Cutler Bay, FL

Jackson Memorial Perdue Medical Center

4-star overall rating with 3-star inspections with $28,045 in total fines with 7 recent health deficiencies

19590 Old Cutler Road, Cutler Bay, FL

(786) 466-3500

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

163

Certified beds

Average residents

156

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1974-10-01

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

1.36

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.29

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.75

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

4.40

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.65

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.60

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.92

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.44

CMS adjusted RN staffing hours

Adjusted total hours

4.68

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

22%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

18%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

296

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

74.19

Composite VBP score used to determine payment impact.

Payment multiplier

1.0242

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

10

Performance 20.95% · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

4.84

Baseline 5.24 hours · Performance 4.45 hours · Measure score 4.84 · Achievement 4.84 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 6 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	2.69%	8.2% 5.5 pts worse	Numerator 6 · Denominator 223
Staff flu vaccination coverage	70.31%	42% 28.3 pts better	Numerator 161 · Denominator 229
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	2.1 0.6 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.2 0.3 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.8%	97.8% 2 pts better	93.4% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.3% · Q4 100.0% · 4Q avg 99.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.0%	99.2% 1.2 pts worse	95.5% 2.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.1%	2.6% 1.5 pts better	3.3% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.7% · Q4 0.7% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	3.7% 3.7 pts better	11.4% 11.4 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 who lose too much weight	5.9%	5.9% About the same	5.4% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.5% · Q3 9.5% · Q4 3.2% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	2.9%	15.7% 12.8 pts better	19.6% 16.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.1% · Q3 3.9% · Q4 2.3% · 4Q avg 2.9%
Percentage of long-stay residents who received an antipsychotic medication	31.3%	9.8% 21.5 pts worse	16.7% 14.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 29.4% · Q3 30.6% · Q4 34.7% · 4Q avg 31.3% · 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	11.7%	11.7% About the same	16.3% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 8.6% · Q3 8.4% · Q4 11.9% · 4Q avg 11.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.9%	9.8% 0.1 pts worse	14.9% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 12.5% · Q3 5.5% · Q4 10.5% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	4.0%	0.4% 3.6 pts worse	1.0% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.4% · Q3 4.5% · Q4 3.9% · 4Q avg 4.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	0.8% 0.4 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.7% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	8.9%	12.5% 3.6 pts better	19.8% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 8.4% · Q3 5.2% · Q4 12.0% · 4Q avg 8.9%
Percentage of long-stay residents with pressure ulcers	5.7%	5.1% 0.6 pts worse	5.1% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.2% · Q3 7.6% · Q4 4.9% · 4Q avg 5.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.9%	94.3% 2.6 pts better	81.7% 15.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 96.2% · Q3 96.1% · Q4 97.2% · 4Q avg 96.9%
Percentage of short-stay residents who newly received an antipsychotic medication	5.0%	1.5% 3.5 pts worse	1.6% 3.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 7.0% · Q4 9.3% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.6%	94.7% 2.1 pts worse	79.7% 12.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.6%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-24 · Fire 2024-10-24

7 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-07-13 · Fire 2023-07-13

5 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-06-09 · Fire 2022-06-09

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-10-24

F867 · Administration Deficiencies

Health

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

Corrected 2024-11-29