Medicare and Medicaid · Miami-Dade County
Gardens Nursing And Rehab Center
190 NE 191ST STREET, Miami, FL 33161 · 3056519690
Overall rating
2/5
Gardens Nursing And Rehab Center is a for-profit nursing home in Miami, FL with 120 licensed beds. CMS rates it 2 out of 5 stars overall — below average for Florida nursing homes. Subcategory scores: staffing (5/5), health inspections (1/5), quality measures (5/5). The facility has incurred $263,030 in government fines — review the penalty history below.
Are you the owner or manager of this facility?
Claim your profile to respond to families, update your listing, and unlock featured placement.
Not sure if this is the right fit?
A senior care advisor can help you compare options - free, no obligation.
How this home is rated
Source: CMS Care Compare, last updated May 1, 2026
About this home
- Capacity
- 120 beds
- Ownership
- For profit - Corporation
- Type
- Medicare and Medicaid
- County
- Miami-Dade
Government Penalties
$263,030 total fines- 2024-08-01 — Fine · $252,723
- 2024-08-01 — Payment Denial
- 2023-10-03 — Fine · $5,897
- 2023-05-19 — Fine · $4,410
What the government rating says
2
out of 5
CMS stars
Gardens Nursing And Rehab Center carries a 2-star CMS rating — below average for Florida. Families considering this facility should review the inspection history, staffing data, and any penalty record carefully before visiting.
Health Inspections
1/5
Poor — significant deficiencies found on inspection
Staffing
5/5
Excellent — well above average staffing
Quality Measures
5/5
Top tier — among best outcomes in Florida
What the Ratings Mean
Gardens Nursing And Rehab Center presents a mixed picture in its CMS star ratings that families should look at closely. The staffing rating of 5 out of 5 stars is genuinely impressive, meaning residents here receive more hands-on nursing time relative to the number of residents than the vast majority of facilities nationwide. The quality measures rating is also 5 out of 5, which reflects strong outcomes across 15 clinical indicators, things like how well the facility manages pain, prevents pressure wounds, and maintains residents' physical functioning. Those two scores suggest that day-to-day care and resident health outcomes are real strengths here.
Where the concern comes in is the health inspection rating of 1 out of 5 stars, which is the lowest possible score. This rating is based on findings from state inspectors who visit the facility and document any problems they find. A 1-star inspection score means inspectors cited a higher number of deficiencies, more serious ones, or both, compared to other Florida nursing homes. Because the overall 2-star rating is a composite of all three categories, that rock-bottom inspection score pulls the overall rating down significantly, even with the excellent staffing and quality numbers working in the other direction. For families, this means it's worth asking the facility directly about recent inspection findings and what steps they've taken to address them. You can also pull the full inspection report on the Medicare Care Compare website to see exactly what was cited.
Staffing at a Glance
Gardens Nursing And Rehab Center provides about 0.58 registered nurse hours per resident each day, which is slightly above the Florida average of 0.52, meaning residents here get a bit more time with a higher-skilled nurse than you would typically find at other Florida nursing homes. However, when you look at total nursing hours, which includes CNAs and other nursing staff, the facility comes in at 3.55 hours per resident per day compared to the state average of 3.87. In practical terms, that gap in total hours means that across a full day, residents may have somewhat less hands-on help with things like getting dressed, moving around, eating, or going to the bathroom than the average Florida facility provides. The RN numbers are a small bright spot, but the overall staffing picture suggests the care team may be stretched a bit thinner than what families might find elsewhere.
Inspection & Penalty History
Gardens Nursing And Rehab Center has a 1-out-of-5-star health inspection rating from the government, which is about as low as a facility can score. On top of that, it has four federal penalties on record totaling $263,030 in fines, with the most recent penalty issued in August 2024. That recent date is worth noting because it means these are not old, resolved problems from years past. For families, this combination of a poor inspection rating and significant, ongoing penalty history is a real concern and warrants careful consideration before choosing this facility. It does not mean care is impossible to receive here, but it does mean you should ask a lot of detailed questions and, if possible, visit in person before making a decision. Families evaluating this facility can compare it to others in Miami on the Miami nursing homes and assisted living page.
Questions to Ask When You Visit
- How many residents does each certified nursing assistant care for during a typical day shift and a typical night shift?
- How often do residents see the same caregivers from week to week, and what is your current staff turnover rate?
- What is your process when a resident falls, and can you walk me through what happened the last time a fall occurred here?
- If my loved one has a concern or complaint, who do they talk to, and how do you make sure that concern actually gets resolved?
- Can I visit at different times of day, including evenings and weekends, without giving advance notice?
- What does a typical day look like for a resident who does not have many scheduled therapies, and how do you make sure they stay engaged and comfortable?
For more guidance on evaluating facilities, see our guide to questions to ask when choosing a Florida nursing home.
Is your loved one a Florida veteran?
VA benefits can significantly reduce the cost of nursing home and assisted living care in Florida — and many families don't realize they may qualify.
Not sure yet?
Talk to someone who can help
You don't have to figure this out alone. A placement specialist will reach out to walk you through your options — at no cost, no pressure.
