders or Intellectual Disabilities
Nursing and Physician Services
1 citation between August 2, 2025 and August 2, 2025. The most serious was graded J (immediate jeopardy). 1 of these citations came out of complaint investigations. Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0726 · August 2, 2025 · Grade J — 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.
Fire, smoke, and emergency safety
7 citations between June 17, 2021 and January 17, 2025. The most serious was graded F (potential for more than minimal harm). Correction record: 7 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0345 · May 19, 2023 · Grade F — Have approved installation, maintenance and testing program for fire alarm systems.
K-0353 · May 19, 2023 · Grade F — Inspect, test, and maintain automatic sprinkler systems.
K-0345 · January 17, 2025 · Grade E — Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems
3 citations between June 17, 2021 and May 19, 2023. The most serious was graded F (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0914 · May 19, 2023 · Grade F — Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K-0921 · June 17, 2021 · Grade E — Ensure that testing and maintenance of electrical equipment is performed.
K-0923 · June 17, 2021 · Grade E — Have proper medical gas storage and administration areas.
Miscellaneous
2 citations between May 19, 2023 and May 19, 2023. The most serious was graded F (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0712 · May 19, 2023 · Grade F — Have simulated fire drills held at unexpected times.
K-0700 · May 19, 2023 · Grade E — Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Fire, smoke, and emergency safety
1 citation between June 17, 2021 and June 17, 2021. The most serious was graded F (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
E-0004 · June 17, 2021 · Grade F — Develop and maintain an Emergency Preparedness Program (EP).
Resident rights
11 citations between June 17, 2021 and January 17, 2025. The most serious was graded E (potential for more than minimal harm). Correction record: 11 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0568 · January 17, 2025 · Grade E — Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F-0584 · January 17, 2025 · Grade E — 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.
F-0550 · January 17, 2025 · Grade D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of life and daily care
8 citations between June 17, 2021 and January 17, 2025. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 8 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0689 · May 19, 2023 · Grade E — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0677 · January 17, 2025 · Grade D — Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0679 · January 17, 2025 · Grade D — Provide activities to meet all resident's needs.
Administration and leadership
3 citations between May 19, 2023 and August 2, 2025. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0867 · August 2, 2025 · Grade E — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-0867 · January 17, 2025 · Grade E — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-0837 · May 19, 2023 · Grade E — Establish 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.
Food, nutrition, and hydration
3 citations between May 19, 2023 and January 17, 2025. The most serious was graded E (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Nutrition failures connect directly to weight loss, dehydration, and slow wound healing. Ask for weight records, intake logs, and whether a dietitian reviewed the resident after any decline.
F-0814 · January 17, 2025 · Grade E — Dispose of garbage and refuse properly.
F-0812 · May 19, 2023 · Grade E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0814 · May 19, 2023 · Grade E — Dispose of garbage and refuse properly.
Medication and pharmacy services
3 citations between February 13, 2024 and January 17, 2025. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0755 · February 13, 2024 · Grade E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0756 · January 17, 2025 · Grade D — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F-0758 · January 17, 2025 · Grade D — Implement 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.
Infection prevention and control
1 citation between January 17, 2025 and January 17, 2025. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 1 citation shows a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0880 · January 17, 2025 · Grade E — Provide and implement an infection prevention and control program.
Physical environment and safety
1 citation between May 19, 2023 and May 19, 2023. The most serious was graded E (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Environmental citations cover the building itself — safe water temperatures, clean and working equipment, hazard-free spaces. Ask what was repaired, when, and what checks are in place now.
F-0908 · May 19, 2023 · Grade E — Keep all essential equipment working safely.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Space Coast Healthcare And Rehabilitation Center appears in CMS data on 10 survey dates between June 17, 2021 and August 2, 2025. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
August 2, 2025
Complaint health survey — 6 citations, worst grade J (immediate jeopardy)
January 17, 2025
Health survey including complaint investigations — 15 citations, worst grade E (potential for more than minimal harm)
January 17, 2025
Fire-safety survey — 1 citation, worst grade E (potential for more than minimal harm)
May 16, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
March 28, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
February 13, 2024
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
May 19, 2023
Standard health survey — 9 citations, worst grade E (potential for more than minimal harm)
May 19, 2023
Fire-safety survey — 8 citations, worst grade F (potential for more than minimal harm)
June 17, 2021
Standard health survey — 6 citations, worst grade D (potential for more than minimal harm)
June 17, 2021
Fire-safety survey — 4 citations, worst grade F (potential for more than minimal harm)
Penalties imposed
August 2, 2025 — Fine of $117,940
December 11, 2023 — Fine of $7,409
November 20, 2023 — Fine of $1,764
October 30, 2023 — Fine of $1,776
How Space Coast Healthcare And Rehabilitation Center compares with peer homes
Raw citation counts mean more in context. The table below compares Space Coast Healthcare And Rehabilitation Center with the median reviewed facility in Brevard County (6 homes in this research set) and across Florida (156 homes), using the same CMS data. On health citations alone, Space Coast Healthcare And Rehabilitation Center sits above 60% of its reviewed county peers — in the worse half of the county.
Measure
This home
Brevard Co. median
Florida median
Health citations on record
39
39
30
Citations from complaint investigations
10
9
7
Citations at actual-harm level or worse
3
4
3
Immediate-jeopardy citations
3
3
2
Total fines in CMS penalty records
$128,889
$74,859
$59,961
Penalty records (fines + payment denials)
4
2
2
What families should ask Space Coast Healthcare And Rehabilitation Center
- Ask why CMS flags Space Coast Healthcare And Rehabilitation Center with its abuse icon, which citations produced the flag, and what staffing or supervision changes followed.
- Ask for the plan of correction and follow-up monitoring for the freedom from abuse, neglect, and exploitation citations — most recently F-0600 on August 2, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the assessments and care planning citations — most recently F-0635 on August 2, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the nursing and physician services citations — most recently F-0726 on August 2, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the resident rights citations — most recently F-0568 on January 17, 2025 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 4 totalling $128,889, the most recent dated August 2, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Space Coast Healthcare And Rehabilitation Center first document the change?
- Were recent complaint-related citations at Space Coast Healthcare And Rehabilitation Center connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Weight loss
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
105325
Legal business name
ISLAND OPERATING LLC
Ownership type
For profit - Corporation
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
July 1, 1978
Chain name
EXCELSIOR CARE GROUP
Certified beds
120
Average residents per day
110.1
Overall CMS rating
2 star
Health inspection rating
1 star
Staffing rating
2 star
Reported nurse staffing hours per resident day
3.32025
Total nursing staff turnover
58.9%
Public records are a starting point, not a conclusion
This profile of Space Coast Healthcare And Rehabilitation Center uses official CMS provider data as a research starting point. It does not state that Space Coast Healthcare And Rehabilitation Center abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Legal help resource
Suspect nursing home abuse or neglect?
Public records are only part of the picture. If your family believes a Florida nursing home harmed your loved one, you can speak with a legal help for nursing home abuse in Florida about what happened and what options your family may have. Senior Justice Help is not a law firm and is not affiliated with any law firm; this link is provided as a resource only.
Injury and neglect guides
When a Florida care injury may involve negligence
Inspection records show what regulators found; they do not by themselves prove a legal claim. If your family is looking back at a serious injury or death in a Florida nursing home or care facility, these guides explain the deadlines, procedures, records, and questions that apply in Florida:
- Stroke misdiagnosis lawyer information in Florida
- Falls and fractures in Florida care facilities: legal information
- Pressure injuries and bedsores: Florida legal information
- Sepsis from infection in Florida care facilities: legal information
- Medication errors in Florida care facilities: legal information
- Wrongful death in a Florida care facility: legal information
Sources for Space Coast Healthcare And Rehabilitation Center
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.