Gardens Nursing and Rehab Center
190 Ne 191st Street · Miami, FL · 33161 · 3056519690
120 certified beds For profit - Corporation Chain: Eliyahu Mirlis
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $252,723 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$252,723 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.62 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | 3 · $264,517 |
Inspection citations (61 in the current record)
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Potential for harm · D March 26, 2026
Keep residents' personal and medical records private and confidential.
Corrected May 14, 2026 · Resident Rights
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Potential for harm · E March 26, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 14, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected May 14, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 14, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 14, 2026 · Quality of Life and Care
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Potential for harm · E March 26, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 14, 2026 · Quality of Life and Care
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Potential for harm · D March 26, 2026
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.
Corrected May 14, 2026 · Pharmacy Service
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Potential for harm · D March 26, 2026
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 14, 2026 · Administration
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Potential for harm · D March 26, 2026
Provide and implement an infection prevention and control program.
Corrected May 14, 2026 · Infection Control
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Potential for harm · F March 26, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 14, 2026 · Environmental
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Potential for harm · D March 26, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 14, 2026 · Environmental
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Potential for harm · D June 27, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 31, 2025 · Resident Rights
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Potential for harm · D June 27, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected July 31, 2025 · Resident Rights
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Potential for harm · E June 27, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 31, 2025 · Nutrition and Dietary
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Potential for harm · D June 27, 2025 · found via complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected July 31, 2025 · Nutrition and Dietary
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Potential for harm · D March 27, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 10, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 10, 2025 · Pharmacy Service
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Immediate jeopardy · K August 30, 2024
Provide and implement an infection prevention and control program.
Corrected October 28, 2024 · Infection Control
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Immediate jeopardy · K August 30, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected October 28, 2024 · Administration
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Immediate jeopardy · K August 30, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected October 28, 2024 · Environmental
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Actual harm · G August 30, 2024
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.
Corrected October 28, 2024 · Quality of Life and Care
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Potential for harm · E August 30, 2024 · found via complaint
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.
Corrected October 28, 2024 · Resident Rights
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Potential for harm · D August 30, 2024 · found via complaint
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.
Corrected October 28, 2024 · Resident Rights
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Potential for harm · D August 30, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 28, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 1, 2024 | Fine | $252,723 |
| August 1, 2024 | Payment Denial | 75 days |
| October 3, 2023 | Fine | $5,897 |
| October 3, 2023 | Fine | $5,897 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105765 · certified since March 11, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.