West Melbourne Health & Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 116 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (13 vs median 6.0)
Bottom 25% in FL · Below recommended RN staffing · Below chain average · $8,648 in fines
What this means for your family
While many families report excellent experiences with specific staff members and the therapy department, the facility has a recurring pattern of communication failures and medication management issues. We strongly advise you to visit in person, observe the response time to call buttons, and ensure you have a direct line of communication with the unit manager rather than relying on the main office.
Google Reviews
Google Reviews
116 reviews on Google“West Melbourne Health & Rehabilitation Center receives highly polarized feedback, with many families praising specific staff members for compassionate care and effective physical therapy, while others report severe neglect, poor communication, and hygiene issues. While some visitors describe a 'home away from home' environment, a significant number of reviewers cite alarming incidents including medication errors, slow call-button response times, and concerns regarding patient safety and cleanliness. Families considering this facility should be aware of these inconsistencies and perform thorough, in-person monitoring.”
Quality Themes
Tap a score for detailsStrengths
- Highly dedicated and compassionate individual nurses and CNAs
- Effective physical and occupational therapy programs
- Helpful and responsive social services staff
- Clean and welcoming environment for some residents
Concerns
- Significant delays in answering call buttons and phone calls (mentioned by 8 reviewers)
- Medication errors or failure to administer prescribed medication (mentioned by 6 reviewers)
- Poor facility hygiene, including reports of ants, mold, and filth (mentioned by 6 reviewers)
- Theft of personal belongings and medical equipment (mentioned by 4 reviewers)
- Understaffing leading to neglect and poor patient-to-staff ratios (mentioned by 7 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 120 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility is quite active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
- 2Given the importance of timely assistance, what is your current protocol for responding to call buttons, and how do you ensure residents aren't waiting too long for help?
- 3Can you walk me through the specific steps your team takes to ensure accuracy and safety when managing and administering daily medications?
- 4I see that maintaining a clean environment is a priority; what is your current schedule for deep cleaning resident rooms and common areas to ensure they remain sanitary?
- 5What measures do you have in place to secure personal belongings and medical equipment to ensure residents' items remain safe and accounted for?
- 6Since therapy programs are a noted strength here, how do you integrate those sessions into the daily routine to keep residents engaged and active?
Personalized based on this facility's data
Key Review Excerpts
“The CNA's and nurses are so attentive. The ones standing out are Sandy, Marie and Alexis. They always went the extra mile.”
“My Mom’s hearing aids were stolen from a locked nurses station cabinet in August 2025 and the administration won’t replace them. Also the brand new walker with a seat that Medicare paid for was delivered but never given to my mother.”
“However today, at 11 am he had a severe fall. My mother went to go visit him around 5 pm and discovered this. They had not reached out to her, nor had they transported him to the ER. As they were “observing” him.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
3
measures
4
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
West Melbourne Health & Rehabilitation Center shows concerning patterns with families filing complaints about treatment quality, notification failures, and dietary accommodations. The facility has recurring issues across resident rights, care planning, quality of care, and nutrition/dietary services that persist across multiple surveys from 2022 through 2025. While all deficiencies show correction dates, the repeated patterns in core care areas suggest ongoing operational challenges that families should carefully consider when evaluating this facility.
Dec 4, 2025Complaint1
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Dec 4, 2025Routine13
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Nov 7, 2024Complaint1
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Feb 6, 2024Complaint2
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Dec 14, 2023Routine13
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
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.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Jun 15, 2023Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ownership & Operations
Who Operates This Facility
West Melbourne Health & Rehabilitation Center
for profit
Chain Affiliation
Nhs Management
43 facilities nationwide
Chain avg rating: 2.8/5 · Rank 27 of 43
Ownership & Management
Owners
James N Estes Jr Family Dynasty Tr no 2
Owner · Organization
James Norman Estes Jr Tr
Owner · Organization
Jennifer E Agee Family Dynasty Tr no 2
Owner · Organization
Jennifer Lee Estes Tr 031093
Owner · Organization
Estes, James
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
116 reviews from families & visitors
Official Website
Visit westmelbournehealthandrehab.com
Medicare data downloads
Original nursing home datasets
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