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D

54/100

Below average

Gardens Nursing And Rehab Center

190 Ne 191St Street, Miami, FL 33161

CMS 2/5 stars #54 of 54 in Miami-Dade County (305) 651-9690
Certified beds
120
Occupancy
94%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • $264,517 in federal fines

    CMS has fined this facility across 3 penalty action(s).

Our read on Gardens Nursing And Rehab Center

The numbers at Gardens Nursing and Rehab Center don't tell one story, they tell two. Staffing looks strong on paper: 3.79 nurse hours per resident day, close to the national average, with a 5-star staffing rating and turnover at 26.9% compared to 45.8% nationally. But resident care tells another story. CMS has flagged 61 deficiencies, including five at the harm level and three abuse-related, plus $264,517 in fines. The home sits in the Special Focus Facility program. That gap between staffing scores and inspection results is the whole picture here. Federal regulators have flagged serious problems but the staffing numbers look stable. If you're considering this home, ask about those abuse-related findings directly.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing24/30Stability15/15Outcomes15/15Enforcement0/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

24/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →4.96 total nurse hours per resident per day (national median 3.77)
  • →0.65 RN hours per resident per day
  • →Weekend staffing drops 6% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →27% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →5 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$264,517 in federal fines across 3 action(s)
  • →-0 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D), CMS Special Focus Facility

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.79 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.65 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours3.55 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnover26.90%
National average 45.80%Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: March 26, 2026 (7 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of ELIYAHU MIRLIS, which operates 14 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Gardens Nursing And Rehab Center

What is the ElderGrade for Gardens Nursing And Rehab Center? +

Gardens Nursing And Rehab Center holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Gardens Nursing And Rehab Center? +

Residents receive an average of 3.79 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Gardens Nursing And Rehab Center been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Gardens Nursing And Rehab Center accept Medicaid? +

Yes, Gardens Nursing And Rehab Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.