Cycle 1
Health 2025-02-19 · Fire 2025-02-19
2 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cutler Bay, FL
East Ridge Retirement Village Inc
5-star overall rating with 4-star inspections with $8,788 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
19225 Sw 87th Ave, Cutler Bay, FL
(305) 256-3545
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
74
Certified beds
Average residents
72
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1985-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.40
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.40
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.17
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.97
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.80
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.69
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.09
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.29
CMS adjusted RN staffing hours
Adjusted total hours
3.67
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
12,544
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.54% · Performance 22.94% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.12% · Performance 8.00% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
3.53
Baseline 4.64 hours · Performance 4.08 hours · Measure score 3.53 · Achievement 3.53 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.75% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 154 · Observed rate 12.34% · Lower 95% interval 8.71% |
| Discharge to community | 61.71% |
50.57%
11.1 pts better
|
Better than the National Rate · Eligible stays 163 · Observed rate 53.99% · Lower 95% interval 52.42% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.85% |
95.27%
3.6 pts better
|
Numerator 86 · Denominator 87 |
| Falls with major injury | 1.15% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 87 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 26 · Denominator 52 |
| Discharge mobility score | 44.23% |
50.94%
6.7 pts worse
|
Numerator 23 · Denominator 52 |
| Pressure ulcers or injuries, new or worsened | 1.15% |
2.29%
1.1 pts better
|
Numerator 1 · Denominator 87 · Adjusted rate 0.94% |
| Healthcare-associated infections requiring hospitalization | 8% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 88 · Observed rate 9.09% · Lower 95% interval 4.42% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 197 |
| Staff flu vaccination coverage | 4.15% |
42%
37.9 pts worse
|
Numerator 11 · Denominator 265 |
| Discharge function score | 55.77% |
56.45%
0.7 pts worse
|
Numerator 29 · Denominator 52 |
| Transfer of health information to provider | 81.82% |
95.95%
14.1 pts worse
|
Numerator 27 · Denominator 33 |
| Transfer of health information to patient | 94.87% |
96.28%
1.4 pts worse
|
Numerator 37 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 34.38% |
25.2%
9.2 pts better
|
Numerator 11 · Denominator 32 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.1
0.1 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.4 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.2
0.7 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.3 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
99.2%
0.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.2% |
2.6%
3.6 pts worse
|
3.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.4% · Q3 6.2% · Q4 7.7% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.4% |
3.7%
0.3 pts better
|
11.4%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 12.8% · 4Q avg 3.4% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
5.9%
0.8 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.9% · Q3 6.5% · Q4 6.1% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.5% |
15.7%
1.8 pts worse
|
19.6%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 25.8% · Q3 12.1% · Q4 14.7% · 4Q avg 17.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.8% |
9.8%
4 pts better
|
16.7%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 4.0% · Q3 10.7% · Q4 0.0% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.4% |
11.7%
8.7 pts worse
|
16.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.3% |
9.8%
4.5 pts worse
|
14.9%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 8.3% · Q3 12.0% · Q4 24.1% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.0% |
12.5%
8.5 pts better
|
19.8%
15.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 0.0% · Q3 5.3% · Q4 0.0% · 4Q avg 4.0% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
5.1%
1.5 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.4% · Q3 5.0% · Q4 4.5% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.3%
5.7 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.8% |
9.3%
5.5 pts better
|
12.0%
8.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.8% · Observed 3.4% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.5%
1.1 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.7%
5.3 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.3% |
26.2%
10.1 pts worse
|
23.9%
12.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.3% · Observed 33.9% · Expected 22.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-30 · Fire 2023-11-30
3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-11-09 · Fire 2022-11-09
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-02-19
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-16
D · Potential for more than minimal harm
2022-11-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-01-23
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-19
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-16
D · Potential for more than minimal harm
2025-02-19
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-03-16
G · Actual harm
2025-01-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-08
E · Potential for more than minimal harm
2023-11-30
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-02-01
D · Potential for more than minimal harm
2023-11-30
F585 · Resident Rights Deficiencies
Health
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.
Corrected 2024-02-01
E · Potential for more than minimal harm
2022-11-09
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-23
E · Potential for more than minimal harm
2022-11-09
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2023-01-23
D · Potential for more than minimal harm
2022-11-09
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-01-23
D · Potential for more than minimal harm
2022-11-09
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-23
D · Potential for more than minimal harm
2022-11-09
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-23
D · Potential for more than minimal harm
2022-11-09
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-01-23
D · Potential for more than minimal harm
2022-11-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-23
D · Potential for more than minimal harm
2022-11-09
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-01-23
D · Potential for more than minimal harm
2022-11-09
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-01-23
Penalties and ownership
What sits behind the stars
$8,788
2025-01-08
Fine
Fine · fine $8,788
Fine
Ownership
East Ridge Retirement Village, Inc.
5% Or Greater Direct Ownership Interest · Organization
Barreto, Rita
Corporate Director · Individual
Bowling, Phillip
Corporate Officer · Individual
Doerr, Benjamin
Corporate Director · Individual
Fernandez, Katherine
Corporate Officer · Individual
Goedert, Karl
Operational/Managerial Control · Individual
Goedert, Karl
Corporate Director · Individual
Goedert, Karl
W-2 Managing Employee · Individual
Haile, Gregory
Corporate Director · Individual
Hood, Glenda
Corporate Director · Individual
Jennette, Ronald
Operational/Managerial Control · Individual
Jennette, Ronald
Corporate Officer · Individual
Jennette, Ronald
W-2 Managing Employee · Individual
Kremer, David
Operational/Managerial Control · Individual
Kremer, David
Corporate Director · Individual
Kremer, David
W-2 Managing Employee · Individual
Lee, James
Corporate Director · Individual
Maddron, Kevin
Corporate Director · Individual
Mooney, Pamela Jo
Corporate Director · Individual
Santafe Senior Living Inc
Operational/Managerial Control · Organization
Sante Fe Healthcare Inc
Operational/Managerial Control · Organization
Sasser, Jackson
Corporate Director · Individual
Schreiber, Lawrence
Corporate Officer · Individual
Ziegler, Steven
Operational/Managerial Control · Individual
Ziegler, Steven
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Jackson Memorial Perdue Medical Center
Cutler Bay, FL
4-star overall rating with 3-star inspections with $28,045 in total fines with 7 recent health deficiencies
#2
South Dade Nursing And Rehabilitation Center
Miami, FL
2-star overall rating with 1-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Coral Reef Subacute Care Center LLC
Miami, FL
3-star overall rating with 2-star inspections with $10,039 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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