Fresh Horizons Assisted Living
Assisted living facility (ALF) in Vero Beach, Florida, licence 13831
4836 35th Avenue, Vero Beach, FL 32967 · Indian River County
- Licence
- 13831, licensed
- Licensed beds
- 8
- Medicaid waiver list
- No
- Specialty licences
- LNS
- Deficiencies cited
- 8
- Fines
- $500
Does Fresh Horizons Assisted Living accept Medicaid?
Fresh Horizons Assisted Living isn't on AHCA's Medicaid waiver list. It does tell the state it accepts Medicaid as a form of payment, which can mean another Medicaid service such as Assistive Care Services. Ask which Medicaid program it bills before you count on it.
See every Florida ALF on the waiver list, or read how the Medicaid waiver for assisted living works.
Monthly cost at Fresh Horizons Assisted Living
AHCA doesn't collect prices, so the state record has no rate for Fresh Horizons Assisted Living. The CareScout Cost of Care Survey 2025 puts the Florida median at $5,610 a month for a private one-bedroom unit, against $6,200 for the US.
Ask for the written rates: what the base fee covers, what each level of care adds and how much notice you get before a rise. Our guide to the cost of assisted living in Florida covers the ways to pay.
Licence and the care it may give
| Licence detail | From the AHCA record |
|---|---|
| Licence number | 13831 |
| AHCA file number | 11965844 |
| Type | Assisted Living Facility |
| Status | Licensed |
| Ownership | Not-For-Profit |
| First licensed | July 2, 2010 |
| Current licence | September 26, 2025 to September 25, 2027 |
On top of the standard ALF licence, Fresh Horizons Assisted Living holds one specialty licence:
- Limited Nursing Services (LNS) lets licensed nurses give a set list of nursing tasks inside the home.
State inspections, complaints and fines
Florida inspectors cited Fresh Horizons Assisted Living for 8 deficiencies on the AHCA comparison record. Class I is the most serious, a risk of death or serious harm; Class IV is the least.
| Class | Cited |
|---|---|
| Class III | 7 |
| Not classed | 1 |
The record also lists no complaints to AHCA on the comparison record and 2 sanctions with $500 in fines.
| Action | Started | Fine | Outcome |
|---|---|---|---|
| Fine | November 21, 2025 | $500 | - |
| Fine | April 30, 2020 | $656 | - |
| Fine | January 7, 2019 | $656 | - |
| Fine | October 25, 2018 | $375 | - |
| Fine | August 2, 2018 | $250 | - |
| Fine | April 20, 2018 | $1,500 | - |
Beds and rooms
With 8 licensed beds, Fresh Horizons Assisted Living is smaller than the typical ALF in Vero Beach, where the median is 60.
- Licensed beds
- 8
- Private beds
- 8
- Shared rooms
- 8
Services Fresh Horizons Assisted Living reports to the state
Fresh Horizons Assisted Living reported these to AHCA. The state doesn't check them, so ask to see each one in person.
- Nurse availability
- 3rd Party 24hr
- Activities
- Arts and Crafts, Exercise Classes, Games/Cards, Gardening, Music Programs, Shopping, Social Events/Outings, Theater and Movies
- Languages spoken
- English
- Payment accepted
- Medicaid
- Religious affiliation
- Baptist, Christian (non-denominational)
- Bed hold policy
- No
Who owns and runs Fresh Horizons Assisted Living
- Licensee
- Rock Services Inc
- Administrator
- Ruth Jefferson
- Changes of ownership
- 1
Other assisted living near Fresh Horizons Assisted Living
- Certus Vro Opco LLC5380 US Hwy 1, Vero Beach 32967
- Somerset House1540 Oak Harbor Boulevard, Vero Beach 32967
- The Barclay at Vero Beach- Assisted Living4150 Indian River Blvd, Vero Beach 32967
- Sodalis Vero Beach3855 Indian River Blvd, Vero Beach 32960
- Hidden Lakes Senior Living Community1006 33rd Street, Vero Beach 32960
See also all assisted living in Vero Beach, memory care in Vero Beach and nursing homes in Vero Beach.
Florida rules that apply here
AHCA licenses and inspects every assisted living facility in Florida under Chapter 429 of the Florida Statutes and rule chapter 59A-36. Those rules set who a home may admit, the staff training it needs, how it helps with medication and the 45 days' notice it must give before a discharge.
Our plain guide to Florida assisted living regulations walks through each one, and how to complain to AHCA if something goes wrong.
Is this your facility?
If you run Fresh Horizons Assisted Living, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Fresh Horizons Assisted Living
Does Fresh Horizons Assisted Living accept Medicaid?
It reports Medicaid as a payment form but isn't on the waiver list.
How many residents is Fresh Horizons Assisted Living licensed for?
8 residents, its licensed bed count.
What did Florida inspectors find at Fresh Horizons Assisted Living?
8 cited, 0 Class I and 0 Class II.
Who owns Fresh Horizons Assisted Living?
The licensee is Rock Services Inc.
From the state record: Florida AHCA FloridaHealthFinder facility profile and the AHCA assisted living facility comparison.