Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Floridean Health & Rehabilitation Center during CMS and state inspections, most recent first.
Failure to follow an ordered pureed diet: A resident with ESRD, moderate cognitive impairment, and swallowing precautions was sent to dialysis with a ham and cheese sandwich and applesauce instead of the prescribed pureed, nectar-thick diet. Staff stated the sandwich was acceptable as mechanical soft, but the dietician later confirmed a sandwich is not pureed, and ST found the resident had difficulty following directions and swallowing during a trial feeding.
Unmarked, Unlocked Storage Room: Surveyors found an unmarked second-floor storage room with enteral feeding supplies that was unlocked and could be locked from the inside, with no call light observed. Staff said the room was supposed to be kept locked and access limited, and the facility policy required storage doors to remain closed and locked when not in use.
A medication cart check found a Brimonidine eye drop bottle on the 2nd floor east cart with an open date written on the bag that did not match the dispensing date. An LPN stated she writes open dates when she opens eye drop bottles but did not open this one, and the DON was notified of the concern. The facility policy states that all drugs and biologicals are to be stored in a safe, secure, and orderly manner.
Accurate medical records were not maintained when an RN signed a resident’s MAR as if all medications had been administered even though the meds had not yet arrived from the pharmacy. The resident, who had acute and chronic respiratory failure with hypercapnia and was on oxygen, told staff they were waiting on respiratory medications and were having difficulty breathing. The RN later said the MAR was signed in error and that the meds were not given because they were not available.
The facility failed to follow pharmacy procedures for two out of four medication carts. One cart was found unlocked in the hallway while the assigned RN was in a resident's room. Another cart had two pills left unattended on top while the assigned LPN was administering medications in a resident's room. The LPN acknowledged the error and noted the absence of a drug buster on the cart.
Failure to Follow Ordered Pureed Diet
Penalty
Summary
Facility failed to follow the nutritional care plan for one resident who was receiving a pureed, nectar-thick diet. The resident had diagnoses including end stage renal disease, a Brief Interview of Mental Status score of 8 indicating moderate cognitive impairment, required partial/moderate assistance for eating, and had been documented as receiving a mechanically altered and therapeutic diet with food held in the mouth/cheeks or residual food after meals. The resident’s care plan directed staff to provide and serve the diet as ordered, including pureed texture, nectar-thick consistency, and snacks and supplements as ordered. On the morning of the event, the resident was observed in bed with no apparent distress, and a transparent bag labeled with the resident’s name and room number was found at the nursing station containing a ham and cheese sandwich and applesauce. Staff stated the resident always went to dialysis with a sandwich and applesauce, and the ADON stated it was okay for the resident to eat a ham and cheese sandwich because it could be mechanical soft. The resident left the facility with the sandwich and applesauce before the DON responded to the concern. Later, the dietician stated a sandwich is not considered pureed, and speech therapy conducted a trial feeding of a ham sandwich, during which the resident had difficulty following directions and swallowing; the speech therapist concluded it was not safe for the resident to eat sandwiches due to impaired cognition or physical tiredness from dialysis.
Unmarked, Unlocked Storage Room
Penalty
Summary
The facility failed to provide an environment free from potential accident hazards on one second-floor storage room out of nine storage rooms. During observation, surveyors found an unmarked door on the second floor that opened into a small storage room containing enteral feeding supplies stacked on shelves. The door could be locked from the inside, and no call light was observed. The room was not marked, and it was unlocked at the time of the observation. Staff interviews confirmed the room was used as a storage room and was intended to be kept locked, with access limited to maintenance, administration, the ADON, and central supply. The Maintenance Director stated he was responsible for posting signs on doors but was not sure why no sign was posted. The Second Floor Infection Preventionist stated the storage door was kept locked for resident safety because residents with dementia could wander into the room. The Risk Manager stated the storage door is normally kept locked and labeled, and that a resident could wander into an open storage room and get locked in. Record review showed the second-floor storage room measured 28 square feet, and the facility policy required storage room doors to remain closed and locked when not in immediate use.
Medication Storage and Labeling Deficiency
Penalty
Summary
Drugs and biologicals were not properly stored and labeled on one of two medication carts observed, specifically the 2nd floor east cart. During a medication storage check on 9/26/25 at 5:36 AM, staff found a Brimonidine eye drop bottle with an open date written on the bag of 8/9/25, while the pharmacy dispensed date was 8/8/25. The LPN stated that eye drops last 28 days after opening, that she checks daily for expired medications, and that she writes the open date when she opens an eye drop bottle, but she did not open this bottle. The DON was notified of the concern on 9/23/25 at 7:01 AM. The facility policy stated that all drugs and biologicals are to be stored in a safe, secure, and orderly manner.
Inaccurate MAR Documentation for Resident Medication Administration
Penalty
Summary
Accurate medical records were not maintained for one resident when the September 2025 MAR showed all medications signed as administered at 9:00 AM even though no medications were available at the time. On 9/23/25 at 12:17 PM, the resident was observed standing in the hallway with oxygen via nasal cannula and told the RN that medication had not been received and it was becoming difficult to breathe. The RN stated the medication had not arrived from the pharmacy yet, and when asked which medications were missing and whether an assessment would be completed, the RN said the resident’s vitals were within a normal range and the medications had been ordered the night before. The resident stated later that day that they had been waiting on the medication and would have difficulty breathing if it was not received, and that they had been admitted the night before. The resident’s record showed an admission date of 9/22/25 with diagnoses including acute and chronic respiratory failure with hypercapnia, and the care plan identified risk for altered respiratory status/difficulty breathing with interventions to administer medications as ordered and monitor oxygen saturations. The physician’s orders included multiple respiratory-related medications, and the pharmacy packing slip showed the medications were delivered and signed received by a supervisor at 2:43 PM. The RN later stated the MAR was signed in error and that the medications were not given that morning because they were not yet available.
Failure to Follow Pharmacy Procedures for Medication Carts
Penalty
Summary
The facility failed to ensure pharmacy procedures were followed as per facility policy for two out of four medication carts in use. On initial entrance to the facility at 06:07 AM, the 1st floor's [NAME] Medication cart assigned to a Registered Nurse (Staff A) was observed unlocked in the hallway while Staff A was in a resident's room. Upon returning, Staff A locked the previously unlocked medication cart. Additionally, during an observational tour at 08:12 AM, the 1st floor [NAME] Medication Cart assigned to an LPN (Staff C) was observed with two round white pills in a medication dosage cup sitting on top of the cart while Staff C was in a resident's room administering medications. Upon interview, Staff C reported that the pills had fallen on the floor and needed to be discarded, acknowledging that leaving pills on the cart unattended was against policy. Staff C also noted the absence of a drug buster on the cart, which would require her to retrieve one from the medication storage room. The Director of Nursing (DON) confirmed the need for an in-service to educate nurses on correct medication storage. The facility's policies on medication storage emphasize the importance of storing all drugs and biologicals in a safe, secure, and orderly manner, in accordance with Florida Department of Health Guidelines.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Miami
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Jackson Memorial Long Term Care Center | 2.1 mi | ★★★★★ | 4 | 0 |
| Victoria Nursing & Rehabilitation Center, Inc. | 2.4 mi | ★★★★★ | 0 | 0 |
| Riverside Care Center | 2.4 mi | ★★★★★ | 0 | 0 |
| Unity Healthcare And Rehabilitation Center | 2.5 mi | ★★★★★ | 1 | 0 |
| Ponce Health And Rehabilitation Center | 2.9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.