2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
At 1200 S Courtenay Pkwy in Merritt Island, The Lenox operates 96 beds as a nonprofit nursing home under Mi Ltc Holdings LLC. The Brevard County facility welcomes Medicare, Medicaid, and private-pay residents with typical 89-day stays. Occupancy at 66.1% falls 22% below the state average, signaling available capacity. Pet-friendly apartments span one to three bedrooms with private emergency systems; amenities include a private movie theater, exercise programming, walking trails, swimming pool, dining services, laundry, and concierge.
Resident and family governance councils function actively.
Health inspections run 64.4% below state benchmark. Citation data from the HTML record 21 total citations, 10.5 per inspection, with 2 critical findings. No Medicare/Medicaid payment penalties materialized in three years.
Nursing hours average 4 hours 16 minutes per resident daily, ranking 65th statewide and 6% above the Florida average.
Quality measures, however, fall 26.1% below state performance.
Long-stay resident trajectories paint a stark picture of functional decline. Walking ability worsens in 24.2% (87% worse than state average). Incontinence afflicts 23.4% of low-risk residents (73% above baseline). The functional decline composite score registers 20.1, 62% exceeding state norms.
Depression strikes 10.1% of residents; 203% above the Florida average. Weight loss affects 9.3%, 56% worse than benchmark. The pressure ulcer rate of 7.4% runs 38% above state average.
Short-stay residents demonstrate better outcomes: rehab discharge outcomes rank well with 65.1% success rate at functional restoration, and antipsychotic initiation for short-stayers remains low at 1.0%. Major injury falls never occurred (100% better), and vaccinations achieved 100% coverage for both pneumococcal and influenza protection.
Financially, the facility operates at a structural loss of $450,500 against $9 million revenue, yet maintains payroll at 59.2% of budget, which is among Florida’s highest quartile allocations.
Occupancy recovery from 52.1% in 2022 to 66.1% in 2023 suggests demand stabilization.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 24m per day | |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 8m per day | |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 25m per day | |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 33m per day | |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 17m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
All 25 LPN Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
All 50 CNA Staff are full-time employees. No contractors work on this role.
50
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,925 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 0 | 50 | 18,288 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 25 | 0 | 25 | 8,574 | 92 | 100% | 8.9 |
| Registered Nurse | 7 | 0 | 7 | 1,638 | 92 | 100% | 8.6 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,390 | 92 | 100% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 926 | 72 | 78% | 7.5 |
| Speech Language Pathologist | 0 | 3 | 3 | 590 | 72 | 78% | 6 |
| Physical Therapy Aide | 0 | 3 | 3 | 583 | 67 | 73% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Qualified Social Worker | 0 | 4 | 4 | 466 | 63 | 68% | 7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 174 | 64 | 70% | 2.5 |
| Physical Therapy Assistant | 0 | 3 | 3 | 111 | 58 | 63% | 1.6 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.7
44% worse than State averageState average: 7.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.1
62% worse than State averageState average: 12.4
Percent of long-stay residents whose need for help with daily activities has increased
12.6%
20% worse than State averageState average: 10.5%
Percent of long-stay residents whose ability to move independently worsened
24.2%
87% worse than State averageState average: 12.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.4%
73% worse than State averageState average: 13.5%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than State averageState average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
7.4%
38% worse than State averageState average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.2%
34% worse than State averageState average: 0.9%
Percent of long-stay residents who lose too much weight
9.3%
56% worse than State averageState average: 6.0%
Percent of long-stay residents who have depressive symptoms
10.1%
203% worse than State averageState average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
6.7%
17% better than State averageState average: 8.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with State averageState average: 97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with State averageState average: 99.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
5% better than State averageState average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
31% better than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with State averageState average: 94.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
54% of new residents, usually for short-term rehab.
34% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Lenox At Merritt Island from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #213 / 257Payroll — State benchmarkedThis home is ranked 213th out of 257 homes in Florida. Shows total annual staff payroll benchmarked to the Florida average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #17 / 257Payroll % — State benchmarkedThis home is ranked 17th out of 257 homes in Florida. Shows payroll as a percentage of revenue versus the Florida average. Well-run Florida facilities typically land around 49–56% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Room Sizes: 610 - 815 / 910 - 1,200 / 1,500 sq. ft
Housing Options: 1 Bed / 2 Bed / 3 Bed
Building Type: High-rise
Transportation Services
Fitness and Recreatio
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (54% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
What do you like most about living here?
Quiet and friendly
Are there enough caregivers to handle the residents' needs, especially during emergencies?
Yes
Are the common areas pleasant and comfortable for socializing or relaxing?
Yes
How do you feel about the level of social interaction available with other residents?
Very good
How was the units offered in this community?
Do you feel safe living in this community?
Yes
How well do you think the community handles emergencies or unexpected events?
How would you rate the quality and variety of the meals? (1-5)
3
Are special diets handled well?
Yes
Is the dining schedule flexible enough to meet your preferences?
Yes
Are there any hidden fees or unexpected charges?
Would you recommend this community to others looking for senior living options?
Yes
Is there anything you wish you knew before moving in?
1.9 miles from city center
Estimated distance in miles from Merritt Island's city center to The Lenox At Merritt Island's address, calculated via Google Maps.
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The Lenox At Merritt Island is in the Courtenay Springs neighborhood.
The Lenox At Merritt Island has a walk score of 15. Car-dependent. Most errands require a car, with limited nearby walkable options.
The Lenox At Merritt Island's occupancy is 66.1%.
The Lenox At Merritt Island is registered as a for-profit.
Yes — there are 7 photos of The Lenox At Merritt Island in the photo gallery on this page.
The Lenox At Merritt Island is located at 1200 S Courtenay Pkwy, Merritt Island, FL 32952.
(844) 545-0874 will put you in contact with the team at The Lenox At Merritt Island.
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