The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Gardens Nursing And Rehab Center are:
F-0835 · August 30, 2024 · Grade K — Immediate jeopardy
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date October 28, 2024
F-0880 · August 30, 2024 · Grade K — Immediate jeopardy
Provide and implement an infection prevention and control program.
Status: Deficient, Provider has date of correction · correction date October 28, 2024
F-0925 · August 30, 2024 · Grade K — Immediate jeopardy
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date October 28, 2024
F-0600 · August 1, 2024 · Grade J — Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date August 31, 2024
F-0693 · August 30, 2024 · Grade G — Actual harm
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.
Status: Deficient, Provider has date of correction · correction date October 28, 2024
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Gardens Nursing And Rehab Center, 16 subject areas appear across health and fire-safety inspections.
Physical environment and safety
7 citations between October 3, 2023 and March 26, 2026. The most serious was graded K — immediate jeopardy, affecting a pattern across residents. Surveyors found a situation that caused — or was likely to cause — serious injury, harm, impairment, or death, and that needed immediate correction. 4 of these citations came out of complaint investigations. Correction record: 7 citations show a recorded correction date.
Environmental citations cover the building itself — safe water temperatures, clean and working equipment, hazard-free spaces. Ask what was repaired, when, and what checks are in place now.
F-0925 · August 30, 2024 · Grade K — Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F-0919 · March 26, 2026 · Grade F — Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0919 · August 30, 2024 · Grade E — Make sure that a working call system is available in each resident's bathroom and bathing area.
Administration and leadership
5 citations between May 19, 2023 and March 26, 2026. The most serious was graded K (immediate jeopardy). 1 of these citations came out of complaint investigations. Correction record: 5 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0835 · August 30, 2024 · Grade K — Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F-0867 · August 30, 2024 · Grade E — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-0867 · March 26, 2026 · Grade D — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection prevention and control
4 citations between August 30, 2024 and March 26, 2026. The most serious was graded K (immediate jeopardy). Correction record: 4 citations show a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0880 · August 30, 2024 · Grade K — Provide and implement an infection prevention and control program.
F-0882 · August 30, 2024 · Grade F — Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F-0880 · March 26, 2026 · Grade D — Provide and implement an infection prevention and control program.
Freedom from abuse, neglect, and exploitation
3 citations between August 1, 2024 and March 26, 2026. The most serious was graded J (immediate jeopardy). 1 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0600 · August 1, 2024 · Grade J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0600 · March 26, 2026 · Grade E — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0604 · March 26, 2026 · Grade D — Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of life and daily care
7 citations between May 19, 2023 and March 26, 2026. The most serious was graded G (actual harm). 1 of these citations came out of complaint investigations. Correction record: 7 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0693 · August 30, 2024 · Grade 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.
F-0689 · March 26, 2026 · Grade E — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0684 · March 26, 2026 · Grade D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Food, nutrition, and hydration
10 citations between August 30, 2024 and June 27, 2025. The most serious was graded F (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 10 citations show a recorded correction date.
Nutrition failures connect directly to weight loss, dehydration, and slow wound healing. Ask for weight records, intake logs, and whether a dietitian reviewed the resident after any decline.
F-0812 · August 30, 2024 · Grade F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0812 · June 27, 2025 · Grade E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0800 · August 30, 2024 · Grade E — Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Fire, smoke, and emergency safety
11 citations between May 19, 2023 and March 26, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 10 citations show a recorded correction date; 1 had a plan of correction on file at the last data release.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0324 · March 26, 2026 · Grade E — Provide properly protected cooking facilities.
K-0325 · March 26, 2026 · Grade E — Have properly installed hallway dispensers for alcohol-based hand rub.
K-0345 · March 26, 2026 · Grade E — Have approved installation, maintenance and testing program for fire alarm systems.
Resident rights
9 citations between May 19, 2023 and March 26, 2026. The most serious was graded E (potential for more than minimal harm). 5 of these citations came out of complaint investigations. Correction record: 9 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0576 · August 30, 2024 · Grade E — Ensure residents have reasonable access to and privacy in their use of communication methods.
F-0584 · August 30, 2024 · Grade 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.
F-0584 · October 3, 2023 · Grade 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.
Medication and pharmacy services
7 citations between May 19, 2023 and March 26, 2026. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 7 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0755 · August 30, 2024 · Grade E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0757 · August 30, 2024 · Grade E — Ensure each resident’s drug regimen must be free from unnecessary drugs.
F-0761 · August 30, 2024 · Grade 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.
Assessments and care planning
6 citations between August 30, 2024 and March 26, 2026. The most serious was graded E (potential for more than minimal harm). 3 of these citations came out of complaint investigations. Correction record: 6 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0641 · August 30, 2024 · Grade E — Ensure each resident receives an accurate assessment.
F-0657 · August 30, 2024 · Grade E — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-0645 · March 26, 2026 · Grade D — PASARR screening for Mental disorders or Intellectual Disabilities
Gas, Vacuum, and Electrical Systems
5 citations between May 19, 2023 and March 26, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 5 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0916 · March 26, 2026 · Grade E — Have a battery powered remote alarm panel in a location accessible by operating personnel.
K-0918 · March 26, 2026 · Grade E — Have generator or other power source capable of supplying service within 10 seconds.
K-0923 · March 26, 2026 · Grade E — Have proper medical gas storage and administration areas.
Services
4 citations between May 19, 2023 and March 26, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 4 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0531 · March 26, 2026 · Grade E — Have elevators that firefighters can control in the event of a fire.
K-0541 · March 26, 2026 · Grade E — Install properly constructed and protected linen or trash chutes.
K-0531 · August 30, 2024 · Grade D — Have elevators that firefighters can control in the event of a fire.
Nursing and Physician Services
3 citations between August 30, 2024 and August 30, 2024. The most serious was graded E (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0725 · August 30, 2024 · Grade E — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F-0732 · August 30, 2024 · Grade E — Post nurse staffing information every day.
F-0730 · August 30, 2024 · Grade D — Observe each nurse aide's job performance and give regular training.
Egress
3 citations between August 30, 2024 and March 26, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0222 · March 26, 2026 · Grade E — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K-0291 · March 26, 2026 · Grade E — Install emergency lighting that can last at least 1 1/2 hours.
K-0211 · August 30, 2024 · Grade D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous
3 citations between August 30, 2024 and March 26, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0712 · March 26, 2026 · Grade E — Have simulated fire drills held at unexpected times.
K-0761 · March 26, 2026 · Grade E — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K-0741 · August 30, 2024 · Grade D — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Construction
2 citations between May 19, 2023 and August 30, 2024. The most serious was graded D (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0100 · August 30, 2024 · Grade D — Meet other general requirements.
K-0100 · May 19, 2023 · Grade D — Meet other general requirements.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Gardens Nursing And Rehab Center appears in CMS data on 10 survey dates between May 19, 2023 and March 26, 2026. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
March 26, 2026
Standard health survey — 11 citations, worst grade F (potential for more than minimal harm)
March 26, 2026
Fire-safety survey — 15 citations, worst grade E (potential for more than minimal harm)
June 27, 2025
Complaint health survey — 4 citations, worst grade E (potential for more than minimal harm)
March 27, 2025
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
August 30, 2024
Health survey including complaint investigations — 35 citations, worst grade K (immediate jeopardy)
August 30, 2024
Fire-safety survey — 8 citations, worst grade D (potential for more than minimal harm)
August 1, 2024
Complaint health survey — 1 citation, worst grade J (immediate jeopardy)
October 3, 2023
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
May 19, 2023
Standard health survey — 5 citations, worst grade D (potential for more than minimal harm)
May 19, 2023
Fire-safety survey — 5 citations, worst grade D (potential for more than minimal harm)
Penalties imposed
August 1, 2024 — Fine of $252,723
August 1, 2024 — Payment denial · Medicare/Medicaid payments denied for 75 days from November 1, 2024
October 3, 2023 — Fine of $5,897
October 3, 2023 — Fine of $5,897
Payment denials are the stronger federal sanction: CMS stops paying for new admissions until the home corrects the problems. Gardens Nursing And Rehab Center has 1 denial period on record totalling 75 days.
How Gardens Nursing And Rehab Center compares with peer homes
Raw citation counts mean more in context. The table below compares Gardens Nursing And Rehab Center with the median reviewed facility in Miami-Dade County (5 homes in this research set) and across Florida (156 homes), using the same CMS data. On health citations alone, Gardens Nursing And Rehab Center sits above 100% of its reviewed county peers — near the top of the county for citation volume.
Measure
This home
Miami-Dade Co. median
Florida median
Health citations on record
61
35
30
Citations from complaint investigations
20
6
7
Citations at actual-harm level or worse
5
5
3
Immediate-jeopardy citations
4
4
2
Total fines in CMS penalty records
$264,517
$128,281
$59,961
Penalty records (fines + payment denials)
4
3
2
What families should ask Gardens Nursing And Rehab Center
- Ask why CMS flags Gardens Nursing And Rehab Center with its abuse icon, which citations produced the flag, and what staffing or supervision changes followed.
- Ask for the plan of correction and follow-up monitoring for the physical environment and safety citations — most recently F-0925 on August 30, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the administration and leadership citations — most recently F-0835 on August 30, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the infection prevention and control citations — most recently F-0880 on August 30, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the freedom from abuse, neglect, and exploitation citations — most recently F-0600 on August 1, 2024 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 3 totalling $264,517, the most recent dated August 1, 2024 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Gardens Nursing And Rehab Center first document the change?
- Were recent complaint-related citations at Gardens Nursing And Rehab Center connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Weight loss
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
105765
Legal business name
MIAMI OPCO LLC
Ownership type
For profit - Corporation
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
March 11, 1992
Chain name
ELIYAHU MIRLIS
Certified beds
120
Average residents per day
112.7
Overall CMS rating
2 star
Health inspection rating
1 star
Staffing rating
5 star
Reported nurse staffing hours per resident day
3.80974
Total nursing staff turnover
27.0%
Public records are a starting point, not a conclusion
This profile of Gardens Nursing And Rehab Center uses official CMS provider data as a research starting point. It does not state that Gardens Nursing And Rehab Center abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Legal help resource
Suspect nursing home abuse or neglect?
Public records are only part of the picture. If your family believes a Florida nursing home harmed your loved one, you can speak with a Florida nursing home abuse attorneys about what happened and what options your family may have. Senior Justice Help is not a law firm and is not affiliated with any law firm; this link is provided as a resource only.
Injury and neglect guides
When a Florida care injury may involve negligence
Inspection records show what regulators found; they do not by themselves prove a legal claim. If your family is looking back at a serious injury or death in a Florida nursing home or care facility, these guides explain the deadlines, procedures, records, and questions that apply in Florida:
- Stroke misdiagnosis lawyer information in Florida
- Falls and fractures in Florida care facilities: legal information
- Pressure injuries and bedsores: Florida legal information
- Sepsis from infection in Florida care facilities: legal information
- Medication errors in Florida care facilities: legal information
- Wrongful death in a Florida care facility: legal information
Sources for Gardens Nursing And Rehab Center
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.