Tag 0919 · Severity F
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Deficient, Provider has date of correction 2026-05-14For-profit
Gardens Nursing and Rehab Center
190 Ne 191St Street, Miami, FL 33161
(305) 651-9690 · Eliyahu Mirlis
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 94.1% | Latest inspection | 2026-03-26 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 290.8 points
Total nurse staffing
Facility: 3.79 hours/day
RN staffing
Facility: 0.65 hours/day
Staff turnover
Facility: 26.9%
Latest health deficiencies
Facility: 11 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 5 of 5 | 3 of 5 |
| Health-inspection score | 290.8 points | 24.0 points | 38.5 points |
| Total nurse staffing | 3.79 hours/day | 3.73 hours/day | 3.63 hours/day |
| RN staffing | 0.65 hours/day | 1.20 hours/day | 0.62 hours/day |
| Staff turnover | 26.9% | 28.1% | 41.8% |
| Latest health deficiencies | 11 deficiencies | 4 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2026-03-26
11 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0600 · Severity E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2026-05-14Tag 0689 · Severity E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-05-14Tag 0583 · Severity D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-05-14Tag 0604 · Severity D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2026-05-14Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-05-14Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-05-14Tag 0761 · Severity D
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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-05-14Tag 0867 · Severity D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2026-05-14Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-05-14Tag 0921 · Severity D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Deficient, Provider has date of correction 2026-05-142024-08-30
43 deficiencies
Highest severity: K
Immediate-jeopardy citations: 3
Tag 0835 · Severity K
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0880 · Severity K
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0925 · Severity K
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0693 · Severity G
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.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0812 · Severity F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0882 · Severity F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0576 · Severity E
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0584 · Severity E
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0641 · Severity E
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0657 · Severity E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0725 · Severity E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0732 · Severity E
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0755 · Severity E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0757 · Severity E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0761 · Severity E
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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0800 · Severity E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0803 · Severity E
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.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0804 · Severity E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0867 · Severity E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0919 · Severity E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0558 · Severity D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0585 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0689 · Severity D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0730 · Severity D
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0760 · Severity D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0805 · Severity D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0808 · Severity D
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.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0810 · Severity D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0814 · Severity D
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0883 · Severity D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0917 · Severity D
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.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-10-28Tag 0924 · Severity D
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-10-282023-05-19
7 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0550 · Severity D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-06-23Tag 0688 · Severity D
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.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-06-23Tag 0755 · Severity D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-06-23Tag 0839 · Severity D
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies · Deficient, Provider has date of correction 2023-06-23Tag 0867 · Severity D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2023-06-23Staffing composition
2.57 hours/dayNurse aide
0.57 hours/dayLPN
0.65 hours/dayRN
- Total staffing
- 3.79 hours/day
- County median
- 3.73 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.55 hours/day
- Staff turnover
- 26.9%
- RN turnover
- 36.8%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.5 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 2.6 per 1,000 days20250101-20251231
Emergency-department visits
0.7 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.4 per 1,000 days20250101-20251231
Falls with major injury
1.2%betterFlorida: 2.2% · County: 0.8%2025Q2-2026Q1
Pressure ulcers
5.7%worseFlorida: 4.2% · County: 4.2%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
37.1%worseFlorida: 7.0% · County: 7.8%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What improvements is the facility making in response to its Special Focus status?
Suggested because of: special focusWhat corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penalties
Facility Details
- County
- Miami-Dade County
- Certified beds
- 120
- Average daily residents
- 112.9
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1992-03-11
- CCN
- 105765
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.56838 |
| Lpn hours | 0.57448 |
| Rn hours | 0.65003 |
| Reported total hours | 3.79289 |
| Weekend total hours | 3.55219 |
| Weekend rn hours | 0.5101 |
| Adjusted total hours | 4.95898 |
| Total turnover percent | 26.9 |
| Rn turnover percent | 36.8 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$264,517.00Total fines
3Number of fines
1Payment denials
| Date | Type | Amount |
|---|---|---|
| 2024-08-01 | Fine | $252,723.00 |
| 2024-08-01 | Payment Denial | Not reported |
| 2023-10-03 | Fine | $5,897.00 |
| 2023-10-03 | Fine | $5,897.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
11Health citations
28Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
5
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Provide and implement an infection prevention and control program.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| 190 NE 191ST ST MIAMI HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| MIRLIS, ELIYAHU | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 99% |
| COLMAN, RUBEN | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| CROSS, HALEY | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| COLMAN, RUBEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CROSS, HALEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| COLMAN, RUBEN | ADP OF THE SNF | NOT APPLICABLE |
| CROSS, HALEY | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology