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

Compare this facility

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

Staffing

Hours and turnover

RN hours / resident day

1.40

Registered nurse staffing

LPN hours / resident day

0.40

Licensed practical nurse staffing

Aide hours / resident day

2.17

Nurse aide staffing

Weekend hours

3.69

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

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)

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

100% 1 facilities 2010-04-19
Barreto, Rita

Corporate Director · Individual

0% 1 facilities 2022-01-01
Bowling, Phillip

Corporate Officer · Individual

0% 1 facilities 2022-02-28
Doerr, Benjamin

Corporate Director · Individual

0% 1 facilities 2014-04-09
Fernandez, Katherine

Corporate Officer · Individual

0% 1 facilities 2022-01-01
Goedert, Karl

Operational/Managerial Control · Individual

0% 1 facilities 2016-06-28
Goedert, Karl

Corporate Director · Individual

0% 1 facilities 2016-06-28
Goedert, Karl

W-2 Managing Employee · Individual

0% 1 facilities 2016-06-28
Haile, Gregory

Corporate Director · Individual

0% 1 facilities 2022-04-01
Hood, Glenda

Corporate Director · Individual

0% 1 facilities 2022-01-01
Jennette, Ronald

Operational/Managerial Control · Individual

0% 1 facilities 2022-01-12
Jennette, Ronald

Corporate Officer · Individual

0% 1 facilities 2022-01-12
Jennette, Ronald

W-2 Managing Employee · Individual

0% 1 facilities 2022-01-12
Kremer, David

Operational/Managerial Control · Individual

0% 1 facilities 2021-08-19
Kremer, David

Corporate Director · Individual

0% 1 facilities 2021-08-19
Kremer, David

W-2 Managing Employee · Individual

0% 1 facilities 2021-08-19
Lee, James

Corporate Director · Individual

0% 3 facilities 2022-01-01
Maddron, Kevin

Corporate Director · Individual

0% 2 facilities 2022-04-01
Mooney, Pamela Jo

Corporate Director · Individual

0% 1 facilities 2014-04-09
Santafe Senior Living Inc

Operational/Managerial Control · Organization

0% 1 facilities 2014-01-01
Sante Fe Healthcare Inc

Operational/Managerial Control · Organization

0% 1 facilities 2010-04-19
Sasser, Jackson

Corporate Director · Individual

0% 1 facilities 2014-04-09
Schreiber, Lawrence

Corporate Officer · Individual

0% 1 facilities 2022-05-01
Ziegler, Steven

Operational/Managerial Control · Individual

0% 1 facilities 2015-06-19
Ziegler, Steven

Corporate Officer · Individual

0% 1 facilities 2015-06-19

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Health
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Staffing
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Fines
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#2

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2-star overall rating with 1-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
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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

Overall
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Health
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Staffing
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Fines
$10,039

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