All 3 Medicare-certified nursing homes in Titusville,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Royal Oaks runs on more nursing hours than the typical American nursing home, 4.00 per resident day against a national average of 3.86, and its weekend coverage dips about 13% below what it provides during the week, so the help you'd see on a Saturday isn't quite the help you'd see on a Tuesday. Staff turnover sits at 30% while the national figure is closer to 46%, meaning aides and nurses here tend to stick around longer than they do elsewhere, which matters for residents who don't handle constant new faces well. The home carries nine deficiencies on its current record, none of them tied to harm or abuse, and its last inspection was in February 2026.
Titusville Rehabilitation & Nursing Center runs on thin staffing: 3.02 nurse hours per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday levels. That's the kind of gap families feel on Saturday afternoons. Annual turnover sits at 63.4%, well above the national 45.8%, meaning the people caring for your relative are often new to the building. The inspection record is the heavier concern, 27 deficiencies, one at harm or jeopardy level and two tied to abuse, with a $17,369 fine. A 5/5 quality measure score sits oddly beside a 1/5 inspection rating; ask what the quality numbers actually capture. The most recent inspection was March 2026, and the for-profit LLC ownership structure is worth asking about directly.
Vista Manor runs 3.14 nursing hours per resident day, roughly 19% under the national average of 3.86, and weekends dip another 3% below its own weekday staffing. Turnover sits at 30.5%, better than the 45.8% national figure, so the people who stay tend to stay. What stands out more is the inspection record: 29 deficiencies, six at harm or jeopardy level, two abuse-related, and $13,335 in fines, with the most recent look coming April 9, 2026. The 1/5 inspection rating against a 4/5 quality measure rating means the charted care metrics look better than what surveyors have actually found on site. For a 120-bed for-profit run by a limited liability company, that gap is the thing to ask about.