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Nursing home report card · Miami, FL

Gardens Nursing and Rehab Center

190 NE 191st Street, Miami, FL 33161

Call this home: (305) 651-9690

View this home on Medicare.gov ↗

Medicare abuse warningInfection-control problems notedExtra oversight status: SFF Candidate

Quick summary

Medicare shows an abuse warning

Medicare’s Care Compare site shows an abuse icon here. That is one of the strongest public warnings CMS publishes — dig into the inspection history and talk with an attorney if a loved one was hurt.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?
Medicare file prepared
Aug 1, 2026
Our record last updated
Oct 15, 2026
Last routine health inspection
Mar 26, 2026

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating
2out of 5

Combines inspection, staffing, and care measures.

Below-average Medicare rating

Health inspections
1out of 5

Based on problems found during health inspections.

Among the lowest Medicare ratings

Nursing staff
5out of 5

Based on staffing levels and related measures.

Among the highest Medicare ratings

Health and care results
5out of 5

Based on reported health and care results.

Among the highest Medicare ratings

What do the ratings and warnings mean?
Medicare ratings
One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems
Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning
Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time
Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems
61

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
0

Building, alarms, exits, and related safety citations

Reported fines
$264,517

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 105765

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

  • Immediate danger to residents · pattern case

    Aug 30, 2024 · Inspection rule 0835

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  • Immediate danger to residents · pattern case

    Aug 30, 2024 · Inspection rule 0880

    Provide and implement an infection prevention and control program.

  • Immediate danger to residents · pattern case

    Aug 30, 2024 · Inspection rule 0925

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)
0.65hours per resident per day

about 39 minutes per resident per day

All nursing staff
3.79hours per resident per day

about 3 hr 48 min per resident per day

Registered nurse time on weekends
0.51hours per resident per day

about 31 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 2 stars
  • Health inspection rating: 1 stars
  • Staffing rating: 5 stars
  • Registered nurse time per resident: 0.65 hours/day
  • Total nurse time per resident: 3.79 hours/day
See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; Florida averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

  • Medicare shows an abuse warning icon for this home
  • Overall star rating is 2 or lower
  • Health inspection rating is 2 stars or lower
  • Recent citations include infection-control problems
  • Inspectors have listed an unusually high number of problems
  • CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

  • Immediate danger to residents4 citations
  • Caused actual harm1 citation
  • Could have caused harm56 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
61
Fire safety
0
Other
0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Corporation.

  • We do not have individual owner names for this home.

Other homes in this group: All Eliyahu Mirlis nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

March 26, 202611 findings
  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0761 · code D

    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 drugs.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0600 · code E

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0583 · code D

    Keep residents' personal and medical records private and confidential.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0604 · code D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0645 · code D

    PASARR screening for Mental disorders or Intellectual Disabilities

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • Environmental problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0921 · code D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • Environmental problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0919 · code F

    Make sure that a working call system is available in each resident's bathroom and bathing area.

  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code D

    Provide and implement an infection prevention and control program.

  • Administration problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0867 · code D

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

June 27, 20254 findings
  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0813 · code D

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0580 · code D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0627 · code D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

March 27, 20253 findings
  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0656 · code D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0756 · code D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

August 30, 202435 findings
  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0656 · code D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0677 · code D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Nursing and Physician Services problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0730 · code D

    Observe each nurse aide's job performance and give regular training.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0760 · code D

    Ensure that residents are free from significant medication errors.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0808 · code D

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0810 · code D

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0814 · code D

    Dispose of garbage and refuse properly.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0842 · code D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0883 · code D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0805 · code D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  • Administration problems
    Immediate danger to residents · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0835 · code K

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  • Infection Control problems
    Immediate danger to residents · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code K

    Provide and implement an infection prevention and control program.

  • Infection Control problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0882 · code F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0576 · code E

    Ensure residents have reasonable access to and privacy in their use of communication methods.

  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0584 · code E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • Resident Assessment and Care Planning problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code E

    Ensure each resident receives an accurate assessment.

  • Resident Assessment and Care Planning problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0657 · code E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • Nursing and Physician Services problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0725 · code E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • Nursing and Physician Services problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0732 · code E

    Post nurse staffing information every day.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0755 · code E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0757 · code E

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0803 · code E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0804 · code E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • Administration problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0867 · code E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  • Environmental problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0919 · code E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0558 · code D

    Reasonably accommodate the needs and preferences of each resident.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0585 · code D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  • Environmental problems
    Immediate danger to residents · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0925 · code K

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0693 · code G

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

  • Nutrition and Dietary problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0761 · code E

    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 drugs.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0800 · code E

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

  • Environmental problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0917 · code D

    Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

  • Environmental problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0924 · code D

    Put firmly secured handrails on each side of hallways.

August 1, 20241 finding
  • Freedom from Abuse, Neglect, and Exploitation problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0600 · code J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

October 3, 20232 findings
  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0584 · code E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • Environmental problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0925 · code E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

May 19, 20235 findings
  • Administration problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0839 · code D

    Employ staff that are licensed, certified, or registered in accordance with state laws.

  • Administration problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0867 · code D

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0688 · code D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0755 · code D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0550 · code D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

  • Fine · Aug 1, 2024$252,723
  • Payment Denial · Aug 1, 2024Unavailable
  • Fine · Oct 3, 2023$5,897
  • Fine · Oct 3, 2023$5,897

Other homes in this chain

Eliyahu Mirlis · other locations in Florida

Related topics

Questions about Gardens Nursing and Rehab Center

What is Gardens Nursing and Rehab Center's Medicare star rating?
As of August 1, 2026, Gardens Nursing and Rehab Center in Miami, Florida has an overall CMS rating of 2 out of 5 stars. Other CMS scores: health inspection 1 of 5, staffing 5 of 5, quality measures 5 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Gardens Nursing and Rehab Center been fined?
As of August 1, 2026, the imported penalty records list $264,517 in reported fines for Gardens Nursing and Rehab Center. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.
Does Gardens Nursing and Rehab Center have a Medicare abuse warning?
Yes. Medicare Care Compare shows an abuse warning icon for Gardens Nursing and Rehab Center in Miami, Florida. CMS uses that icon after citations involving abuse, neglect, or exploitation.
How does Gardens Nursing and Rehab Center compare with other nursing homes in Florida?
Its overall CMS rating is 2 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the Florida report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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