54/100
Below average
190 Ne 191St Street, Miami, FL 33161
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.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
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.
5 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$264,517 in federal fines
CMS has fined this facility across 3 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 26, 2026 (4 months ago).
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled...
No actual harm, potential for more than minimal harm
Part of ELIYAHU MIRLIS, which operates 13 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| COLMAN, RUBEN | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| CROSS, HALEY | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| COLMAN, RUBEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CROSS, HALEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| COLMAN, RUBEN | Individual | ADP OF THE SNF | — |
| CROSS, HALEY | Individual | ADP OF THE SNF | — |
| MIRLIS, ELIYAHU | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| 190 NE 191ST ST MIAMI HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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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.
Residents receive an average of 3.79 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 5 of the 61 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
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.