All 25 Medicare-certified nursing homes in Miami,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Harmony Health Center runs 203 beds in Miami under corporate ownership, and its inspection record is genuinely solid, a four-star health inspection rating, nine deficiencies on the books with none at the harm level and nothing abuse-related, and a survey completed in August 2025. Quality measures score five stars. The softer spot is staffing: 3.68 nurse hours per resident day sits about 5% under the national average of 3.86, and weekends drop roughly 8% below the home's own weekday coverage. Turnover lands at 46.3%, essentially the national rate. Families should ask how weekend coverage is handled and how long the current director of nursing has been in place.
Kendall Lakes runs on more nurse hours than most homes in the country, 4.11 per resident day against a national average of 3.86, though weekends drop about 10% below its own weekday pace, so a Saturday shift isn't staffed like a Tuesday. The inspection record is genuinely clean: 11 deficiencies logged, none at the level where a resident was harmed or put in jeopardy, nothing tied to abuse, and the last full survey came in August 2025. This is a for-profit corporate home with 150 certified beds, and its staffing star sits lower than its inspection and quality scores for a reason, the weekday average carries the number, and the weekend dip is where families should ask questions.
Azure Shores Rehab runs 120 beds in Miami under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86, with weekends about 7% thinner than weekdays. That gap matters more than the 43.7% turnover rate, which is actually a hair better than the 45.8% national figure. The 37 deficiencies on record include none flagged for harm or abuse, and the most recent inspection was April 2026, so the paperwork is current. What you're looking at is a home with real clinical quality marks and a thin direct-care floor, which is the thing to ask about when you visit.
St. Annes runs a stable ship on the staffing side, 3.97 nurse hours per resident day, a bit above the national average, and a 25.8% turnover rate that's well below the typical 45.8%. Retention like that usually means consistent caregivers who know the residents. Weekends dip about 8% from weekday coverage, worth asking about if your family visits then. The tension sits in the inspection record: 18 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and $34,141 in fines across three incidents. The most recent survey closed in April 2025. Strong care metrics and staffing don't erase a rough survey history, ask to see the plan of correction for those two harm-level findings.
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.