Nursing HomeInspections

Gardens Nursing and Rehab Center

Nursing home in Miami, FL

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

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Public-record details

Address
190 Ne 191st Street, Miami, FL 33161
Phone
(305) 651-9690
Listed under
For-profit
Medicare CCN
105765
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
110
Ownership
For-profit, corporation
Legal business name
Miami Opco LLC
Chain
Eliyahu Mirlis (14 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 11, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 105765. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 26, 2026. CMS lists 61 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 19, 2023 to Mar 26, 2026): 20 from complaint inspections, 5 at the “actual harm” level or higher, including 4 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Mar 26, 2026Keep residents' personal and medical records private and confidential.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 26, 2026Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Mar 26, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 26, 2026Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 26, 2026Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration
D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Mar 26, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
D
Potential for more than minimal harm, isolated
Mar 26, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation
E
Potential for more than minimal harm, pattern
Mar 26, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Mar 26, 2026Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental
F
Potential for more than minimal harm, widespread
Jun 27, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 61. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $252,723 and 1 denial of Medicare payment for new admissions in the last three years.

Aug 1, 2024Fine: $252,723
Aug 1, 2024Payment denial for 75 days from Nov 1, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.58 hours
Registered nurse (RN) time per resident per day
0.60 hours
Nurse aide time per resident per day
2.35 hours
Total nurse staffing on weekends
3.31 hours
Nursing staff turnover (yearly)
29%
RN turnover (yearly)
44%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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