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Nursing HomeMedicaid

Royal Oaks Nursing and Rehab Center

Strong Medicare quality ratings; families often praise highly skilled and effective physical therapy team. Still worth an in-person visit.

2225 Knox Mcrae Dr, Titusville, FL 32780120 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 212 Google reviews

5
4
3
2
1
Royal Oaks Nursing and Rehab Center Nursing Home in Titusville, FL — Street View
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What this means for your family

This facility is highly regarded for its physical therapy program and clean, welcoming environment. However, families should be proactive in monitoring care, as multiple reviewers have noted occasional delays in staff responsiveness and potential billing confusion. We recommend scheduling a tour and asking specifically about their process for handling patient needs during off-peak hours.

Google Reviews

Google Reviews

212 reviews analyzed
Royal Oaks Nursing and Rehab Center is widely praised for its exceptional physical and occupational therapy teams, which many reviewers credit for successful recoveries. Families and residents frequently highlight the facility's cleanliness, professional leadership, and a welcoming, resort-like atmosphere. However, a small number of critical reviews report serious concerns regarding responsiveness to basic patient needs, billing transparency, and occasional staffing shortages.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean9.0Activities8.0Meds7.0MemoryN/AComms8.0Value5.0

Strengths

  • Highly skilled and effective physical therapy team
  • Clean, well-maintained, and modern facility
  • Proactive and accessible administrative leadership
  • Compassionate and attentive nursing staff

Concerns

  • Slow response times to call lights and basic patient needs (mentioned by 4 reviewers)
  • Billing discrepancies and insurance coverage confusion (mentioned by 2 reviewers)
  • Inconsistent staffing levels, particularly on night shifts (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'18(2)'20(1)'22(12)'24(53)'26(10)

Distribution

5
173
4
9
3
2
2
2
1
14
11 reviews posted between Jan 15, 2023Jan 19, 2023 · 10 were 5-star

How They Respond to Reviews

80%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
  • 2With the physical therapy team being such a standout feature here, what does a typical rehabilitation or exercise session look like for a new resident?
  • 3We understand that staffing can fluctuate; what protocols do you have in place to ensure consistent support and timely assistance for residents, especially during the evening and night shifts?
  • 4Regarding the billing process, what resources or points of contact do you provide to help families navigate insurance coverage and avoid any potential confusion?
  • 5What steps are taken to ensure that call lights and basic daily requests are addressed promptly throughout the day?
  • 6Given the facility's 4-star health inspection rating, what specific quality assurance measures are currently in place to address the recent state citations and maintain high standards of care?

Personalized based on this facility's data


Key Review Excerpts

The physical and occupational therapy departments have some phenomenally gifted therapists that helped get me get back on my feet in record time.

Rehab patient · 2020★★★★★

The staff here are all professional and empathetic. I could not have asked for better care. There were a few hiccups at night but Eric the administrator and the rest of the staff addressed it.

Rehab patient · 2025★★★★★

My mom has lived in this facility for four years and these people go over and beyond for her needs. They help the families Process the illness of their loved ones.

Long-term resident's family · 2024★★★★★
Source: 212 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.57hrs
75%
Registered nurses for medical care
Total Nursing
4.10hrs
100%
All nurses + aides combined
Staff Turnover
27%
Lower is better (< 30% = good)
RN Turnover
20%
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

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility22.0%
Worse than Avg
Here
22.0%
US
12.1%
FL
4.1%
Brevard
4.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.7%
Better than Avg
Here
4.7%
US
19.4%
FL
11.5%
Brevard
11.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
14.4%
FL
9.1%
Brevard
7.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.4%
Better than Avg
Here
4.4%
US
15.4%
FL
8.7%
Brevard
6.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.5%
Better than Avg
Here
4.5%
US
15.3%
FL
10.6%
Brevard
8.0%
💉

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 Facility99.4%
Better than Avg
Here
99.4%
US
79.7%
FL
94.7%
Brevard
97.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
81.8%
FL
94.8%
Brevard
96.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
FL
1.5%
Brevard
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (7.3)

Royal Oaks has a pattern of deficiencies in nutrition and dietary services, appearing in multiple surveys across three years, suggesting ongoing challenges with food safety and adequate nutrition for residents. The facility also had issues with resident assessments and care planning in earlier surveys. While all deficiencies were reportedly corrected by the facility, the recurring problems with food services warrant attention during your visit.

Feb 25, 2026Routine
4
0584ModerateCorrected

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.

0554MinorCorrected

Resident Rights Deficiencies

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

0684MinorCorrected

Quality of Life and Care Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 26, 2024Routine
4
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0692MinorCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0692MinorCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Dec 15, 2022Routine
6
0550ModerateCorrected

Resident Rights Deficiencies

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

0791ModerateCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0550ModerateCorrected

Resident Rights Deficiencies

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

0791ModerateCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

Mar 11, 2021Routine
4
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0908MinorCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Royal Oaks Nursing and Rehab Center

Organization Type

for profit

Chain Affiliation

Chain Name

Sovereign Healthcare Holdings

Chain Size

43 facilities nationwide

Chain avg rating: 3.5/5 · Rank 13 of 43

Ownership & Management

Owners

Sovereign Healthcare Holdings LLC

Owner · Organization

Cronquist 2015 Family Tr

Owner (parent company) · Organization

John J Notermann Business Tr

Owner (parent company) · Organization

Mangine, John

Owner (parent company)

Notermann, Brenda

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Berkadia Commercial Mortgage LLC5% or Greater Security InterestFL Royal Oaks Holdings, LLC5% or Greater Security InterestHealth Services Properties LLC5% or Greater Security InterestChery, DawnManaging Control - Governing BodyGerrity, HenryManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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