CareSentinel

Compiled from official CMS federal data

GARDENS NURSING AND REHAB CENTER, MIAMI, FL — Violations & Inspection Reports

CCN 105765 · 190 NE 191ST STREET, MIAMI, FL, 33161

Record as of Jun 2026 · Updated monthly from CMS

Does GARDENS NURSING AND REHAB CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), GARDENS NURSING AND REHAB CENTER (CCN 105765), in MIAMI, FL, has federal inspection findings. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related).

In its current inspection cycle, CMS cited the facility for 15 deficiencies; the most severe is rated F — which CMS classifies as "potential for harm," a level below actual harm (risk, but no harm confirmed). The latest standard health inspection on file is dated 2026-03-26. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $264,517 in civil money penalties on file against the facility. The record also includes 3 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Mar 2026). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 3 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Mar 2026.
  • 2 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Mar 2026.
  • 20 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

CMS displays its federal abuse icon on this facility's official record.

Below is this facility's federal inspection record as on file with CMS.

Federal Abuse Icon

Federal abuse icon on file

CMS displays this icon for facilities it has cited for resident abuse under its own published methodology — the government's own flag, restated here.

F600 — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$264,517

CMS also records 75 days of payment denial.

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Showing the 60 most recent of 61 federal records.

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2024-08-30
HISTORICAL
F925S/S K

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

2024-08-30
HISTORICAL
F880S/S K

Provide and implement an infection prevention and control program.

2024-08-30
HISTORICAL
F835S/S K

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2026-03-26
CURRENT CYCLE
F919S/S F

Make sure that a working call system is available in each resident's bathroom and bathing area.

56 more citations on file — Abuse & neglect 3 · Accidents & supervision 2 · Medication & pharmacy 7 · Resident rights 8 · Other citations 33 (expand)
2026-03-26
CURRENT CYCLE
F689S/S E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2026-03-26
CURRENT CYCLE
F600S/S E

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2026-03-26
CURRENT CYCLE
F921S/S D

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2026-03-26
CURRENT CYCLE
F604S/S D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

2026-03-26
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2026-03-26
CURRENT CYCLE
F867S/S D

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2026-03-26
CURRENT CYCLE
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2026-03-26
CURRENT CYCLE
F583S/S D

Keep residents' personal and medical records private and confidential.

2026-03-26
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2026-03-26
CURRENT CYCLE
F761S/S 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.

2025-06-27
CURRENT CYCLE
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-06-27
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-06-27
CURRENT CYCLE
F627S/S D

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

2025-06-27
CURRENT CYCLE
F813S/S D

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

2025-03-27
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2025-03-27
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-03-27
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-08-30
HISTORICAL
F693S/S 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.

2024-08-30
HISTORICAL
F882S/S F

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

2024-08-30
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-08-30
HISTORICAL
F867S/S E

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2024-08-30
HISTORICAL
F761S/S 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.

2024-08-30
HISTORICAL
F800S/S E

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

2024-08-30
HISTORICAL
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-08-30
HISTORICAL
F803S/S 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.

2024-08-30
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2024-08-30
HISTORICAL
F584S/S 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.

2024-08-30
HISTORICAL
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2024-08-30
HISTORICAL
F732S/S E

Post nurse staffing information every day.

2024-08-30
HISTORICAL
F919S/S E

Make sure that a working call system is available in each resident's bathroom and bathing area.

2024-08-30
HISTORICAL
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-08-30
HISTORICAL
F757S/S E

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2024-08-30
HISTORICAL
F576S/S E

Ensure residents have reasonable access to and privacy in their use of communication methods.

2024-08-30
HISTORICAL
F641S/S E

Ensure each resident receives an accurate assessment.

2024-08-30
HISTORICAL
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2024-08-30
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-08-30
HISTORICAL
F585S/S 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.

2024-08-30
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-08-30
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-08-30
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-08-30
HISTORICAL
F730S/S D

Observe each nurse aide's job performance and give regular training.

2024-08-30
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2024-08-30
HISTORICAL
F805S/S D

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

2024-08-30
HISTORICAL
F808S/S 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.

2024-08-30
HISTORICAL
F810S/S D

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

2024-08-30
HISTORICAL
F814S/S D

Dispose of garbage and refuse properly.

2024-08-30
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-08-30
HISTORICAL
F917S/S 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.

2024-08-30
HISTORICAL
F924S/S D

Put firmly secured handrails on each side of hallways.

2024-08-01
HISTORICAL
F600S/S J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-10-03
HISTORICAL
F584S/S 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.

2023-10-03
HISTORICAL
F925S/S E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

2023-05-19
HISTORICAL
F867S/S D

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2023-05-19
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2023-05-19
HISTORICAL
F839S/S D

Employ staff that are licensed, certified, or registered in accordance with state laws.

2023-05-19
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Overall CMS star rating

This facility: 2  ·  CMS state average: 3.3

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

GARDENS NURSING AND REHAB CENTER — Federal Record

CMS overall 2/5 · 15 current-cycle deficiencies · CMS abuse icon listed


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

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What happened

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If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

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Download the full federal record (PDF) →