Senior Care Inspection Finder
Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › Florida › Miami-Dade County › Gardens Nursing and Rehab Center

Gardens Nursing and Rehab Center

190 Ne 191st Street, Miami, FL 33161 · CMS Certification Number (CCN) 105765

Special Focus Facility candidate

CMS lists this home in its data as a candidate for the Special Focus Facility (SFF) program, which CMS describes as for homes with a history of serious quality issues. CMS Technical Users’ Guide

At a glance

CMS overall rating
★★☆☆☆ 2 of 5
Health inspection citations
61 in the last 3 inspection cycles (4 immediate jeopardy, 1 actual harm, 20 from complaints)
Fire safety citations
28
Fines (last 3 years)
3 fines, total $264,517
Payment denials
1
Most recent standard inspection
March 26, 2026
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityFlorida averageU.S. average
Overall★★☆☆☆ 2 of 53.33
Health inspections★☆☆☆☆ 1 of 52.92.8
Staffing★★★★★ 5 of 53.32.9
Quality measures★★★★★ 5 of 54.23.6
Long-stay quality★★★★★ 5 of 5Not publishedNot published
Short-stay quality★★★★★ 5 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)March 26, 202611110
Cycle 2August 30, 2024453120

CMS weighted health inspection score: 290.75 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

61 health citations across 7 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

March 26, 2026: 11 citations (Standard)
SeverityTagWhat was citedTypeStatus
D F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/14/2026
F F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/14/2026
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/14/2026
D F-0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/14/2026
D F-0761 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 Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/14/2026
E F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/14/2026
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/14/2026
D F-0645 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/14/2026
D F-0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/14/2026
E F-0600 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 Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/14/2026
D F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/14/2026
June 27, 2025: 4 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/31/2025
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/31/2025
D F-0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/31/2025
D F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/31/2025
March 27, 2025: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
August 30, 2024: 35 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
K F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0924 Put firmly secured handrails on each side of hallways.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0917 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 Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0883 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
F F-0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
K F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/28/2024
K F-0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0814 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0808 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 Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0803 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 Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0761 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 Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0757 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0732 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0730 Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0725 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 Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/28/2024
G F-0693 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 Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0657 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 Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0585 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.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0584 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 Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/28/2024
E F-0576 Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 10/28/2024
August 1, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
J F-0600 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 Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/31/2024
October 3, 2023: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/02/2024
E F-0584 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 Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/02/2024
May 19, 2023: 5 citations (Standard)
SeverityTagWhat was citedTypeStatus
D F-0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/23/2023
D F-0839 Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/23/2023
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/23/2023
D F-0688 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.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/23/2023
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/23/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

28 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
03/26/2026EK-0923Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
03/26/2026EK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
03/26/2026EK-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
03/26/2026EK-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
03/26/2026EK-0712Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
03/26/2026EK-0541Install properly constructed and protected linen or trash chutes.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
03/26/2026EK-0531Have elevators that firefighters can control in the event of a fire.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
03/26/2026EK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
03/26/2026EK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has plan of correction
03/26/2026EK-0351Install an approved automatic sprinkler system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 07/18/2026
03/26/2026EK-0345Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
03/26/2026EK-0325Have properly installed hallway dispensers for alcohol-based hand rub.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
03/26/2026EK-0324Provide properly protected cooking facilities.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 07/18/2026
03/26/2026EK-0291Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
03/26/2026EK-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 05/14/2026
08/30/2024DK-0911Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 10/31/2024
08/30/2024DK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 01/15/2025
08/30/2024DK-0531Have elevators that firefighters can control in the event of a fire.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 01/15/2025
08/30/2024DK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 01/15/2025
08/30/2024DK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 10/31/2024
08/30/2024DK-0324Provide properly protected cooking facilities.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 10/31/2024
08/30/2024DK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 10/31/2024
08/30/2024DK-0100Meet other general requirements.
Construction Deficiencies
Deficient, Provider has date of correction
Corrected 10/31/2024
05/19/2023DK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 09/20/2023
05/19/2023DK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 06/26/2023
05/19/2023DK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 06/26/2023
05/19/2023DK-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/20/2023
05/19/2023DK-0100Meet other general requirements.
Construction Deficiencies
Deficient, Provider has date of correction
Corrected 09/20/2023

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
August 1, 2024Fine$252,723—
August 1, 2024Payment Denial—Starting November 1, 2024, 75 days
October 3, 2023Fine$5,897—
October 3, 2023Fine$5,897—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityFlorida averageU.S. average
Total nurse staff hours per resident per day3.793.823.86
Registered nurse (RN) hours per resident per day0.650.730.69
LPN/LVN hours per resident per day0.57Not publishedNot published
Nurse aide hours per resident per day2.57Not publishedNot published
Total nurse staff hours per resident per day, weekends3.55Not publishedNot published
RN hours per resident per day, weekends0.51Not publishedNot published
Total nursing staff turnover (%)26.941.445.8
Registered nurse turnover (%)36.8Not publishedNot published
Administrators who have left0Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
Miami Opco LLC
Ownership type
For profit - Corporation
Chain
Eliyahu Mirlis (14 facilities)
Ownership changed in last 12 months
No
Certified beds
120
Average residents per day
112.9
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Both
First approved for Medicare/Medicaid
March 11, 1992
County/parish
Miami-Dade

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

8 ownership and management records
NameRoleTypeOwnership %Since
190 NE 191ST ST MIAMI HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%undefined undefined, NaN
MIRLIS, ELIYAHU5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual99%undefined undefined, NaN
COLMAN, RUBENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
CROSS, HALEYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
COLMAN, RUBENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
CROSS, HALEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
COLMAN, RUBENADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
CROSS, HALEYADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.