Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Viera Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with a stage 3 pressure ulcer did not receive adequate care as ordered by the physician, with wound care not performed on two days and recommended supplements omitted from the treatment plan. The LPN responsible for wound care failed to check the physician's notes for new orders, and the DON confirmed the lack of documentation and follow-through on the physician's recommendations.
The facility failed to ensure effective communication and collaboration with a dialysis center, leading to inadequate treatment for two residents. One resident did not receive prescribed medication due to availability issues, while another experienced incomplete documentation and missed meals before dialysis. The facility's communication lapses and documentation failures contributed to these deficiencies.
A resident with ESRD and nephritic syndrome did not receive prescribed Sevelamer Carbonate due to pharmacy delays, yet the MAR inaccurately recorded its administration. The facility's documentation and communication with the pharmacy and dialysis center were insufficient, as acknowledged by the Transitional Care Unit Manager and DON.
A CNA failed to follow proper infection control practices by handling soiled linens and hospital gowns without changing gloves or performing hand hygiene, as confirmed by the DON. The CNA admitted to not adhering to protocols due to workload pressures, despite having completed infection control training.
A resident with a feeding tube and moderate depression was not included in care plan meetings after being readmitted to the facility. Despite expressing a desire to have her feeding tube removed and to be discharged, the facility failed to reschedule a care plan meeting that was missed due to her hospital discharge. The MDS Coordinator admitted the oversight, and the DON highlighted the importance of these meetings for understanding care and discharge plans.
A resident with severe cognitive impairment eloped from a facility due to inadequate supervision and failure to update the care plan with effective interventions. The resident, who had a history of dementia and was supposed to be wearing an electronic wander monitoring bracelet, exited the facility unnoticed and unsupervised. The facility's Weekend Supervisor failed to notice the resident following a visitor out the door, leading to the resident being unsupervised for approximately 30 minutes.
A resident with severe cognitive impairment exited a facility unsupervised due to inadequate supervision and security measures. The resident, known for wandering and exit-seeking behaviors, left unnoticed when a supervisor unlocked the door for a visitor. The facility failed to update the care plan with necessary interventions despite escalating behaviors, leading to the resident being outside for 45 minutes before being found by an off-duty staff member.
A resident with severe cognitive impairment eloped from the facility after following a visitor out the door. Despite exhibiting increased anxiety and wandering behavior, the resident was not placed under one-to-one supervision. The facility's investigation was incomplete, with inconsistent staff statements and insufficient follow-up, failing to adhere to their policy on abuse, neglect, and investigation.
Failure to Provide Adequate Pressure Ulcer Care
Penalty
Summary
The facility failed to provide adequate care and services to promote the healing of a sacral pressure ulcer for a resident, as ordered by the physician. The resident, who was admitted with multiple diagnoses including type 2 diabetes and heart disease, was identified as being at risk for pressure ulcers and had a stage 3 pressure ulcer on the coccyx. Despite having physician orders to cleanse the sacrum and apply specific dressings daily, the Treatment Administration Record (TAR) and Progress Notes indicated that wound care was not performed on two specific days. Additionally, the facility did not implement the wound care physician's recommendations for the resident, which included administering a multivitamin, Vitamin C, and Zinc Sulphate. The Licensed Practical Nurse (LPN) responsible for wound care admitted to not checking the wound care physician's notes for new orders, which resulted in the omission of these supplements from the resident's care plan. The Director of Nursing (DON) confirmed that the wound care nurse did not follow through with the physician's recommendations and acknowledged the lack of documentation for the days when wound care was not performed. The facility's policy required wound care procedures to be performed according to physician orders and documented in the clinical record. However, the failure to adhere to these protocols led to a deficiency in the care provided to the resident, as evidenced by the lack of wound care on specified days and the omission of recommended supplements from the resident's treatment plan.
Inadequate Dialysis Care and Communication Failures
Penalty
Summary
The facility failed to maintain effective communication and collaboration with a dialysis center, resulting in inadequate treatment and monitoring for two residents requiring dialysis care. Resident #3, diagnosed with end-stage renal disease and rapidly progressive nephritic syndrome, did not receive the prescribed medication Sevelamer Carbonate consistently due to a lack of availability from the pharmacy and dialysis center. Despite multiple notifications to the physician and attempts to contact the pharmacy and dialysis center, the medication was not administered as ordered, and there was a lack of documentation regarding the communication efforts and medication administration. Resident #4, diagnosed with acute kidney failure and undergoing hemodialysis, experienced issues with the dialysis transfer process. The resident's dialysis transfer forms were incomplete, lacking post-dialysis treatment information, and there was no documentation of vital signs or assessments in the electronic medical record after dialysis sessions. Additionally, the resident did not receive breakfast or snacks before dialysis, and there was a noted issue with transportation, leading to a late arrival for treatment and an abbreviated session. The facility's Director of Nursing and Unit Manager acknowledged the communication and documentation lapses, including the failure to document communication with the dialysis center and the absence of completed dialysis transfer forms. The facility's agreement with the dialysis center required immediate communication of changes in a resident's medical condition and the use of a Dialysis Communication Form, which was not consistently adhered to, contributing to the deficiencies in care for the residents.
Medication Administration Documentation Failure
Penalty
Summary
The facility failed to accurately document the administration of medications in the Medication Administration Record (MAR) for a resident with end-stage renal disease (ESRD) and rapidly progressive nephritic syndrome. The resident was prescribed Sevelamer Carbonate to be administered before meals, but the MAR showed discrepancies in the administration times and dates. Despite the medication being unavailable due to pharmacy delays, the MAR inaccurately recorded that the medication was administered on several occasions. Progress notes indicated ongoing communication issues with the pharmacy and dialysis center regarding the availability of Sevelamer. The Transitional Care Unit Manager acknowledged the medication was not available and that documentation was lacking. The Director of Nursing expected accurate documentation and communication with physicians, but admitted to not documenting all conversations. The facility's policy required accurate and accessible medical records, which was not adhered to in this case.
Infection Control Deficiency: Improper Handling of Soiled Linens
Penalty
Summary
The facility failed to adhere to proper infection control practices, specifically in hand hygiene and the use of personal protective equipment (PPE), when handling soiled linens. On the morning of February 12, 2025, a Certified Nursing Assistant (CNA) was observed leaving a resident's room with a bag of dirty linens while wearing a glove on her right hand. The CNA then entered another resident's room, interacted with the resident, and handled hospital gowns without changing gloves or performing hand hygiene. The CNA acknowledged these actions and admitted to not following proper procedures due to time constraints and workload, as she was responsible for preparing 12 residents for therapy and appointments. The Director of Nursing confirmed that the CNA's actions were not in compliance with the facility's infection control policy, which mandates that soiled linens should not be brought into another resident's room and that gloves should not be worn in the hallway. The facility's policy emphasizes hand hygiene as the primary means of preventing infection transmission and requires the removal and disposal of PPE before leaving a resident's room. Despite having completed infection control training, the CNA did not adhere to these protocols, leading to the identified deficiency.
Failure to Include Resident in Care Plan Development
Penalty
Summary
The facility failed to ensure that a resident was offered participation in the development or revision of their care plan. The resident, a female with a history of malnutrition, type 2 diabetes, adjustment disorder with anxiety and depression, and a feeding tube, was readmitted to the facility from an acute care hospital. Despite her moderate cognitive impairment and moderate depression, the resident expressed a strong desire to have her feeding tube removed and to be discharged from the facility. However, she was not kept informed about the status of her feeding tube removal, leading to her visible distress. The facility's MDS Coordinator acknowledged that a care plan meeting was initially scheduled but was missed due to the resident's discharge to the hospital. Upon her return, the meeting was not rescheduled, resulting in the resident and her representative not being included in the care planning process. The Director of Nursing emphasized the importance of these meetings for ensuring that residents and their representatives understand the care and discharge plans, and for addressing any changes in the resident's condition or preferences. The facility's guidelines require that care plans be developed in consultation with the resident and their representative, which was not adhered to in this case.
Neglect Leads to Resident Elopement
Penalty
Summary
The facility failed to protect a resident's right to be free from neglect by not ensuring staff maintained a secure environment and implemented measures to mitigate the risks to prevent elopement. This failure resulted in the elopement of a severely cognitively impaired resident who exited the facility unnoticed and unsupervised. The resident, who had a history of dementia and other mental health issues, was able to leave the facility and walk approximately 1.1 miles away before being noticed by an off-duty staff nurse. The resident had a care plan in place for potential elopement due to behaviors such as wandering and exit-seeking, and was supposed to be wearing an electronic wander monitoring bracelet. However, the facility did not adequately supervise the resident or ensure the bracelet was functioning properly. The resident had previously removed the bracelet, and despite escalating exit-seeking behaviors in the days leading up to the elopement, no additional interventions were added to the care plan. On the day of the incident, the facility's Weekend Supervisor unlocked the door for a visitor to leave and failed to notice the resident following behind. The resident exited the facility and was unsupervised for approximately 30 minutes. The facility's lack of adequate supervision and failure to update the resident's care plan with effective interventions contributed to the resident's elopement and placed him at risk for serious harm.
Failure to Prevent Resident Elopement
Penalty
Summary
The facility failed to maintain a secure environment and provide adequate supervision, resulting in a severely cognitively impaired resident exiting the facility unauthorized and unsupervised. The incident occurred when the Weekend Supervisor unlocked the door for a visitor and did not ensure that no residents followed. The resident, who had severe cognitive impairment and was at risk for elopement, exited the facility unnoticed and was outside for approximately 45 minutes, traveling over a mile away. The facility was unaware of the resident's absence until an off-duty staff member spotted him and notified the supervisor. The resident had a history of wandering and exit-seeking behaviors, which were documented in his care plan. Despite these known behaviors, the facility did not provide adequate supervision or update the care plan with additional interventions when the resident's behaviors escalated. The resident had previously removed his electronic wander monitoring bracelet, indicating a need for increased supervision, but this was not adequately addressed by the facility. Staff interviews revealed that the resident had been exhibiting increased exit-seeking behaviors on the day of the incident, yet the facility did not implement one-to-one supervision or other necessary interventions. The Weekend Supervisor, who was responsible for monitoring the resident, was unaware of his exit-seeking behavior and did not notice when he left the facility. This lack of awareness and supervision contributed to the resident's elopement and placed him at risk for serious harm.
Inadequate Investigation of Resident Elopement
Penalty
Summary
The facility failed to conduct a thorough investigation following the elopement of a resident with severe cognitive impairment. The resident, who had a history of dementia and other mental health disorders, was able to leave the facility unnoticed after following a visitor out the door. The incident was only discovered when an off-duty nurse reported seeing the resident walking along a busy highway. Video footage confirmed the resident's exit and return to the facility, but the facility's response to the incident was inadequate. Interviews with staff revealed that the resident had been exhibiting increased anxiety and wandering behavior on the day of the elopement. Despite these behaviors, the resident was not placed under one-to-one supervision. Staff members, including CNAs and LPNs, were aware of the resident's behavior but did not take sufficient action to prevent the elopement. The facility's investigation into the incident was incomplete, as not all staff members were interviewed, and some statements were inconsistent with the video evidence. The facility's policy on abuse, neglect, and investigation requires thorough interviews and documentation, which were not adequately followed. The Director of Nursing and other administrative staff failed to clarify or seek additional information from staff whose statements were vague or incorrect. The lack of documentation and follow-up interviews indicates a failure to properly investigate the incident and ensure the safety of the resident.
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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.
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Nursing homes near Viera
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Viera Del Mar Health And Rehabilitation Center | 1.5 mi | — | 8 | 0 |
| Sunrise Point Health And Rehabilitation Center | 6.3 mi | — | 2 | 2 |
| Rockledge Healthcare & Rehabilitation Center | 6.6 mi | — | 0 | 0 |
| The Terrace At Courtenay Springs | 7 mi | — | 0 | 0 |
| Nursing & Rehabilitation Center Of Melbourne | 8.3 mi | — | 13 | 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 August 2026) and official state health department websites.