Miami-Dade County, Florida · Nursing home
Gardens Nursing and Rehab Center
2 of 5 overall from CMS
190 NE 191st Street, Miami, FL 33161
At a glance
- Overall rating 2 of 5 Below the state average of 3.3
- Nurse time per resident, per day 3.79 hours Below the state average of 3.82
- Nursing staff who left in a year 26.9% Below the state average of 41.4%
- Health citations, last 3 inspection cycles 61 5 at the harm level or above
- Fines in 3 years $264,517 3 fines
- Certified beds in use 94.1% of 120 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Gardens Nursing and Rehab Center is a 120-bed nursing home in Miami, Florida (Miami-Dade County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.79 nurse staffing hours per resident per day, below the Florida average of 3.82. CMS lists 3 fines totaling $264,517 in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 112.9
- Certified since
- 1992 (34 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Eliyahu Mirlis (14 homes)CMS Special Focus: SFF Candidate
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Gardens Nursing and Rehab Center
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 3 fines totaling $264,517 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 11 health deficiencies in the latest inspection cycle (the standard inspection on Mar 26, 2026 plus complaint and infection-control inspections); the Florida average is 7.1. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Florida average 3.3
- Health inspections 1 of 5 Florida average 2.9
- Staffing 5 of 5 Florida average 3.3
- Quality measures 5 of 5 Florida average 4.2
The vertical line marks the Florida average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.79 h Florida average 3.82
- Nurse aides 2.57 h Florida average 2.31
- Licensed practical nurses 0.57 h Florida average 0.78
- Registered nurses 0.65 h Florida average 0.73
- All staff, weekends 3.55 h Florida average 3.49
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Florida average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover26.9%
- Florida average41.4%
- Registered nurse turnover36.8%
- Florida average46.0%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Florida and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Florida | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.4% | 8.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.2% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.3% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 0.7% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.6% | 4.6% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% | 2.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 98.2% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 4.8% | 9.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 34.9% | 14.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 99.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.7% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.3% | 10.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 37.1% | 8.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.50 | 2.13 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.70 | 1.15 | 1.78 |
Short-stay residents
| Measure | This home | Florida | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 95.2% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 9.4% | 26.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 8.4% | 9.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 61 health deficiencies in the three most recent inspection cycles. Of these, 4 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 20 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Aug 30, 2024: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 26, 2026 | 11 | 15 |
| Aug 30, 2024 | 38 | 8 |
| May 19, 2023 | 12 | 5 |
Florida homes averaged 7.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (61)
-
FPotential for more than minimal harm, widespread
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · Deficient, Provider has date of correction (May 14, 2026)
-
EPotential for more than minimal harm, pattern
Protect 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 · Deficient, Provider has date of correction (May 14, 2026)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 14, 2026)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Resident Rights · Deficient, Provider has date of correction (May 14, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 14, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 14, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (May 14, 2026)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (May 14, 2026)
-
DPotential for more than minimal harm, isolated
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (May 14, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 14, 2026)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (May 14, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jul 31, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 31, 2025)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 31, 2025)
-
DPotential for more than minimal harm, isolated
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jul 31, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 10, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 10, 2025)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (May 10, 2025)
-
KImmediate jeopardy, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Oct 28, 2024)
-
KImmediate jeopardy, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Oct 28, 2024)
-
KImmediate jeopardy, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Oct 28, 2024)
-
GActual harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 28, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 28, 2024)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · Deficient, Provider has date of correction (Oct 28, 2024)
-
EPotential for more than minimal harm, pattern
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights · Deficient, Provider has date of correction (Oct 28, 2024)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 28, 2024)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 28, 2024)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 28, 2024)
-
EPotential for more than minimal harm, pattern
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 28, 2024)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Oct 28, 2024)
Showing the 30 most recent of 61.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Aug 1, 2024 | Fine | $252,723 |
| Aug 1, 2024 | Payment Denial | 75 days |
| Oct 3, 2023 | Fine | $5,897 |
| Oct 3, 2023 | Fine | $5,897 |
Florida homes averaged 0.8 fines and $24,361 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Florida
- Size352 of 694 by certified beds
- Florida average residents per day108.9
- ChainEliyahu Mirlis
- Chain average overall rating2.1 of 5
- Resident or family councilBoth
- Homes in Miami25
- Homes in Miami-Dade County54
Common questions
What is the CMS star rating for Gardens Nursing and Rehab Center?
Gardens Nursing and Rehab Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 5 and quality measures is 5.
How many beds does Gardens Nursing and Rehab Center have?
Gardens Nursing and Rehab Center has 120 certified beds. It averages 112.9 residents per day, about 94.1% of its certified beds.
How much nursing care do residents get at Gardens Nursing and Rehab Center?
The home reports 3.79 hours of nurse staffing per resident per day, including 0.65 hours from registered nurses. The Florida average is 3.82 hours and 0.73 hours from registered nurses.
Has Gardens Nursing and Rehab Center been fined?
Yes. CMS lists 3 fines totaling $264,517 in the past three years. It also lists 1 payment denial.
Does Gardens Nursing and Rehab Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Sierra Lakes Nursing & Rehabilitation Center 180beds 94.9%in use 3.74nurse hours a day
- 5 of 5 Hampton Court Nursing and Rehabilitation Center 120beds 94.3%in use 3.83nurse hours a day
- 3 of 5 Aventura Rehab and Nursing Center 86beds 95.8%in use 3.73nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Miami-Dade County
Who to call in Florida
These offices serve residents of every nursing home in Florida.
- Long-term care ombudsman Florida Long-Term Care Ombudsman Program 1-888-831-0404 An advocate for residents and their families.
- File a complaint about a nursing home Complaint Administration Unit 1-888-419-3456 The state agency that inspects nursing homes.
Florida staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 105765. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.