Average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Miami Springs Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Several residents on one unit were found to have non-working telephones, limiting their ability to communicate with family. A resident with cognitive impairment and self-care deficits was among those affected, and family reported the issue had persisted for months. Staff confirmed the phones were not functional and that maintenance requests would be made, but the deficiency persisted at the time of survey.
The facility did not ensure sanitary food storage by failing to keep a thermometer in a resident unit freezer and could not verify how temperatures were logged. Additionally, the high temperature dish machine was observed operating below required wash temperatures, with staff unable to accurately monitor or record the correct readings. These failures had the potential to impact a large number of residents who consume food orally.
The facility was repeatedly cited for failing to accurately code MDS assessments, improper food storage and sanitation practices such as missing thermometers and incorrect dishwashing temperatures, and for the QAPI committee's ongoing failure to identify and prevent these issues despite regular meetings and established policies.
Surveyors found that the facility's high temperature dish machine was operating with a wash cycle at only 110°F, below the required 150-160°F, while logs inaccurately documented compliant temperatures. Staff continued to use the machine despite the low temperature, potentially affecting 176 residents who ate orally.
Surveyors observed an unattended, unlocked computer screen displaying resident information at a nursing station, and a nurse administering medication to a resident without closing the door or privacy curtain, resulting in a failure to maintain privacy and confidentiality as required by facility policy and professional standards.
A deficiency was identified when a resident who was discharged to an assisted living facility was incorrectly coded in the MDS discharge assessment as having been discharged to a short-term general hospital. Documentation in the clinical record and staff interviews confirmed the resident's actual discharge destination, and the error was acknowledged by the MDS and Care Plan Coordinator.
Three residents with seizure or fall risk had physician orders and care plans requiring padded side rails, but surveyors observed that padding was missing or not properly in place on one or both side rails. Staff interviews confirmed that padding should always be present, but lapses occurred, including forgetting to replace padding after removal. Documentation showed that care plans and orders were in place, but interventions were not consistently implemented as required.
Failure to Provide Consistent Access to Working Telephones
Penalty
Summary
The facility failed to ensure that all residents on the Two South unit were consistently provided with working telephones, as required to accommodate their needs and preferences. During observations, several telephones on the Two South unit were found to have no dial tone and were non-functional. Specifically, out of ten residents' telephones sampled across multiple units, four telephones located on the Two South unit were not working. One resident, who was cognitively impaired and required staff assistance for activities of daily living, was observed with a non-working telephone in his room. His family member reported that the phone had not been working for months, limiting their ability to communicate. Staff interviews confirmed awareness of the non-functional telephones, with a registered nurse acknowledging the issue and indicating that maintenance requests would be made. The facility's policy states that every resident should have access to a phone unless declined, and in shared rooms, phone access may be shared. Despite this, the deficiency was identified through direct observation and family report, indicating that the facility did not always provide reasonable access to working telephones for all residents as required.
Failure to Maintain Sanitary Food Storage and Dishwashing Temperatures
Penalty
Summary
The facility failed to store food under sanitary conditions by not ensuring that the 1 North Station Pantry snack/nourishment freezer contained a thermometer inside. Observation revealed the freezer was empty with condensation and lacked a thermometer, despite policy requiring temperatures to be recorded twice daily. Staff confirmed the absence of a thermometer and were unable to explain how the temperature was recorded on the log for that day, which documented a temperature of -10 degrees F. Additionally, the facility did not ensure the correct wash temperature for the high temperature dish machine used for washing dishes and utensils. Observations showed that the wash tank temperature gauge consistently read 110 degrees F, which is below the required range of 150-160 degrees F as specified by both facility policy and the manufacturer's guidelines. Staff were unable to read the wash dial properly and continued to use the machine despite the low temperature readings. The dish machine log for the same day inaccurately documented the wash temperature as 160 degrees F, which did not match the observed readings. These deficiencies had the potential to affect a significant number of residents who eat orally in the facility, as both the improper storage of food and inadequate dishwashing temperatures could compromise food safety. The issues were identified through direct observation, staff interviews, and review of facility logs and policies.
Repeated Deficiencies in Assessment Accuracy, Food Sanitation, and QAPI Processes
Penalty
Summary
The facility failed to implement effective plans of action to correct previously identified quality deficiencies, as evidenced by repeated citations in the areas of assessment accuracy, food storage and sanitation, and quality assurance processes. During a prior recertification survey, the facility was cited for improper food storage due to incorrect temperatures in a reach-in cooler, failure to ensure the cooler was functioning properly, and inaccurate coding of the Minimum Data Set (MDS). Additionally, the Quality Assurance and Performance Improvement (QAPI) committee was cited for failing to identify and prevent potential problems and for not effectively implementing QAPI/QAA activities. In the most recent survey, similar deficiencies were observed, including the absence of a thermometer in a unit pantry freezer, failure to ensure proper dishwashing temperatures, and continued inaccuracies in MDS coding. The QAPI/QAA committee continued to fail in identifying and preventing these recurring issues, despite holding regular monthly meetings with key facility leadership and department heads. The facility's own QAPI policy requires the development and implementation of corrective action plans for identified deficiencies, but the repeated nature of these citations indicates that effective corrective actions were not taken.
Failure to Maintain Proper Dish Machine Wash Temperatures
Penalty
Summary
The facility failed to ensure that the high temperature dish machine wash cycle was functioning properly, as required by facility policy and manufacturer specifications. During observation, the wash temperature of the dish machine was consistently recorded at 110 degrees Fahrenheit, which is below the required range of 150-160 degrees Fahrenheit. Staff were unable to accurately read the wash dial, and continued to process dishes through the machine despite the low temperature. Documentation logs for the same period inaccurately reflected that the wash temperature was at the required 160 degrees Fahrenheit, indicating a discrepancy between actual machine performance and recorded data. The issue was identified during a survey, where both the dietary aide and the Training Center Account Manager confirmed the wash temperature was not meeting standards. The manufacturer’s guidelines and facility policy both require the wash cycle to reach at least 150 degrees Fahrenheit to ensure proper sanitation. The deficiency had the potential to affect 176 out of 185 residents who consumed food orally at the facility during the time of the survey.
Failure to Ensure Privacy of Resident Information and During Medication Administration
Penalty
Summary
The facility failed to maintain the privacy and confidentiality of residents' personal and medical records at one of the nursing stations on the 2nd floor. An unattended and unlocked computer screen displaying residents' information was observed at the North Nursing Station. Staff confirmed that the computer was left open by mistake, contrary to facility policy requiring screens to be secured when unattended. The facility's HIPAA Security Measures policy mandates reasonable and appropriate steps to protect electronic resident information, which was not followed in this instance. Additionally, privacy was not provided during medication administration for one resident. A registered nurse prepared and administered medications to the resident in their room with the door and privacy curtain left open, making the process visible from the hallway. The nurse acknowledged that the door and curtain should have been closed to ensure privacy during medication administration, as per professional standards.
Inaccurate MDS Discharge Coding for Resident Transfer
Penalty
Summary
A deficiency occurred when the facility failed to accurately code the Minimum Data Set (MDS) discharge assessment for one resident. The resident, who had a medical history including traumatic subdural hemorrhage and a femur fracture, was admitted from a short-term general hospital and later discharged to an assisted living facility (ALF). Despite documentation in the physician's discharge summary and social services note confirming discharge to the ALF, the MDS discharge assessment was incorrectly coded to indicate discharge to a short-term general hospital. The error was acknowledged by the MDS and Care Plan Coordinator, who confirmed the resident was discharged to an ALF as planned.
Failure to Maintain Padded Side Rails per Care Plan and Physician Orders
Penalty
Summary
The facility failed to implement and maintain fall risk and seizure care plans for three residents who had physician orders and care plan interventions requiring padded side rails while in bed. Observations revealed that for each of these residents, the required padding was either missing or not properly in place on one or both side rails during multiple surveyor visits. In one instance, a resident with epilepsy was found in bed with only one side rail padded, despite care plan and physician orders specifying bilateral padding for seizure safety. Another resident, with diagnoses including seizures and muscle wasting, was observed with one side rail unpadded, and a CNA admitted to removing the padding and forgetting to replace it. A third resident, with hemiplegia and a history of cerebral infarction, was found with the padding for one side rail on the floor rather than on the rail as required. Record reviews confirmed that all three residents had current care plans and physician orders specifying the use of padded side rails for safety, either due to seizure risk, fall risk, or to protect skin integrity. The care plans included measurable goals and interventions, such as maintaining bilateral padded side rails while in bed and monitoring for placement and safety every shift. Despite these documented requirements, staff did not consistently ensure that the padding was in place as ordered. Interviews with nursing staff, including RNs and CNAs, acknowledged the expectation that padding should always be present on the side rails when residents are in bed, and that staff are responsible for checking and maintaining this safety measure. Staff described processes for rounding and monitoring, but also admitted to lapses such as forgetting to replace padding after removal. The facility's policy requires comprehensive care plans with measurable objectives and timely interventions, and staff are to be notified of their responsibilities, but these procedures were not consistently followed for the residents in question.
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What surveyors actually found near you
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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 Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Terrace Of Hialeah, The | 1.9 mi | ★★★★★ | 7 | 0 |
| Hialeah Shores Nursing And Rehab Center | 3.1 mi | ★★★★★ | 0 | 0 |
| Jackson Memorial Long Term Care Center | 3.5 mi | ★★★★★ | 4 | 0 |
| Floridean Health & Rehabilitation Center | 3.9 mi | ★★★★★ | 4 | 0 |
| Susanna Wesley Health Center | 4 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.