Comprehensive Review: Grand Oaks Health and Rehab

Facility overview

Aviata at Grand Oaks, formerly Grand Oaks Health and Rehabilitation Center, is a Medicare- and Medicaid-certified skilled nursing facility at 3001 Palm Coast Parkway SE, Palm Coast, FL 32137. It has 120 certified beds and can be reached at (386) 446-6060. On Medicare.gov Care Compare, the federal government's official nursing home rating tool, it holds an overall rating of 3 out of 5 stars, an average score. Its federal facility ID (CCN) is 105952. This review is grounded in that Care Compare data, which is built from state health inspections, payroll-verified staffing records, and clinical quality measures.

At a glance

Services offered

Grand Oaks provides several care options:

Specialized care options

Beyond routine care, the staff here handle the tasks that get harder as mobility fades. That includes transfers from bed to wheelchair, ongoing wound care management, and hands-on support for residents who can no longer walk on their own.

Amenities and daily life

Daily life here is built around a few steady comforts. An emergency alert system runs throughout the building, and residents have both indoor community spaces and outdoor areas to enjoy. The monthly calendar keeps things social, with bingo, piano nights, and comedy nights among the regular offerings.

Dining services

• The facility has a restaurant-style dining room, accommodates special diets, and serves three meals daily. During your tour, ask to see the monthly activities calendar and observe a meal to assess food quality and the dining atmosphere.

Medicare star ratings from Care Compare

On Medicare.gov Care Compare, the government publishes star ratings for this facility across three areas that combine into a single overall score. Here is how it currently rates.

Star ratings are a solid starting point, but they cannot capture the feel of a place. When considering this facility, visit at different times and days to gauge cleanliness, staff responsiveness, and atmosphere. Talk directly with current residents and families about day-to-day life, and ask management what it is doing about its below-average inspection and staffing scores.

Paying for care

As a Medicare- and Medicaid-certified skilled nursing facility, this home is paid mainly through those public programs rather than a fixed monthly rent. Medicare Part A can cover a short, medically necessary stay after a qualifying hospital admission, generally up to 100 days per benefit period, with daily cost sharing after day 20. Longer custodial stays are most often covered by Medicaid for residents who qualify, or paid privately. Confirm coverage and any out-of-pocket costs directly with the facility's admissions office and your insurer.

Payment options

• Medicare certified
• Medicaid approved
• Private insurance accepted (verify specific plans)
• Private pay options available

Ask Grand Oaks for an itemized pricing sheet, not a ballpark number over the phone. You want the base rate for skilled nursing care, the added cost of specialized services like memory care or rehabilitation, any one-time fees such as admission or community fees, and the schedule for future rate increases. Ask how the bill would change if your loved one's needs grow, and whether the facility offers financial assistance or sliding-scale fees based on a resident's circumstances.

Nurse staffing, inspections, and quality (Care Compare)

On Medicare.gov Care Compare, the facility earns 2 out of 5 stars for nurse staffing, a below-average mark. Residents receive about 3.54 total nurse staffing hours per resident per day, which is close to the rough national benchmark of around 3.5 hours. The weaker rating is driven largely by low registered nurse coverage, about 0.32 RN hours per resident per day, alongside roughly 1.15 licensed practical nurse hours and 2.07 nurse aide hours. Staffing stars are adjusted for how sick residents are, so a facility can log average total hours yet still score low when RN time or weekend coverage runs thin.

The facility's health inspection rating is 2 out of 5 stars. Its most recent standard state inspection, on May 8, 2025, resulted in two deficiencies: one involving its infection prevention and control program and one tied to required mental health and disability screening. Both were cited at severity levels indicating no actual harm to residents. Care Compare also shows a federal fine of $7,823 against the facility, dated June 2024. The facility does not carry an abuse warning icon.

When you visit, ask about staff-to-resident ratios across different shifts, nights and weekends included, since coverage often thins out when the office empties. Ask how much the staff turns over and what training new hires get. Watch how aides and nurses speak to residents when they think no one is evaluating them. And ask management, plainly, what it is doing to lift staffing levels and care quality.

Comparing this facility with nearby nursing homes

Care Compare lets you line up this facility against other Medicare-certified nursing homes in Flagler County and the surrounding area using the same star ratings, so you are comparing like with like rather than against assisted living or private-pay communities. Its 3-star overall rating is average, with quality measures as its strength and health inspections and staffing as its weak spots. Ratings can change after each new inspection, so check the current numbers before deciding.

Key differentiators of Grand Oaks

1. Aviata at Grand Oaks is a mid-sized facility with 120 certified beds and has served the Palm Coast area under Medicare and Medicaid certification since 1997. Its strongest mark is a 5 out of 5 star rating for quality measures, the outcome metrics that track issues like infections, falls, and pressure injuries. Its weaker health inspection and staffing scores are the areas to probe on a visit.

Before you start touring, jot down the criteria that matter most to your family, care levels, amenities, activities, and pricing, and carry that same list into every visit so you are judging each place by the same yardstick. Try to see at least three or four homes in person; environments and staff interactions tell you things a website never will. Talk with residents and their families while you are there, since they will give you the honest version of daily life. And weigh not just the care your loved one needs today but what they may need a year or two from now.

Areas for improvement and considerations

The facility's below-average health inspection and staffing ratings are its clearest areas for improvement, and it has a federal fine on record from 2024. Registered nurse coverage is on the low side. On the positive side, its quality-measure score is strong. Ask management directly what it is doing to strengthen staffing and inspection performance.

Final recommendations

1. Schedule tours at different times of day, weekends and evenings included, so you see how the place runs when it is not on its best behavior. If you can, speak with current residents or family members away from the scheduled tour to get the unvarnished version. Request the most recent state inspection reports and read them, so you understand the open issues and how the facility plans to fix them. During the visit, watch how staff treat residents and ask about turnover and training. Ask how the facility handles transitions between different levels of care. If rehabilitation matters, ask for success rates, average length of stay, and the qualifications of the therapists. Find out how the team keeps families in the loop on health updates and changes to the care plan. And think hard about whether Grand Oaks can keep up as your loved one's health changes.

Aviata at Grand Oaks earns an average overall rating on Medicare's official scale, with a strong quality-measure score but below-average health inspection and staffing marks and a fine on record. Tour it in person, review the current inspection report on Medicare.gov Care Compare (search 'Aviata at Grand Oaks'), and confirm it can meet your loved one's needs before deciding.