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Complaint Investigation

Nursing & Rehabilitation Center Of Melbourne

Inspection Date: October 8, 2025
Total Violations 2
Facility ID 105861
Location MELBOURNE, FL
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Inspection Findings

F-Tag F0585

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0585 Level of Harm - Minimal harm or potential for actual harm

support each resident's right to voice grievances without discrimination, reprisal or fear of discrimination.

The grievance official will keep the residents appropriately apprised of progress towards resolution of the grievances. In accordance with resident rights, the resident will obtain a written decision regarding his or her grievance at the conclusion of the investigation.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/08/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Nursing & Rehabilitation Center of Melbourne

3033 Sarno Rd Melbourne, FL 32934

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

IP was informed of the findings involving staff members caring for resident #5 as they occurred earlier that day. She confirmed the actions and responses by staff regarding EBP and resident #5 were incorrect. She was asked if she had any process surveillance regarding appropriate use of PPE and EBP and she replied

she did not. The facility provided a list of residents currently requiring EBP on the SSU dated 10/08/25 with

a time of 14:11 (2:11 PM). During the interview the IP acknowledged the list was inaccurate. Two additional residents were not included on the current order listing report, and she confirmed those two residents required EBP.Record review for resident #5 revealed orders dated 6/27/25 for Enhanced Barrier Precautions per CDC guidelines and facility protocol for Suprapubic catheter and History of MDRO. The care pan report with a revision date of 8/04/25 listed a focus for EBP related to catheter. Another area on

the care plan report listed a focus that resident #5 needed assistance with grooming, bathing and personal hygiene due to inability to care for himself and he has a private daily sitter. The goal indicated that staff will provide activities of daily living (ADL) care through the next review.The facility policy titled Enhanced Barrier Precautions listed the date implemented as 4/01/24. The policy contained the statement of the facility to implement EBP for the prevention of transmission of MDROs. The policy included a definition, EBP refers to

an infection control intervention designed to reduce transmission of multidrug-resistant organism that employs targeted gown and glove use during high contact resident care activities. The Policy Explanation and Compliance Guidelines included the following:.All staff receive training on EBP upon hire and at least annually and are expected to comply with all designated precautions.Implementation of EBP: Make gowns and gloves available immediately near or outside of the resident's room.The Infection Preventionist will incorporate periodic monitoring and assessment of adherence to determine the need for additional training and education.

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📋 Inspection Summary

NURSING & REHABILITATION CENTER OF MELBOURNE in MELBOURNE, FL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MELBOURNE, FL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from NURSING & REHABILITATION CENTER OF MELBOURNE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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