Cycle 1
Health 2024-12-19 · Fire 2024-12-19
5 health deficiencies
Top issue: Infection Control (1 deficiency)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Hollywood, FL
Kindred Hospital South Florida Hollywood
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
1859 Van Buren St, Hollywood, FL
(954) 920-9000
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
30
Certified beds
Average residents
26
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Kindred Healthcare
Operator or chain grouping
Approved since
2016-05-04
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
4 facilities
Chain averages 4 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
2.81
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.23
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
3.05
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
6.09
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
3.04
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
5.26
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
2.18
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
2.38
CMS adjusted RN staffing hours
Adjusted total hours
5.16
CMS adjusted total nurse staffing hours
Case-mix index
1.62
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,980
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.38
Composite VBP score used to determine payment impact.
Payment multiplier
0.9883
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.22
Baseline 22.18% · Performance 20.78% · Measure score 2.22 · Achievement 1.40 · Improvement 2.22
Healthcare-associated infections
0.99
Baseline 6.54% · Performance 7.54% · Measure score 0.99 · Achievement 0.99 · Improvement 0
Total nurse turnover
2.53
Baseline 40.38% · Performance 53.33% · Measure score 2.53 · Achievement 2.53 · Improvement 0
Adjusted total nurse staffing
8.01
Baseline 5.80 hours · Performance 5.36 hours · Measure score 8.01 · Achievement 8.01 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.37% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 86 · Observed rate 17.44% · Lower 95% interval 9% |
| Discharge to community | 57.8% |
50.57%
7.2 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 46.75% · Lower 95% interval 44.28% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 89 · Denominator 89 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 89 |
| Discharge self-care score | 28.85% |
53.69%
24.8 pts worse
|
Numerator 15 · Denominator 52 |
| Discharge mobility score | 36.54% |
50.94%
14.4 pts worse
|
Numerator 19 · Denominator 52 |
| Pressure ulcers or injuries, new or worsened | 8.99% |
2.29%
6.7 pts worse
|
Numerator 8 · Denominator 89 · Adjusted rate 6.38% |
| Healthcare-associated infections requiring hospitalization | 7.54% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 47 · Observed rate 10.64% · Lower 95% interval 3.94% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 42 |
| Staff flu vaccination coverage | 37.74% |
42%
4.3 pts worse
|
Numerator 20 · Denominator 53 |
| Discharge function score | 36.54% |
56.45%
19.9 pts worse
|
Numerator 19 · Denominator 52 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 75 · Denominator 75 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
94.3%
4.5 pts better
|
81.7%
17.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 97.6% · Q4 98.8% · 4Q avg 98.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.9% |
9.3%
1.4 pts better
|
12.0%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 10.3% · Expected 14.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.9% |
1.5%
1.4 pts worse
|
1.6%
1.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 2.1% · Q3 1.0% · Q4 3.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.1% |
94.7%
7.6 pts worse
|
79.7%
7.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.5% |
26.2%
13.7 pts better
|
23.9%
11.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 15.4% · Expected 29.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-07 · Fire 2023-09-07
6 health deficiencies
Top issue: Environmental (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-05-19 · Fire 2022-05-19
8 health deficiencies
Top issue: Environmental (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-19
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-01-19
F · Potential for more than minimal harm
2024-12-19
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2025-01-19
F · Potential for more than minimal harm
2024-12-19
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-01-19
F · Potential for more than minimal harm
2024-12-19
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-01-19
F · Potential for more than minimal harm
2024-12-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-19
F · Potential for more than minimal harm
2024-12-19
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-01-19
F · Potential for more than minimal harm
2024-12-19
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-01-19
F · Potential for more than minimal harm
2024-12-19
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-19
F · Potential for more than minimal harm
2024-12-19
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-01-19
D · Potential for more than minimal harm
2024-12-19
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-19
D · Potential for more than minimal harm
2024-12-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-01-19
D · Potential for more than minimal harm
2024-12-19
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-01-19
D · Potential for more than minimal harm
2023-09-07
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-22
D · Potential for more than minimal harm
2023-09-07
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-22
D · Potential for more than minimal harm
2022-05-19
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-06-29
D · Potential for more than minimal harm
2022-05-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-15
D · Potential for more than minimal harm
2022-05-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-06-09
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-07
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 2025-08-07
E · Potential for more than minimal harm
2024-12-19
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2025-01-29
E · Potential for more than minimal harm
2024-12-19
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-01-29
D · Potential for more than minimal harm
2024-12-19
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 2025-01-29
D · Potential for more than minimal harm
2024-12-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-29
D · Potential for more than minimal harm
2024-09-05
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-05
E · Potential for more than minimal harm
2023-09-07
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-10-06
E · Potential for more than minimal harm
2023-09-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-06
E · Potential for more than minimal harm
2023-09-07
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2023-10-06
E · Potential for more than minimal harm
2023-09-07
F914 · Environmental Deficiencies
Health
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2023-10-06
D · Potential for more than minimal harm
2023-09-07
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2023-10-06
F · Potential for more than minimal harm
2022-05-19
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 2022-06-18
F · Potential for more than minimal harm
2022-05-19
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2022-06-18
E · Potential for more than minimal harm
2022-05-19
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2022-06-18
D · Potential for more than minimal harm
2022-05-19
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-06-18
D · Potential for more than minimal harm
2022-05-19
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2022-06-18
D · Potential for more than minimal harm
2022-05-19
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 2022-06-18
D · Potential for more than minimal harm
2022-05-19
F923 · Environmental Deficiencies
Health
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected 2022-06-18
D · Potential for more than minimal harm
2022-05-19
F924 · Environmental Deficiencies
Health
Put firmly secured handrails on each side of hallways.
Corrected 2022-06-18
Penalties and ownership
What sits behind the stars
Ownership
Ibrahim, Brian
Operational/Managerial Control · Individual
Rock, Dana
Operational/Managerial Control · Individual
Traylor, Johnetta
Operational/Managerial Control · Individual
Walden, Malkia
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Golfcrest Nursing Center
Hollywood, FL
3-star overall rating with 3-star inspections with $40,755 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Westlake Nursing And Rehab Center
Dania Beach, FL
2-star overall rating with 2-star inspections with $14,521 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Palm Garden Of Aventura
North Miami Beach, FL
4-star overall rating with 4-star inspections with $25,310 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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