Hearth Record

Viera Hospital

An acute care hospital in Melbourne, Florida 32940

8745 N Wickham Rd, Melbourne, Florida 32940. (321) 434-9000.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Sep 2024. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

The last inspection on record was on Sep 30, 2024: a complaint inspection.

1 deficiency cited in the last three years.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Sep 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Sep 30, 2024: complaint inspection1 deficiency
  • Discharge Planning Evaluation

    The inspectors’ words, 734 words

    “DISCHARGE PLANNING EVALUATION CFR(s): The discharge planning evaluation must be included in the patient’s medical record for use in establishing an appropriate discharge plan and the results of the evaluation must be discussed with the patient (or the patient’s representative). This Standard is not met as evidenced by: 01932 Based on interview and record review, the hospital failed to implement an adequate discharge planning evaluation for use in establishing an appropriate discharge when they failed to include the patient’s caregivers/support person(s) in the discharge planning and ensure an effective transition for 1 of 7 sampled patients (#1) from hospital to post-discharge care. Findings: Review of the medical record for patient #1 revealed that on 8/8/24 around 5:33 a.m. patient was transferred from a Skilled Nursing Facility (SNF), where she had been admitted on 07/19/24 for rehabilitation post right femur fracture, to the hospital Emergency Department (ED) via Emergency Medical Services (EMS) for complaints of chest pain. At the time of the transfer the SNF’s transfer form dated 8/8/24 indicated patient was alert and oriented with ability to follow instructions but required a health care proxy to assist with decision making. Patient was non-ambulatory, incontinent of bowel and bladder, needed assistance with ADL’s (activities of daily living), and was currently receiving rehabilitation therapy at the SNF. The ED triage note dated 8/8/24 at 6:25 AM, indicated patient #1 arrived via EMS with a diagnosis of COPD and using 4 liters of oxygen. A brief cognitive assessment done as part of the patient’s ED assessment noted patient knew her name, that she was currently in the hospital but did not know the year. Patient #1 was also assessed as a high fall risk, indicating no falls in past 3 months although she was in this hospital on 07/19/24 for repair of a right femur fracture post fall and discharged from this same hospital to the SNF for rehab post femur repair. Continued ED record review noted hospitalization was considered at this time but not necessary noting stable cardiomegaly with no infiltrate and troponin comparisons from past hospitalization showing only slightly elevated levels on this ED visit. Disposition indicated patient would be discharged home in good condition with clinical impression of atypical chest pain and stable COPD. Continued review of the ED general discharge instructions noted Patient #1 was discharged from the ED on 8/8/24 sometime around 11:00 AM and documented patient verbalized understanding of the discharge instructions and the plan of care. Review of the discharge instructions did not find a signature from patient #1 and no signature by a proxy or hospital representative and without an order for oxygen to be continued and/or case management consult related to discharge planning. Further review of the ED discharge document dated 8/8/24 at 10:58 AM revealed patient #1 would be discharged to a SNF or an assisted living facility (ALF). Under additional information on that document, it noted the patient would be transported back to the ALF where she had been living prior to femur fracture, via a vendor transport service, although patient had been transferred to the ED from the SNF. SNF nursing notes were obtained and revealed on 8/8/24 at 11:32 AM, patient #1’s son called and let them know the hospital transferred his mother back to the ALF, where she previously resided in an independent living environment, instead of the skilled nursing facility where she was receiving active therapy post femur fracture. Upon the SNF’s Administrator and Director of Nursing notification, they sent their facility driver to transport and pick up patient #1 and return her from her home to the SNF where she is currently receiving therapy. Review of facility policy “Discharge Planning: By Outside Case Manager from Managed Care Providers” CP 14.02.12 PRO (DS); effective date 4/1/2007, last reviewed on 12/1/22 re: “ ...involvement in transition planning to enhance unbroken existence of care over a period of time. The procedure showed the transition plans are created for all patients who need assistance returning safely to the community .... and planning arrangements are discussed with the patient and/or patients’ representative. On 9/30/24 at approximately 12:37 PM, during survey investigation, interview with the Director of Risk Manager and System Director of Emergency Services revealed hospital did not have any documentation of communication with family or the skilled nursing facility regarding discharge planning and facility’s goal is to return patients to their previous location when appropriate.”

    Rule A0808. Standard-level. From a complaint.

All 3 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Sep 30, 2024Complaint inspection1 deficiency cited
Jul 1, 2024Complaint inspectionNo deficiencies cited
Jan 26, 2024Complaint inspectionNo deficiencies cited

How do patients fare?

  • CMS’s overall for it is 5 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 0 better and 0 worse of 7; safety of care, 1 better and 0 worse of 7; readmission, 2 better and 1 worse of 7.
  • Patients rate it 3 of 5 in CMS’s patient survey (457 surveys completed, Oct 1, 2024 to Sep 30, 2025): 71% rated it 9 or 10 out of 10, and 73% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 11.6%, heart failure 12.7%, pneumonia 12.7%, COPD 9.9%, stroke 12.7%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14.5%, heart failure 20.3%, pneumonia 16.3%, COPD 19.9%, hip or knee replacement 5.7%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
  • Emergency department patients spent a median of 194 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
  • 88% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 1.02 times the national median (Jan 1, 2024 to Dec 31, 2024).
Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 55 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 53 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Apr 26, 2011.
  • Ownership: voluntary non-profit - private.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • No deficiency on record in the last three years.
  • Voluntary non-profit - Private.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
  • 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
  • 59% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • Health First Shared Services, Inc. runs it.
  • 13 owners or officers are people: Kristen Pulio (corporate officer); Robert Henry (corporate director); Alan Prestwood (corporate director); Terry Lee Forde (corporate officer, 0%); James C Shaw (corporate director); Nathan Daniel Allison (corporate director); Larry S Bishop (corporate director); Nicholas W Romanello (corporate officer); Nicholas W Romanello (managing employee (on the payroll)); Scott T Mikuen (other role (CMS gives no detail)); Dana Kiborne (corporate director, 0%); Joseph A Gurri (corporate director); T. Kent Smith (corporate director, 0%).
  • CMS’s Provider of Services file records 2 changes of ownership.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

How does it compare nearby?

  • Of the 8 hospitals CMS lists in Brevard County, 6 have an overall star rating from CMS: 1 rated 5 of 5, 1 rated 4 of 5, 3 rated 3 of 5, 1 rated 2 of 5.
  • CMS rates this one 5 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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