Royal Oaks Nursing And Rehab Center

    2225 Knox Mcrae Drive, Titusville, FL, 32780
    2.6 · 23 reviews
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Beautiful facility but dangerous understaffing

    I had a mixed, ultimately worrying experience. The building, grounds, dining, activities and rehab (especially therapy staff) are excellent and some CNAs and food staff were very caring, but chronic understaffing and rude/unresponsive nurses led to long waits for basic care, missed/underdosed pain meds, toileting neglect, soiled sheets, bedsores and multiple ER visits. Communication and administration were poor; I was often left without updates and felt safety and oversight were inadequate. Beautiful facility and great therapy - but verify staffing and supervision carefully before trusting them with a vulnerable loved one.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.57 · 23 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.5
    • Staff

      2.5
    • Meals

      2.3
    • Amenities

      3.5
    • Value

      1.7

    Pros

    • Clean and attractive facility and grounds
    • Beautiful courtyard and garden
    • Well-organized and often outstanding rehab and therapy services
    • Compassionate CNAs and some attentive nursing staff
    • Dining room service with tablecloths and on-site chef
    • Daily ice cream socials and frequent activities
    • Amenities such as beauty salon and on-site podiatrist
    • Secure facility with alarms and good socialization opportunities
    • Helpful and courteous food/service staff
    • Proximity to family for visits
    • Value for money noted by some families
    • Successful long-term care organization for many residents

    Cons

    • Inconsistent and sometimes neglectful nursing care
    • Chronic understaffing and slow response to call lights
    • Rude, unprofessional, or argumentative staff reported
    • Serious incidents: soiled sheets, bedsores, patients left on bedpans/toilets
    • Medication management and pain-control problems
    • Laundry losses and need to mark belongings
    • High daily charges and limited insurance coverage after 20 days
    • Poor communication with families and slow administrative response
    • Unsafe or inappropriate meals for some residents (e.g., diabetics)
    • Weekend staffing and supervision reportedly worse
    • Allegations of improper discharge handling or being 'held' against wishes
    • Inconsistent cleanliness and occasional foul odors in some rooms
    • Delayed or inadequate end-of-life communication and notification
    • Safety concerns such as wandering residents and chaotic supervision
    • Long admission wait times and abrupt discharge practices

    Summary review

    The reviews for Royal Oaks Nursing And Rehab Center present a sharply mixed picture with strong, recurring positives around facility quality and rehabilitation services, alongside repeated and serious negatives centered on nursing care, staffing, and communication. Many reviewers praise the physical plant — it is frequently described as clean, attractive, and well-kept, with a beautiful courtyard and garden, an appealing dining room with tablecloths, an on-site chef, and amenities such as a beauty salon and podiatry services. Social offerings are also commonly noted: nightly or regular ice cream socials, a full activities calendar, bingo, singers, and active programming that encourages resident participation. For a significant number of families, these environmental and social features contribute to a very positive experience.

    Rehabilitation services are a standout strength in multiple accounts. Physical and occupational therapists — with individual staff members (for example, named therapists) singled out for praise — are repeatedly credited with excellent outcomes, rapid recovery, restored mobility, and the ability to return residents to active daily life. These therapy teams are described as well-organized, caring, and effective, and they form a clear reason many families would recommend Royal Oaks.

    Despite these strengths, a substantial body of reviews raises severe concerns about nursing care, staffing levels, and professional behavior. Numerous reports describe chronic understaffing and long waits for assistance, especially on weekends, with residents left unattended on bedpans or toilets, or waiting hours for basic care such as toileting, bathing, or help with water. Multiple reviewers allege neglectful practices including soiled sheets left on beds, incontinence not promptly addressed, development of bedsores, and failures to complete proper physical assessments on admission. Some accounts escalate to emergency situations — repeated ER visits, inability of staff to manage catheters/foleys, and claims that nurses were inattentive or even asleep. These are serious safety and quality-of-care issues that contrast sharply with the facility’s otherwise attractive environment.

    Communication and staff professionalism are other recurring fault lines. While some families report compassionate, helpful CNAs and clear updates from certain staff, many reviews cite rude, defensive, or unresponsive nurses and administrators. Complaints include poor family updates, delayed notification of critical events (including end-of-life situations and deaths), administrators not returning calls, abrupt discharge decisions, and even accusations that physicians or facility staff refused to discharge a patient or effectively held a patient against their wishes. Several reviewers urge regulatory intervention, referencing state inspections or requesting unannounced visits; at least one review alleges a mortuary was chosen without family consent after a death. These issues suggest inconsistent management practices and breakdowns in communication protocols.

    Dining and laundry are mixed areas: the dining room experience, table service, and some meals are praised, and the on-site chef and ice cream socials are appreciated. However, there are multiple reports of poor food quality described as 'hospital-style' and at least one serious claim of unsafe food for a diabetic resident. Laundry problems also appear repeatedly — lost or mixed-up belongings and soiled linens — with many families advising that items be marked. Medication management is another concern raised a number of times: delays in pain medication, under-dosing, and other medication errors or poor blood-sugar control were reported.

    Taken together, the reviews suggest a polarized resident experience. On the positive side, Royal Oaks offers an appealing physical environment, robust social programming, and excellent rehabilitative therapy that has demonstrably improved outcomes for many residents. On the negative side, there are frequent and serious allegations of inadequate nursing care, understaffing, neglectful incidents, poor communication, and administrative lapses that have led to harm or near-harm in multiple reports. Given this mix, the facility may deliver excellent services in some departments (notably therapy and amenities) while simultaneously failing in core nursing and supervisory functions in other cases.

    For families considering Royal Oaks, important due-diligence steps would include asking detailed, recent questions about nurse-to-resident staffing ratios (including weekend coverage), current infection-control and linen-change protocols, medication and pain-management practices, procedures for family notification and end-of-life communication, and how complaints are tracked and resolved. Request recent state inspection reports and quality metrics, seek references specifically about nursing responsiveness (not only therapy), and, if possible, observe shift changes and dining/service times. If a loved one enters the facility, frequent monitoring in the first days, clear documentation of concerns, and insistence on marked laundry and written care plans can help mitigate risk. The reviews indicate Royal Oaks can provide excellent therapy and a pleasant environment, but there are repeated and serious concerns about consistent, safe nursing care and management oversight that families should verify before deciding.

    Location

    Map showing location of Royal Oaks Nursing And Rehab Center

    About Royal Oaks Nursing And Rehab Center

    Royal Oaks Nursing & Rehabilitation Center sits at 2225 Knox McRae Drive in Titusville, FL, and provides nursing home care for seniors in a setting that's both friendly and caring, with big rooms and nicely landscaped grounds with gardens, an outdoor recreation area, and patios, so people who live there can spend time inside or out, whichever they like, and they've been at this for a long while, since 1992. The center offers long-term stays for folks who need ongoing help as well as short-term stays after a hospital visit, with 24-hour nursing care and therapy including physical, occupational, and speech therapy that can happen up to seven days a week, so people can keep making progress even on weekends. High acuity care is available, and there's a Post COVID-19 Recovery Program for people bouncing back from a COVID-19 hospital stay, plus specialty clinical programs meant to help people recover quicker. Telemedicine is an option with equipment that works whether it's during the day, after-hours, or on weekends, so there's medical support when it's really needed. Residents can choose private rooms, semi-private rooms, or share a room as a couple if that suits them, and rooms are known for being on the larger side. There's a library for quiet reading, a beauty and barber shop for looking after one's appearance, and a rehab gym for therapy and exercise, as well as scheduled activities including arts and crafts, gardening, movies with others, discussion groups, and performances by visiting entertainers. The center also provides transportation to help with trips out, plus a worship area and pastoral support for those who want it. Staff follows COVID visitation guidelines and mask rules for safety, and there's a dedicated admissions department that's available at all hours, day or night, for anyone who has questions or wants to learn more. An administrator oversees the center's operations, so there's someone to make sure things run smoothly. The place has earned national recognition, with a U.S. News & World Report Best Nursing Home award for 2024 and 2025, a CMS 5-Star Center Recognition, and a 2025 Bronze - Commitment to Quality Award, which speaks to the ongoing effort to give good care and help people with their health and recovery, though, as with any nursing home, it's best to visit and see if it feels right for those considering moving in.

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