2225 Knox McRae Dr, Titusville, FL 32780 · Brevard County · (321) 267-0060
120 certified beds, about 112 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105793 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 25, 2026, inspectors cited 4 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 9 health citations since December 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.00 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
30.0% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Sovereign Healthcare Holdings, an affiliated group of 43 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Inspectors wroteBased on observation, and interview, the facility failed to provide a homelike environment for all residents who ate their meals in the west wing dining area, by serving the resident's meals on serving trays at the table in an institutional manner.
Inspectors wroteBased on observation, interview, and record review, the facility failed to conduct medication self-administration assessment to ensure safety for 3 of 5 residents reviewed for choices out of a total sample of 34 residents, (#31, #55, #75). Findings 1Resident #31 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease, dementia, congestive heart failure and chronic kidney disease. Review of the medical record showed the Minimum Data Set (MDS) Quarterly assessment with assessment reference date (ARD) of 1/16/26 revealed resident # 31 had a Brief Interview for Mental Status (BIMS) Score of 14 out of 15 which indicated she was cognitively intact. The MDS also revealed that the resident's vision was adequate and she wore corrective lenses. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement resident-directed care and treatment consistent with the resident's physician orders for removal of a central venous catheter for 1 of 2 residents reviewed for intravenous lines and for 1 of 2 residents reviewed for limited range of motion, of a total sample of 34 residents, ( #6,#70).
Inspectors wroteBased on observation, interview, and record review, the facility failed to supervise a catheter drainage bag per infection control standards, to prevent contamination and the spread of infection for 1 of 1 resident reviewed for a bladder catheter of a sample of 34 residents.
Inspectors wroteBased on observation and interview, the facility failed to maintain food cooking equipment in a clean and sanitary manner to prevent physical contaminants that may inadvertently enter food eaten by the residents of the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow a systematic approach to ensure residents were not over hydrated due to health conditions and followed physician ordered fluid restrictions to promote the highest practicable outcome for 1 of 3 residents reviewed for nutrition/hydration issues, of a total sample of 38 residents, (#5).
Inspectors wroteBased on observation, interview and record review, the facility failed to promote dignity related to missing front teeth affecting the resident's self-esteem for 1 of 2 residents reviewed for dignity, out of a total sample of 52 residents, (#53).
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide dental services in a timely manner for 1 of 2 residents reviewed for dental services, out of a total sample of 52 residents, (#53).
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a baseline/interim care plans in a timely manner related to intravenous (IV) antibiotics and psychotropic medication use for 1 of 1 newly admitted resident reviewed for IV antibiotic therapy and mood/behavioral services of a total sample of 52 residents, (#311).
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.00 | 3.82 | 3.86 |
| Registered nurses | 0.60 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.47 | 3.49 | 3.42 |
| Nurse aides | 2.32 | ||
| Licensed practical nurses | 1.08 | ||
| Nursing staff turnover (share who left in a year) | 30.0% | 41.4% | 45.8% |
| Registered nurse turnover | 16.7% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.22 on weekdays and 3.47 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.06 in April to June 2025 to 4.00 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.00 | 0.60 | 4.22 | 3.47 | 0.0% | 0 of 90 | 112 |
| Oct to Dec 2025 | 4.01 | 0.57 | 4.24 | 3.44 | 0.0% | 0 of 92 | 110 |
| Jul to Sep 2025 | 4.10 | 0.57 | 4.36 | 3.43 | 0.0% | 0 of 92 | 108 |
| Apr to Jun 2025 | 4.06 | 0.53 | 4.29 | 3.48 | 0.0% | 0 of 91 | 111 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 1.6 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.9 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.0 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.6 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.3 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.6 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.9 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Royal Oaks Nursing and Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (57.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
57.3% this home
Better than the national rate
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 549 eligible stays.
13.5% this home
Worse than the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 582 eligible stays.
9.3% this home
No different from the national rate
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 355 eligible stays.
90.2% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 274 residents counted.
0.9% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 454 residents counted.
2.9% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 454 residents counted.
98.2% this home
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 54 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: SOVEREIGN HEALTHCARE OF TITUSVILLE LLC. CMS links this home to Sovereign Healthcare Holdings, a group of 43 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sovereign Healthcare Holdings LLC | Direct ownership interest | Organization | 05/01/2014 | |
| Cronquist 2015 Family Tr | Indirect ownership interest | Organization | 12/31/2015 | |
| John J Notermann Business Tr | Indirect ownership interest | Organization | 11/12/2017 | |
| Mangine, John | Indirect ownership interest | Individual | 06/25/2012 | |
| Berkadia Commercial Mortgage LLC | 5% or greater security interest | Organization | 09/23/2014 | |
| Fl Royal Oaks Holdings, LLC | 5% or greater security interest | Organization | 05/19/2009 | |
| Health Services Properties LLC | 5% or greater security interest | Organization | 05/19/2009 | |
| Chery, Dawn | Managing control - governing body | Individual | 06/08/2017 | |
| Gerrity, Henry | Managing control - governing body | Individual | 04/01/2014 | |
| Kaar, Susan | Managing control - governing body | Individual | 10/01/2003 | |
| Southern Healthcare Management LLC | Operational/managerial control | Organization | 10/01/2003 | |
| Cronquist, Royce | Operational/managerial control | Individual | 02/01/2018 | |
| Mangine, John | Operational/managerial control | Individual | 06/25/2012 | |
| McKinney, Eric | Operational/managerial control | Individual | 12/12/2022 | |
| Melton, Donald | Operational/managerial control | Individual | 02/15/2009 | |
| Notermann, William | Operational/managerial control | Individual | 01/01/2025 | |
| Ochoa, Aluino | Operational/managerial control | Individual | 06/01/2020 | |
| Notermann, Brenda | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/28/2025 | |
| Fl Royal Oaks Holdings, LLC | Adp of the SNF | Organization | 05/19/2009 | |
| Forvis Mazars LLP | Adp of the SNF | Organization | 01/01/2025 | |
| Health Services Properties LLC | Adp of the SNF | Organization | 05/19/2009 | |
| Southern Healthcare Management LLC | Adp of the SNF | Organization | 10/28/2025 | |
| Sovereign Healthcare Disbursements LLC | Adp of the SNF | Organization | 05/19/2009 | |
| Chery, Dawn | Adp of the SNF | Individual | 06/08/2017 | |
| Cronquist, Royce | Adp of the SNF | Individual | 02/18/2018 | |
| Gerrity, Henry | Adp of the SNF | Individual | 04/01/2014 | |
| Kaar, Susan | Adp of the SNF | Individual | 10/01/2003 | |
| Kelly, Michelle | Adp of the SNF | Individual | 02/01/2018 | |
| Mangine, John | Adp of the SNF | Individual | 06/25/2012 | |
| McKinney, Eric | Adp of the SNF | Individual | 12/12/2022 | |
| Melton, Donald | Adp of the SNF | Individual | 02/15/2009 | |
| Notermann, William | Adp of the SNF | Individual | 01/01/2025 | |
| Ochoa, Aluino | Adp of the SNF | Individual | 06/01/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.