Royal Oaks Nursing and Rehab CenterCMS ratings, inspections and fines
- Address
- 2225 Knox McRae Dr, Titusville, FL 32780
- CCN
- 105793
- Ownership type
- For-profit, corporation
- Certified beds
- 120
- Residents per day
- 112
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Royal Oaks Nursing and Rehab Center an overall rating of 4 of 5 stars. The last standard survey was on 25 Feb 2026. The latest survey cycle has 4 health citations. The median for nursing homes in Florida is 6. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Brevard County median | Florida median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 21 homes in the county, 694 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Florida median |
|---|---|---|---|
| Cycle 1 (latest) | 25 Feb 2026 | 4 | 6 |
| Cycle 2 | 26 Jun 2024 | 2 | 6 |
| Cycle 3 | No date | 3 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Feb 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 25 Mar 2026 |
| 25 Feb 2026 | F0584 | 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. | E | Standard survey | 25 Mar 2026 |
| 25 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Mar 2026 |
| 25 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Mar 2026 |
Survey cycle 2: 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Jun 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 29 Jul 2024 |
| 26 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Jul 2024 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Dec 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 13 Jan 2023 |
| 15 Dec 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 13 Jan 2023 |
| 15 Dec 2022 | F0791 | Provide or obtain dental services for each resident. | E | Standard survey | 13 Jan 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Florida median | Florida average (CMS) |
|---|---|---|---|
| All nurse staff | 4.00 | 3.60 | 3.82 |
| Registered nurses (RN) | 0.60 | 0.60 | 0.73 |
| Licensed practical nurses (LPN) | 1.08 | 0.78 | |
| Nurse aides | 2.32 | 2.31 | |
| All nurse staff, weekends | 3.47 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 30.0%
- Nurse staff turnover, Florida median
- 41.8%
- RN turnover in a year
- 16.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Florida median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 1.6% | 7.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.9% | 2.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 1.0% | 7.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.6% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.3% | 7.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Sovereign Healthcare of Titusville LLC
- Chain
- Sovereign Healthcare Holdings (43 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sovereign Healthcare Holdings LLC | Direct ownership interest | 1 May 2014 | |
| Berkadia Commercial Mortgage LLC | 5% or greater security interest | 23 Sep 2014 | |
| FL Royal Oaks Holdings, LLC | 5% or greater security interest | 19 May 2009 | |
| Health Services Properties LLC | 5% or greater security interest | 19 May 2009 | |
| Southern Healthcare Management LLC | Operational/managerial control | 1 Oct 2003 | |
| FL Royal Oaks Holdings, LLC | Adp of the snf | 19 May 2009 | |
| Forvis Mazars LLP | Adp of the snf | 1 Jan 2025 | |
| Health Services Properties LLC | Adp of the snf | 19 May 2009 | |
| Southern Healthcare Management LLC | Adp of the snf | 28 Oct 2025 | |
| Sovereign Healthcare Disbursements LLC | Adp of the snf | 19 May 2009 |
The site shows organisations only. It does not show the names of persons.
Other homes in Brevard County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Titusville Rehabilitation & Nursing Center | Titusville | 2 of 5 | 16 | $17,369 | 5 Mar 2026 | |
| Vista Manor Healthcare and Rehabilitation Center | Titusville | 1 of 5 | 9 | $13,335 | 9 Apr 2026 | |
| Solaris Healthcare Merritt Island | Merritt Island | 3 of 5 | 11 | $0 | 22 Aug 2024 | |
| Space Coast Healthcare and Rehabilitation Center | Merritt Island | 1 of 5 | 21 | $128,889 | 17 Jan 2025 | |
| Rockledge Healthcare & Rehabilitation Center | Rockledge | 2 of 5 | 8 | $0 | 3 Apr 2025 | |
| Sunrise Point Health and Rehabilitation Center | Rockledge | 1 of 5 | 6 | $251,511 | 9 Aug 2024 | |
| The Terrace at Courtenay Springs | Merritt Island | 3 of 5 | 4 | $0 | 16 Apr 2026 | |
| Viera Healthcare and Rehabilitation Center | Viera | 3 of 5 | 7 | $34,948 | 12 Feb 2026 | |
| Viera Del Mar Health and Rehabilitation Center | Viera | 2 of 5 | 12 | $93,438 | 1 May 2026 | |
| Nursing & Rehabilitation Center of Melbourne | Melbourne | 2 of 5 | 13 | $6,949 | 20 Nov 2025 | |
| Indian River Center | West Melbourne | 2 of 5 | 4 | $74,386 | 13 Sep 2024 | |
| West Melbourne Health & Rehabilitation Center | West Melbourne | 2 of 5 | 13 | $0 | 4 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Royal Oaks Nursing and Rehab Center (CCN 105793). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/royal-oaks-nursing-and-rehab-center-titusville-fl-105793/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Royal Oaks Nursing and Rehab Center last inspected?
- The latest inspection with a citation in the CMS record was on 25 Feb 2026. It was a standard survey. It gave 4 citations. The standard survey before the last one was on 26 Jun 2024.
- Who operates Royal Oaks Nursing and Rehab Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Sovereign Healthcare Holdings. The CMS ownership file names Southern Healthcare Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Royal Oaks Nursing and Rehab Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Florida as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.