Above average — CMS composite of the measures below.
The next survey window likely opens around September 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 Riviera Health Resort during CMS and state inspections, most recent first.
A resident with significant respiratory disease and lung cancer, who was cognitively intact but functionally dependent and using a wheelchair, was transported by a facility driver to an oncology appointment. Nursing staff documented that the resident was stable and without pain or distress before departure. During the trip, the driver reported that the properly strapped resident fell in his wheelchair onto the floor of the transport vehicle near the destination; the driver stopped, repositioned and re-secured the resident, and then completed the trip. At the appointment, the driver informed the resident’s son of the fall, the resident denied pain, and the son allowed the driver to leave. The driver did not report the incident to the facility upon return, and the facility only learned of the fall later that day from the son, after the resident had been sent from the appointment to the hospital and diagnosed with rib fractures and pneumothorax.
The facility failed to follow standard precaution protocols to prevent the spread of infections for two residents. A CNA used a blood pressure machine and cuff on one resident and then on another without cleaning it in between, despite knowing the correct procedure. This was confirmed by the ADON and observed by a surveyor.
Failure to Ensure Safe Transport and Timely Reporting After Resident Fall in Vehicle
Penalty
Summary
The deficiency involves the facility’s failure to ensure a safe environment and adequate supervision to prevent an accident for one cognitively intact, highly dependent resident during transport to a medical appointment. The resident had significant respiratory and oncologic conditions, including COPD with acute exacerbation, acute and chronic respiratory failure with hypoxia and hypercapnia, emphysema, malignant neoplasm of the right upper lobe of the lung, and shortness of breath. The resident’s MDS documented that he was dependent for functional abilities, always incontinent of bowel and bladder, and had a history of one fall with major injury. Care plans in effect included staff assistance with wheelchair safety every shift and education of the resident and family on fall reduction strategies. On the morning of the incident, nursing documentation showed that the resident was assessed prior to departure for a scheduled oncology appointment and was found to have stable vital signs, even and unlabored respirations, no shortness of breath or distress, and no complaints of pain or discomfort. The resident was transported from his room to the facility’s transport vehicle by the facility’s transport driver. The driver reported placing the resident in his wheelchair on the vehicle lift, raising him into the vehicle, and securing the wheelchair with four straps anchored to the floor and a belt around the resident’s waist secured to the wheelchair before beginning the drive to the appointment. While en route and approximately a block or about a minute away from the appointment destination, the driver heard a noise from the back of the vehicle and, upon looking back, saw the resident lying on his left side on the floor of the vehicle, still in his wheelchair. The driver stopped the vehicle, went to the back, unhooked the seatbelt around the resident’s waist, left the resident on the floor while he placed the wheelchair back in an upright position, then lifted and repositioned the resident into the wheelchair and re-secured him in the same manner as at the start of the trip. The driver did not observe visible injuries and the resident denied pain at that time. The driver then continued the trip and delivered the resident to the appointment, where the resident’s son was present. The driver informed the son of the fall; the son checked the resident, the resident again stated he was okay, and the son told the driver it was acceptable for him to leave. Later that day, the resident’s son reported to facility nursing staff that the resident had fallen in the transport vehicle and that, after the appointment, the resident had been sent by ambulance from the appointment site to a hospital, then transferred to another hospital, where he was found to have a rib fracture and pneumothorax. Nursing documentation that evening recorded that the resident had departed that morning in stable condition and that the son reported the fall in the vehicle and subsequent hospital evaluation. The resident’s later diagnoses included traumatic pneumothorax, traumatic hemothorax, and multiple right-sided rib fractures with routine healing. The transport driver acknowledged that he did not report the fall to the facility upon returning from the trip and only made a report the following day after being contacted by the facility. The resident, interviewed by telephone from the hospital, confirmed that he had been properly strapped in with four straps and a waist belt, that the vehicle came to a stop near the destination and he fell backward in his wheelchair, and that the driver repositioned him and continued to the appointment. Despite these accounts and the resident’s significant medical vulnerabilities, the facility failed to ensure that the transport process and subsequent communication and assessment fully protected the resident from accident and injury during and immediately after the fall event.
Failure to Follow Infection Control Protocols
Penalty
Summary
The facility failed to follow standard precaution protocols to prevent the spread of infections for two residents. Specifically, a Certified Nursing Assistant (CNA) was observed measuring the vital signs of one resident using a blood pressure machine and cuff, and then proceeded to use the same equipment on another resident without cleaning it in between. The CNA admitted to not wiping the cuff between residents due to nervousness, despite being aware of the correct procedure to use bleach wipes for cleaning the equipment between uses. This incident was observed by a surveyor and confirmed through an interview with the CNA and the Assistant Director of Nursing (ADON), who reiterated that the blood pressure cuff should be cleaned using bleach wipes between residents. The facility's policy on infection prevention and control, which was reviewed and revised recently, clearly states that all shared medical equipment must be cleaned using an EPA-approved disinfectant wipe effective against TB and Hepatitis B. The policy aims to prevent the development and transmission of communicable diseases and infections by ensuring a safe, sanitary, and comfortable environment for all residents, staff, volunteers, and visitors. The failure to adhere to this policy was evident in the actions of the CNA, leading to a deficiency in infection control practices.
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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 Coral Gables
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| West Gables Health Care Center | 3.6 mi | ★★★★★ | 3 | 0 |
| Coral Gables Nursing And Rehabilitation Center | 4.3 mi | ★★★★★ | 1 | 0 |
| Palmetto Subacute Care Center | 4.5 mi | ★★★★★ | 5 | 0 |
| Harmony Health Center | 4.5 mi | ★★★★★ | 0 | 0 |
| Floridean Health & Rehabilitation Center | 5.1 mi | ★★★★★ | 4 | 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.