Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Solaris Healthcare Merritt Island during CMS and state inspections, most recent first.
The facility failed to secure treatment and medication carts, leading to unauthorized access and improper storage of medications and supplies. On the Riverside Unit, a treatment cart was found unlocked and unattended, with medications and treatment supplies easily accessible. Additionally, medication carts on the Bayside, Oceanside, and Riverside Units were found with improperly stored medications and treatment supplies, including bottles with dried residue and treatment supplies stored in medication carts.
The facility failed to properly store food items, with multiple instances of unsealed and undated food found in the walk-in freezer and refrigerator. This included beef patties, rib-type meat, plant-based chick-n-strips, eggs, pancakes, and more. The facility's policy requires all food to be covered, labeled, and dated, but repeated inspections showed non-compliance, potentially affecting all 158 residents consuming food by mouth.
The facility failed to address repeat deficiencies in ADL care, specifically nail care, and activities to meet resident interests, cited for the third time in five years. Despite completing a plan of correction the previous year, the facility lacked current Performance Improvement Plans or audits for these concerns. The QAPI committee reviewed issues monthly but did not revisit them before the next survey cycle, indicating a gap in quality assurance processes.
Staff in a memory care unit failed to treat residents with dignity and respect. A CNA referred to a resident as a 'feeder,' and an Activity Personnel member used a resident's last name instead of her preferred name. Additionally, residents were not allowed to ambulate freely, despite being capable, due to staff concerns about falls. These actions contradicted the facility's policy on dignity, which emphasizes respecting residents' name preferences and activity choices.
A resident reported rough treatment by a CNA, but the facility failed to follow its abuse prohibition policy. The resident's complaint was not escalated to supervisory staff, and the nurse involved did not document or report the incident. The facility's policy requires immediate reporting of abuse allegations, which was not adhered to, resulting in a deficiency.
A resident with severe cognitive impairment and a history of falls did not receive the comprehensive care plan interventions designed to prevent falls and injuries. The care plan included keeping the bed in a low position, using hipsters, geri-sleeves, a perimeter mattress, and floor mats, but these were not consistently applied. The facility's communication system for care directives was inadequate, as the care card did not reflect the comprehensive care plan, leading to CNAs being unaware of the necessary interventions.
A resident with cognitive intactness and significant assistance needs for ADLs had long, dirty fingernails due to inadequate personal hygiene care. Despite a care plan and facility policy requiring staff assistance, the resident's nail care was neglected, with no documentation of nurses being informed of care refusals or taking action. The resident expressed dissatisfaction, highlighting staff's busyness as a barrier to receiving proper care.
A resident with severe cognitive impairment and multiple diagnoses was not provided with an individualized activities program, leading to her spending most of her time isolated in her room. Despite her care plan highlighting the importance of social activities and her preferences, staff failed to engage her in regular group activities or provide stimulating materials. Interviews revealed a lack of coordination and awareness among staff regarding her activity preferences, contributing to the deficiency.
Two residents in a LTC facility did not receive oxygen therapy as ordered by their physicians. One resident's oxygen concentrator was set at 1 L/min instead of the prescribed 2 L/min, while another's was set at 3 L/min instead of 2 L/min, with inadequate documentation of oxygen saturation levels. The facility's policy on oxygen administration was not consistently followed, leading to these deficiencies.
Two residents in a LTC facility experienced medication administration errors due to LPNs not following physician orders. One resident did not receive a scheduled dose of Colace, while another received crushed medications that should not have been altered, including Dabigatran and a multivitamin with minerals instead of a plain multivitamin. The errors were identified during reconciliation of medication orders with the MAR, highlighting a failure to adhere to the facility's medication administration policies.
A CNA failed to perform hand hygiene while distributing lunch trays on the Riverside Unit, violating the facility's infection control policies. Despite accessible hand sanitizer dispensers, the CNA did not sanitize hands between handling trays and touching surfaces, as confirmed by the Unit Manager.
Medication and Treatment Cart Security and Storage Deficiencies
Penalty
Summary
The facility failed to secure treatment and medication carts, leading to unauthorized access and improper storage of medications and supplies. On the Riverside Unit, a treatment cart was found unlocked and unattended, with medications and treatment supplies easily accessible. A Licensed Practical Nurse (LPN) confirmed the cart had been unlocked since the overnight shift, despite the presence of confused residents nearby. Additionally, medication carts on the Bayside, Oceanside, and Riverside Units were found with improperly stored medications and treatment supplies, including bottles with dried residue and treatment supplies stored in medication carts. The facility's policy for medication storage, revised in January 2018, was not adhered to, as evidenced by the presence of deteriorated medications, soiled containers, and cleaning supplies stored alongside medications. Specific observations included a bottle of liquid protein with hardened residue, a bottle of Betadine antiseptic solution spilled in a drawer, and a bottle of liquid iron supplement in a soiled plastic bag. These findings indicate a lack of compliance with the facility's policy to store medications safely, securely, and properly, and to ensure medication carts are locked when unattended.
Improper Food Storage Practices in Kitchen
Penalty
Summary
The facility failed to ensure proper storage of food items in the kitchen, which could potentially affect all 158 residents consuming food by mouth. During an initial inspection, multiple food items in the walk-in freezer were found unsealed and undated, including beef patties, rib-type meat, plant-based chick-n-strips, eggs, and pancakes. A box of popsicles was also observed with a significant ice build-up. In the walk-in refrigerator, a half-pan of cooked rice dated beyond the facility's policy of three days was found, along with unsealed and undated sausage patties, soup base, and parmesan cheese. In the dry storage area, an unsealed and undated plastic bag containing a thickening agent was discovered. The Certified Dietary Manager (CDM) acknowledged these findings and discarded the improperly stored food items. A follow-up inspection revealed continued non-compliance with the facility's food storage policy. The walk-in refrigerator contained another half-pan of cooked rice and an opened container of parmesan cheese, both undated. Additionally, a full pan of leftover ham was found with the plastic wrap unsealed. The facility's Dietary Services policy mandates that all food stored in the refrigerator and freezer be covered, labeled, and dated, and that opened containers of food and beverages be dated, sealed, or covered and held no longer than 72 hours. These repeated observations indicate a failure to adhere to the established food storage protocols, potentially compromising food safety for the residents.
Repeat Deficiencies in ADL Care and Resident Activities
Penalty
Summary
The facility failed to ensure that its Quality Assurance and Performance Improvement (QAPI) committee developed and implemented timely and appropriate plans of action to prevent repeat deficient practices related to Activities of Daily Living (ADLs) for dependent residents and activities to meet resident interests or needs. The facility's survey history revealed repeat deficiency concerns for ADL care, specifically nail care, and activities to meet the residents' interests and needs to attain their highest practicable well-being. These deficiencies were cited for the third time in five years, indicating a persistent issue in these areas. During an interview, the Administrator and Risk Manager acknowledged that although a plan of correction for ADLs and activities was completed the previous year, there were no current Performance Improvement Plans (PIPs) or audits addressing these concerns. The Administrator admitted that the QAPI committee reviewed the concerns monthly after receiving deficiencies until they believed the facility was in substantial compliance. However, they had not considered revisiting the repeated deficiencies before the next survey cycle or implementing alternative measures to prevent ongoing issues. The facility's QAPI plan emphasized a proactive approach to improvement, but the lack of ongoing monitoring and action plans for these specific deficiencies suggests a gap in the facility's quality assurance processes.
Failure to Uphold Resident Dignity and Respect in Memory Care Unit
Penalty
Summary
The facility staff failed to treat residents with dignity and respect, as evidenced by several incidents on the locked memory care unit. A Certified Nursing Assistant (CNA) referred to a resident as a 'feeder,' which is recognized as a dignity issue. Additionally, an Activity Personnel member called a resident by her last name, despite the resident's medical record indicating a preference for a shortened version of her first name. This practice was justified by the staff member as a habit from a previous unit, but it did not align with the resident's documented preferences. Furthermore, the facility staff did not honor residents' choices to ambulate freely. One resident was redirected to sit down instead of being allowed to walk, despite another CNA being available to assist. Another resident, who was capable of walking safely with a walker, was repeatedly redirected to sit down due to staff concerns about potential falls. The facility's policy on dignity emphasizes that residents should be called by their preferred names and assisted in activities of their choice, which was not adhered to in these instances.
Failure to Implement Abuse Prohibition Policy
Penalty
Summary
The facility failed to implement its abuse prohibition policy and procedures following an allegation of mistreatment involving a resident. The resident, a cognitively intact elderly female, reported that a CNA was rough with her during care, rolling her quickly from side to side without warning or explanation. Despite the resident's attempt to report the incident to a nurse, the allegation was not escalated to the appropriate supervisory or administrative staff as required by the facility's policy. The Riverside Unit Manager was unaware of the allegation until informed by the resident during an interview. The facility's Administrator confirmed that the nurse who received the complaint should have reported it to a supervisor to ensure a thorough investigation. However, the nurse, identified as LPN B, denied that the resident reported any rough treatment and did not document the incident or report it to the Social Services Director as claimed. The Administrator's review of the grievance log showed no record of the resident's concern. The Social Services Director also denied receiving any communication from LPN B regarding the incident. The facility's policy mandates immediate reporting of any suspected or witnessed abuse to ensure resident protection and prompt investigation. The failure to follow these procedures resulted in the incident not being properly addressed or investigated, highlighting a deficiency in the facility's handling of abuse allegations.
Failure to Implement Comprehensive Care Plan for Fall Prevention
Penalty
Summary
The facility failed to implement the comprehensive care plan for a resident with severe cognitive impairment and a history of falls. The resident, who was dependent on staff for various activities, had a care plan that included interventions such as keeping the bed in a low position, using hipsters, geri-sleeves, a perimeter mattress, and floor mats to prevent falls and injuries. However, during observations, it was noted that these interventions were not consistently applied. The resident was found without geri-sleeves, and the floor mats were not placed as required. Additionally, the hipsters were not used because they were deemed uncomfortable, and the resident's daughter was reportedly informed, although she later stated she was unaware of this intervention. The facility's system for communicating care directives was inadequate, as the care card for the resident did not reflect the comprehensive care plan's interventions. CNAs were expected to follow instructions from a paper form in the resident's room, but the care card only mentioned the use of a one-way glide device in the wheelchair, omitting other critical interventions. The CNAs were not fully aware of the required interventions, with one CNA not knowing what hipsters were and another not applying geri-sleeves. The Risk Manager confirmed the lack of a fully electronic care card system, and the Unit Manager acknowledged the oversight in ensuring CNAs understood and implemented the care plan. The Director of Nursing stated that nurses were expected to initiate fall prevention interventions immediately after a fall, and the Risk Manager was responsible for updating care cards. However, the Lead MDS Coordinator confirmed that care plan interventions would not be effective if not documented and made available to direct care staff. The facility's policies indicated that comprehensive care plans should be individualized and accessible to staff, but the failure to update and communicate the care plan interventions led to the deficiency in care for the resident.
Failure to Provide Adequate ADL Care for Resident's Personal Hygiene
Penalty
Summary
The facility failed to provide adequate activities of daily living (ADL) care related to personal hygiene for a resident who required substantial to maximal assistance. The resident, an elderly female with diagnoses including metabolic encephalopathy and adult failure to thrive, was cognitively intact and expressed her needs clearly. Despite having a care plan that required staff assistance for personal hygiene, the resident's fingernails were observed to be long and dirty, with a significant amount of dark substance packed under them. The resident expressed dissatisfaction with the state of her nails and indicated that staff were often too busy to attend to such needs. The facility's documentation showed that the resident received bed baths on several occasions, but there was no evidence of nail care being provided, as the resident reportedly refused it. However, there was no documentation indicating that nurses were informed of these refusals or that they took any action to address the situation. The facility's policy required that residents unable to perform ADLs independently receive necessary services to maintain good grooming and personal hygiene, but this was not adhered to in the case of the resident, leading to the deficiency.
Failure to Provide Individualized Activities Program
Penalty
Summary
The facility failed to provide an individualized activities program for a resident, leading to a deficiency in meeting the resident's needs. The resident, an elderly female with severe cognitive impairment and multiple diagnoses including dementia and depression, was observed spending most of her time alone in her room. Despite her care plan indicating the importance of social activities and preferences for music, news, and outdoor activities, she was not regularly engaged in such activities. Observations showed her sitting alone in her room, often appearing anxious and restless, without access to stimulating materials or social interaction. Interviews with staff revealed a lack of awareness and coordination regarding the resident's activity preferences. The Activities Director and Assistant acknowledged the resident's participation in some activities like manicures but did not ensure her regular involvement in group activities. The CNAs responsible for assisting residents to activities were not informed of her preferences, and the resident was not included in the list for group dining, which could have provided social interaction and emotional support. The resident's daughter expressed concerns about her mother's isolation and the limited efforts to involve her in activities, despite her ability to socialize when in the right environment. The facility's standards emphasize the importance of individualized activity programs to enhance residents' self-esteem and socialization. However, the lack of consistent implementation of these standards for the resident in question resulted in her spending significant time isolated in her room. The deficiency was further highlighted by the absence of a structured routine and the failure to adapt activities to the resident's cognitive level and preferences, as outlined in her care plan.
Oxygen Administration Deficiencies in LTC Facility
Penalty
Summary
The facility failed to administer oxygen as ordered by the physician for two residents, leading to deficiencies in respiratory care. Resident #57, a female with a history of hypertensive heart disease, COVID-19, and end-stage heart disease, was observed with her oxygen concentrator set at 1 L/min instead of the prescribed 2 L/min. Despite having a care plan that required monitoring for respiratory complications and administering oxygen as ordered, the assigned nurse, LPN D, did not check the oxygen concentrator during her shift, resulting in the incorrect flow rate being administered. Resident #77, a female with dementia and cerebral atherosclerosis, was also found to have discrepancies in her oxygen administration. Her physician's order specified oxygen at 2 L/min to maintain saturation levels above 92%, but her concentrator was set at 3 L/min. Additionally, there was a lack of documentation for her oxygen saturation levels from the beginning of August until the surveyor's observation, with only seven checks recorded over an 11-week period. The facility's policy required regular monitoring and documentation of oxygen levels, which was not adhered to. The Riverside Unit Manager and the Director of Nursing acknowledged the importance of following physician orders and the failure to routinely monitor and document the residents' oxygen levels. The facility's policy on oxygen administration emphasized the need for reviewing physician orders and ensuring the correct flow rate, which was not consistently followed, leading to the deficiencies noted by the surveyors.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to administer medications according to physician orders, resulting in medication errors for two residents. For the first resident, a male with diagnoses including unspecified pain and constipation, the Licensed Practical Nurse (LPN) was observed administering only one of the two scheduled medications, Ibuprofen, while failing to administer Colace as ordered. Despite this, the LPN documented that both medications were given. The discrepancy was identified during a reconciliation of the resident's physician orders with the Medication Administration Record (MAR), and the LPN later confirmed she had only administered one medication. For the second resident, a female with conditions such as atrial fibrillation and hypertension, the LPN administered medications that were not in accordance with the physician's orders. The resident required medications to be crushed due to difficulty swallowing, but the LPN crushed a capsule of Dabigatran, which should not have been opened, and administered a multivitamin with minerals instead of a plain multivitamin as ordered. The LPN did not notice these discrepancies during administration and acknowledged the importance of verifying medication labels against orders. The facility's pharmacy later confirmed that the Dabigatran capsule should not be opened and recommended contacting the physician for alternative medication forms. The facility's policy on medication administration emphasizes the importance of following the five rights of medication administration and using a triple-check method to ensure accuracy. However, the nurses involved did not adhere to these guidelines, leading to the medication errors observed. The Unit Manager acknowledged the expectation for nurses to follow these procedures and confirmed that the errors should have been identified and addressed by the nursing staff.
Infection Control Deficiency During Meal Distribution
Penalty
Summary
The facility failed to maintain proper infection control practices during the distribution of lunch trays on the 400 hallway of the Riverside Unit. On the specified date, a Certified Nursing Assistant (CNA) was observed distributing lunch trays without performing hand hygiene. The CNA repeatedly handled meal trays, touched surfaces in residents' rooms, and interacted with residents without using hand sanitizer. Despite the presence of accessible hand sanitizer dispensers in the hallways and resident rooms, the CNA did not adhere to the facility's hand hygiene policy. The facility's policy, which emphasizes hand hygiene as the primary means to prevent the spread of infections, was not followed. The CNA acknowledged the omission of hand hygiene after being informed of the concerns. The Riverside Unit Manager confirmed that the expectation was for all staff to sanitize their hands frequently during meal distribution to reduce the spread of germs. The facility's policies on Assistance with Meals and Handwashing/Hand Hygiene were not adhered to, leading to this deficiency.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 93 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Merritt Island
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Space Coast Healthcare And Rehabilitation Center | 0.4 mi | ★★★★★ | 0 | 0 |
| The Terrace At Courtenay Springs | 3.7 mi | ★★★★★ | 5 | 0 |
| Rockledge Healthcare & Rehabilitation Center | 4.4 mi | ★★★★★ | 0 | 0 |
| Sunrise Point Health And Rehabilitation Center | 4.6 mi | ★★★★★ | 2 | 2 |
| Viera Healthcare And Rehabilitation Center | 10.4 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.