Royal Oaks Nursing And Rehab Center
Nursing Home · 2225 Knox Mcrae Dr, Titusville, FL 32780 · 3212670060
B+
graded on 75% of our rubric
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 4.0 / 5 | high |
| Staffing | 3.5 / 5 | high |
| Clinical outcomes | 3.3 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 4.2 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 120 |
| Ownership | For Profit - Corporation |
| Operator | Sovereign Healthcare Of Titusville Llc |
| Chain size | 43 facilities |
| Certified since | 1993-04-09 |
| CMS overall star | 4 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$$ of 5 · ~$538/day reported charge (within FL) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 9 potential for harm · 0 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-25 | Allow residents to self-administer drugs if determined clinically appropriate. (Resident Rights Deficiencies, tag 0554) | D | corrected 2026-03-25 |
| 2026-02-25 | 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, tag 0584) | E | corrected 2026-03-25 |
| 2026-02-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Quality of Life and Care Deficiencies, tag 0684) | D | corrected 2026-03-25 |
| 2026-02-25 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | D | corrected 2026-03-25 |
| 2024-06-26 | Provide enough food/fluids to maintain a resident's health. (Quality of Life and Care Deficiencies, tag 0692) | D | corrected 2024-07-29 |
| 2024-06-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | E | corrected 2024-07-29 |
| 2022-12-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Resident Rights Deficiencies, tag 0550) | E | corrected 2023-01-13 |
| 2022-12-15 | 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, tag 0655) | D | corrected 2023-01-13 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 4.01 hrs/resident/day (expected 4.09 for this facility's resident acuity — below expected) (US median 3.69 · FL 3.66)
- Registered-nurse staffing: 0.57 hrs/resident/day (expected 0.72 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 2.31 · LPN 1.14 hrs/resident/day
- Weekend total staffing: 3.44 hrs/resident/day (expected 3.62 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 27.6% · RN turnover 23.1% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.47 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the FL state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 8% | 6.2 → 8.5 → 9.2 → 8.3 | worse than 96% of US homes · FL median 2.3% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 4.8% | 11.7 → 2.9 → 1.6 → 3.4 | worse than 92% of US homes · FL median 0.2% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 7.6% | 5.1 → 10.5 → 9.8 → 4.2 | worse than 84% of US homes · FL median 4.4% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0.6% | 0.5 → 0.5 → 0.9 → 0.5 | better than 63% of US homes · FL median 1% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 4.4% | 12.5 → 3.8 → 1.8 → 0 | better than 89% of US homes · FL median 7.1% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 4.5% | 13.7 → 0 → 3.9 → · | better than 90% of US homes · FL median 8.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 2.5% | 7.4 → 0 → 2.2 → 0 | better than 97% of US homes · FL median 7.7% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · FL median 0% |
What this costs
- This facility's reported avg daily charge: $538/day · $$$$$ (price tier 5 of 5 among Florida nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 51% Medicaid · 31% Medicare · 18% other/private · 94% occupancy
- Florida median (quoted rates): $340/day semi-private · $400/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Brevard County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Viera Hospital | Melbourne | Yes | 5★ | Acute care |
| Holmes Regional Medical Center | Melbourne | Yes | 4★ | Acute care |
| Cape Canaveral Hospital | Cocoa Beach | Yes | 3★ | Acute care |
| Orlando Health Melbourne Hospital | Melbourne | Yes | 3★ | Acute care |
| Palm Bay Hospital | Palm Bay | Yes | 3★ | Acute care |
| Parrish Medical Center | Titusville | Yes | 2★ | Acute care |
Compare nearby
- A- Life Care Center Of Palm Bay · Palm Bay
- A- Life Care Center Of Melbourne · Melbourne
- B+ Atlantic Shores Nursing And Rehab Center · Melbourne
- B Melbourne Terrace Rehabilitation Center · Melbourne
- B Anchor Care & Rehabilitation Center · Palm Bay
- B West Melbourne Health & Rehabilitation Center · West Melbourne
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Brevard County nursing homes coverage. Spot an error? Tell us.