Tag 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 2026-06-05| Ownership | Government - County | Certified beds | 163 |
|---|---|---|---|
| Estimated occupancy | 93.2% | Latest inspection | 2026-04-30 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 5 of 5 | 5 of 5 | 3 of 5 |
| Health-inspection score | 25.0 points | 24.0 points | 38.5 points |
| Total nurse staffing | 4.67 hours/day | 3.73 hours/day | 3.63 hours/day |
| RN staffing | 1.39 hours/day | 1.20 hours/day | 0.62 hours/day |
| Staff turnover | 23.6% | 28.1% | 41.8% |
| Latest health deficiencies | 4 deficiencies | 4 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
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 2026-06-05Ensure 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 2026-06-05Procure 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 2026-06-05Set 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 2026-06-05Immediate-jeopardy citations: 0
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 2024-11-29Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-11-29Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-11-29Develop 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 2024-11-29Ensure 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 2024-11-29Provide 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 2024-11-29Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-11-29Immediate-jeopardy citations: 0
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 2023-08-13Provide 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 2023-08-13Ensure 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 2023-08-13Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-08-13Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How 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: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 3.02752 |
| Lpn hours | 0.24996 |
| Rn hours | 1.38758 |
| Reported total hours | 4.66506 |
| Weekend total hours | 3.90389 |
| Weekend rn hours | 0.96619 |
| Adjusted total hours | 4.92922 |
| Total turnover percent | 23.6 |
| Rn turnover percent | 23.1 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2024-09-10 | Fine | $8,018.00 |
| 2024-09-10 | Fine | $20,027.00 |
| 2024-09-10 | Payment Denial | Not reported |
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Name | Role | Share |
|---|---|---|
| PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| HERNANDEZ BORGES, SERGIO | CORPORATE DIRECTOR | NOT APPLICABLE |
| KNIGHT, MARK | CORPORATE DIRECTOR | NOT APPLICABLE |
| TORRES, MYRIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| KNIGHT, MARK | CORPORATE OFFICER | NOT APPLICABLE |
| TORRES, MYRIAM | CORPORATE OFFICER | NOT APPLICABLE |
| PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KNIGHT, MARK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LAVIAN, JUSTIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TORRES, MYRIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA | ADP OF THE SNF | NOT APPLICABLE |
| HERNANDEZ BORGES, SERGIO | ADP OF THE SNF | NOT APPLICABLE |
| LAVIAN, JUSTIN | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology