Titusville Rehabilitation & Nursing Center
Inspection Findings
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to provide maintenance services necessary to maintain a homelike environment for residents on 2 of 3 units, (100 unit and 200 unit).Findings: During an initial tour of the facility on 12/29/25 at 9:38 AM, it was observed that the wall paint over the Packaged Terminal Air Conditioner (PTAC) at the entrance to the 100-unit was bubbled and chipped; the sheetrock was broken off and the baseboard was missing on an area of the wall next to the sink in room [ROOM NUMBER]; a hole in the wall outside the door to room [ROOM NUMBER] was covered by the baseboard;
the wall was repaired around the PTAC in room [ROOM NUMBER] but was not painted to match the surrounding area; ceramic tile was off the wall behind the toilet and missing from the top of the shower stall
in room [ROOM NUMBER]; the paint on the wall next to the window in room [ROOM NUMBER] was bubbled and peeling; the wall area close to the baseboard next to the window in room [ROOM NUMBER] had holes and peeling paint; the baseboard was off the wall and lying on the floor next to the window in room [ROOM NUMBER]; and the sheetrock was broken off and the baseboard was missing on an area of
the wall next to the sink in room [ROOM NUMBER] and the surface of the sink base was bubbled. On 12/29/25 at 12:40 PM, the Maintenance Director stated room rounds were conducted daily to identify any maintenance issues. He explained staff were also able to communicate any broken items verbally or could use the electronic reporting system through the computer. The Maintenance Director stated he had some projects scheduled for the next week and would be doing some patch projects. During a tour of the facility with the Administrator and Maintenance Director on 12/29/25 at 12:45 PM, the Maintenance Director and Administrator took note of the identified areas. The Maintenance Director stated some of the identified items were on the project list but could not verify how long they had been on the list waiting to be repaired.
The Administrator acknowledged repairs were needed in order to maintain a homelike environment for the residents. The facility's policy and procedure for Maintenance and Repair: To Prevent Spread of Infection effective October 2021 indicated the facility's Maintenance Department would replace or repair damaged structural surfaces (i.e., countertops, sinks, floors, or tiles) as needed.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
TITUSVILLE REHABILITATION & NURSING CENTER in TITUSVILLE, FL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 TITUSVILLE, 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 TITUSVILLE REHABILITATION & NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.