SFF Candidate

Overview

Address
190 NE 191ST STREET, MIAMI, FL 33161
Phone
3056519690
Certified beds
120
Avg daily residents
116 (96% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1992-03-11
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.55 3.18 4.31 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.58 0.56 0.71 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.58 0.71 0.70
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.39 1.92 2.90
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.16
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.00

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.40
hrs / resident / day
RN (weekend)
0.50
hrs / resident / day
Total nurse (adjusted, weekend)
4.12
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
29.5%
annual
RN turnover
43.5%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.13
near national average
Case-Mix Index Ratio
0.82
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-08-30 38 31 13 536 2 804
Cycle 2/3 (prior) 2023-05-19 12 5 8 131 1 131
Total weighted health score
635.8
lower is better

Deficiencies (60)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

55 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
4 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-06-27 2025-07-31
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-06-27 2025-07-31
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-06-27 2025-07-31
0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors. D 2025-06-27 2025-07-31
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-03-27 2025-05-10
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-03-27 2025-05-10
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-03-27 2025-05-10
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-08-30 2024-10-28
0576 Ensure residents have reasonable access to and privacy in their use of communication methods. E 2024-08-30 2024-10-28
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-08-30 2024-10-28
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2024-08-30 2024-10-28
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-08-30 2024-10-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-08-30 2024-10-28
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. G 2024-08-30 2024-10-28
0732 Post nurse staffing information every day. E 2024-08-30 2024-10-28
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-08-30 2024-10-28
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. E 2024-08-30 2024-10-28
0760 Ensure that residents are free from significant medication errors. D 2024-08-30 2024-10-28
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. E 2024-08-30 2024-10-28
0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. E 2024-08-30 2024-10-28
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. E 2024-08-30 2024-10-28
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-08-30 2024-10-28
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D 2024-08-30 2024-10-28
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. D 2024-08-30 2024-10-28
0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. D 2024-08-30 2024-10-28
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-08-30 2024-10-28
0814 Dispose of garbage and refuse properly. D 2024-08-30 2024-10-28
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2024-08-30 2024-10-28
0880 Provide and implement an infection prevention and control program. K 2024-08-30 2024-10-28
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F 2024-08-30 2024-10-28
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-08-30 2024-10-28
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. D 2024-08-30 2024-10-28
0641 Ensure each resident receives an accurate assessment. E 2024-08-30 2024-10-28
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2024-08-30 2024-10-28
0730 Observe each nurse aide's job performance and give regular training. D 2024-08-30 2024-10-28
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. K 2024-08-30 2024-10-28
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2024-08-30 2024-10-28
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. K 2024-08-30 2024-10-28
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. E 2024-08-30 2024-10-28
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. D 2024-08-30 2024-10-28
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-08-30 2024-10-28
0924 Put firmly secured handrails on each side of hallways. D 2024-08-30 2024-10-28
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-08-01 2024-08-31
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. E 2023-10-03 2024-02-02
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2023-10-03 2024-02-02
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-05-19 2023-06-23
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. D 2023-05-19 2023-06-23
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-05-19 2023-06-23
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. D 2023-05-19 2023-06-23
0839 Employ staff that are licensed, certified, or registered in accordance with state laws. D 2023-05-19 2023-06-23

Showing 50 most recent of 60. See the All Data CSV for the full list.

Penalties (7)

Fines issued
6
last 3 years
Total fines
$277,745
Payment denials
1
Date Type Fine amount
2023-05-19 Fine $4,409
2023-05-19 Fine $4,409
2023-05-19 Fine $4,410
2023-10-03 Fine $5,897
2023-10-03 Fine $5,897
2024-08-01 Fine $252,723
2024-08-01 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 8.0% Medicaid 88.8% Other 3.3%

Operating performance

Operating Margin
-0.8%
Total Margin
-0.8%
Occupancy Rate
68.8%
Cost per Resident Day
$24

Revenue & costs

Net Patient Revenue
$6.3M
Total Costs
$479K
Net Income
-$52K

Balance sheet

Total Assets
$1.9M
Total Liabilities
$3.8M
Fund Balance
-$2.0M
Current Ratio
0.49

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: ELIYAHU MIRLIS

Chain ID
710
Facilities in chain
13
Legal business name
MIAMI OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.0
Health
1.9
Staffing
2.8
QM
3.4

Owner / manager organizations (2)

Organization Role Association
190 NE 191ST ST MIAMI HOLDCO LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2023
VRD 10 HLDCO LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2023

Owner / manager individuals (4)

Name Role Association
BECHER, SARAH 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2023
MIRLIS, ELIYAHU 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2023
COLMAN, RUBEN OPERATIONAL/MANAGERIAL CONTROL since 12/30/2024
CROSS, HALEY OPERATIONAL/MANAGERIAL CONTROL since 12/30/2024

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Special focus status
SFF Candidate
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $24 metrics.cost_per_resident_day
Cost Report Current Ratio 0.49 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 88.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 8.0% metrics.medicare_day_share
Cost Report Net Income ($) $-52,180 metrics.net_income
Cost Report Net Patient Revenue ($) $6,285,802 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 68.8% metrics.occupancy_rate
Cost Report Operating Margin (%) -0.8% metrics.operating_margin
Cost Report Total Assets ($) $1,864,957 metrics.total_assets
Cost Report Total Costs ($) $478,697 metrics.total_costs
Cost Report Total Fund Balances ($) $-1,966,426 metrics.fund_balance
Cost Report Total Liabilities ($) $3,831,383 metrics.total_liabilities
Cost Report Total Margin (%) -0.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.70109 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.90256 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.70874 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.31239 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.12292 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 115.5 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.70577 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.91811 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.55630 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.18017 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.80299 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.4 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.8 Chain Average Staffing Rating
Provider Information Chain ID 710 Chain ID
Provider Information Chain Name ELIYAHU MIRLIS Chain Name
Provider Information City/Town MIAMI City/Town
Provider Information CMS Certification Number (CCN) 105765 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Miami-Dade County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1992-03-11 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 25.9501 Latitude
Provider Information Legal Business Name MIAMI OPCO LLC Legal Business Name
Provider Information Location 190 NE 191ST STREET,MIAMI,FL,33161 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -80.198 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 120 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 13 Number of Facilities in Chain
Provider Information Number of Fines 6 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.12659 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.81777 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 190 NE 191ST STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name GARDENS NURSING AND REHAB CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 120 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 536 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 268 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 13 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 2 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 31 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-08-30 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 804 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 38 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 5 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-05-19 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 131 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 8 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 131 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 12 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.49767 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 43.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.16125 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.57748 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.39079 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00000 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.58377 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.55204 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 3056519690 Telephone Number
Provider Information Total Amount of Fines in Dollars 277745.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.39597 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 7 Total Number of Penalties
Provider Information Total nursing staff turnover 29.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 635.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 33161 ZIP Code