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Nursing HomeMedicaid Investigative

Melbourne Healthcare and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1415 S Hickory St, Melbourne, FL 32901138 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 109 Google reviews

Melbourne Healthcare and Rehabilitation Center Nursing Home in Melbourne, FL — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (10 vs median 6.0)
  • High RN turnover (57%)

Bottom 25% in FL · Meets national RN staffing standard · Worst in EXCELSIOR CARE GROUP chain · $59,140 in fines

Source: Medicare data

What this means for your family

While the facility offers excellent specialized services like in-house dialysis and physical therapy, the reports of hygiene issues and slow response times are significant red flags. If you consider this facility, we strongly recommend visiting unannounced, specifically checking the cleanliness of bathrooms and observing how quickly staff respond to call lights in the hallways.

Google Reviews

Google Reviews

109 reviews on Google
Melbourne Healthcare and Rehabilitation Center (formerly Wave Crest) presents a stark divide in experiences, with many recent reviews praising a turnaround under new management, while others report severe, ongoing neglect. Families frequently highlight the convenience of in-house dialysis and effective physical therapy, yet critical concerns regarding hygiene, slow call-light response times, and unprofessional staff remain persistent themes in negative feedback.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean2.0ActivitiesN/AMeds3.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective in-house physical therapy
  • Convenient on-site dialysis services
  • Responsive administrative leadership
  • Compassionate nursing staff (noted in positive reviews)

Concerns

  • Slow or non-existent response to call lights (mentioned by 8 reviewers)
  • Unsanitary conditions and persistent odors (mentioned by 7 reviewers)
  • Neglect of basic hygiene (patients left in soiled linens) (mentioned by 6 reviewers)
  • Difficulty reaching staff by phone (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(3)'20(6)'22(2)'24(13)'26(11)

Distribution · 113 analyzed

5
68
4
6
3
1
2
3
1
35
29 reviews posted between Jun 10, 2025Jun 13, 2025 · 27 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about your in-house physical therapy and dialysis services; how do these integrated services help coordinate a resident's daily care plan?
  • 2What specific protocols do you have in place to ensure rooms and common areas are cleaned frequently and kept smelling fresh?
  • 3How does the nursing team manage call lights during busy shifts to ensure residents aren't waiting long for assistance?
  • 4Can you tell me about the meal service and how you ensure dining is a high-quality, enjoyable experience for the residents?
  • 5What is the best way for family members to stay in touch with the administrative team if we have questions or need an update?
  • 6How does the facility handle medical emergencies or sudden changes in a resident's condition during the night?

Personalized based on this facility's data


Key Review Excerpts

The facility is a bit older, however it is clean and very functional. Beds are incredibly comfortable.

Rehab patient · 2025★★★★★

I selected Bedrock because it is one of the few rehab facilities that has dialysis on site. They have the necessary equipment to lift my 290 pound bedridden husband out of bed.

Long-term resident's family · 2025★★★★

The first morning my mom woke up there she put her call light on to go to the bathroom and it was answered 2 hours later after my mom had urinated on herself and the bed.

Long-term resident's family · 2023☆☆☆☆
Source: 109 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.70hrs
93%
Registered nurses for medical care
Total Nursing
3.35hrs
82%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
52%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
19.4%
FL
11.5%
Brevard
11.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
12.1%
FL
4.1%
Brevard
5.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
15.3%
FL
10.6%
Brevard
8.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.9%
Better than Avg
Here
9.9%
US
19.5%
FL
15.0%
Brevard
12.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.5%
Better than Avg
Here
5.5%
US
14.4%
FL
9.1%
Brevard
6.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
FL
98.1%
Brevard
99.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
79.8%
FL
94.7%
Brevard
97.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
81.8%
FL
94.8%
Brevard
96.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.9%
Worse than Avg
Here
1.9%
US
1.6%
FL
1.5%
Brevard
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
1penalties
Above state avg (7.3)
4 complaint-triggered
$59,140 in fines

Families have filed multiple complaints resulting in serious deficiencies including abuse protection failures and unsafe discharge practices, with the most recent complaint in November 2024. The facility has recurring problems with medication management, fire safety systems, and resident care quality. While all issues show correction dates, the pattern of repeated deficiencies in fire safety and ongoing family complaints about fundamental care and safety issues raises concerns about sustained compliance.

Mar 6, 2025Routine
11
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0732Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Dec 3, 2024Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Nov 22, 2024Complaint
3
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0835Potential for harm · PatternCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Jun 22, 2023Routine
12
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0111Potential for harm · IsolatedCorrected

Construction Deficiencies

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Aug 5, 2021Routine
7
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Federal Penalties

Fine

Nov 22, 2024

$40,132

Ownership & Operations

Who Operates This Facility

Owner / Operator

Melbourne Healthcare and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Excelsior Care Group

Chain Size

33 facilities nationwide

Chain avg rating: 2.6/5 · Rank 32 of 32 (Worst)

Ownership & Management

Owners

Carnegie Gardens Operating Investments LLC

Owner · Organization

100%

Bdcc Consutking Group LLC

Owner (parent company) · Organization

Fdz Consulting LLC

Owner (parent company) · Organization

Jz Consulting LLC

Owner (parent company) · Organization

Rubiweb Florida Services Group USA LLC

Owner (parent company) · Organization

Powers, Brian

Owner (parent company)

Rubenstein, David

Owner (parent company)

Weber, Aron

Owner (parent company)

Key personnel

Zahler, JacobOfficer / DirectorParisi, ThomasManagerPatel, GaurangManagerParisi, ThomasAdp of the SnfPatel, GaurangAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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