FORT WALTON REHABILITATION CENTER, LLC
1 LBJ SR DRIVE
FORT WALTON BEACH, FL, 32547
8508632066
CCN: 105295
5
Overall5
Health3
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (3)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
1ST REHABILITATION OF PORT ST
1128b8
Excluded 2002-09-19
MT ZION MEDICAL REHABILITATION
1128Aa
Excluded 1998-01-31
REHABILITATION CENTER AT HOLLY
1128b5
Excluded 2018-11-20
Ownership
| Name | Role | % |
|---|---|---|
| HSP PANHANDLE, LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| ORIX REAL ESTATE CAPITAL LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| PANHANDLE NURSING CARE, INC. | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| HODGE, ASHLEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MANGINE, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NOTERMANN, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MELTON, DONALD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CRONQUIST, ROYCE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ELKABBANI, SHARIF | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (5)
2025-06-26 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
2023-01-25 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.60
RN Hrs/Resident/Day0.54
0.67
LPN Hrs/Resident/Day0.81
0.82
CNA Hrs/Resident/Day2.33
2.11
PT Hrs/Resident/Day0.12
0.13
Data as of 2026-03-01