Cycle 1
Health 2025-09-19 · Fire 2025-09-19
5 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Miami, FL
Miami Jewish Health Systems, Inc
4-star overall rating with 3-star inspections with $15,593 in total fines with 5 recent health deficiencies
5200 Ne 2nd Avenue, Miami, FL
(305) 751-8626
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
393
Certified beds
Average residents
292
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
1.05
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.27
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
4.50
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
6.83
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.33
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
6.06
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.10
CMS adjusted RN staffing hours
Adjusted total hours
7.14
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
28%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,656
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.99
Composite VBP score used to determine payment impact.
Payment multiplier
1.0099
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.03
Baseline 22.76% · Performance 21.88% · Measure score 1.03 · Achievement 0 · Improvement 1.03
Healthcare-associated infections
1.92
Baseline 5.63% · Performance 7.26% · Measure score 1.92 · Achievement 1.92 · Improvement 0
Total nurse turnover
9.05
Baseline 32.15% · Performance 26.70% · Measure score 9.05 · Achievement 9.05 · Improvement 6.97
Adjusted total nurse staffing
10
Baseline 5.06 hours · Performance 6.12 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.79% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 221 · Observed rate 9.5% · Lower 95% interval 7.46% |
| Discharge to community | 53.3% |
50.57%
2.7 pts better
|
No Different than the National Rate · Eligible stays 167 · Observed rate 43.11% · Lower 95% interval 42.86% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.17% |
95.27%
0.1 pts worse
|
Numerator 138 · Denominator 145 |
| Falls with major injury | 0.69% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 145 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 43 · Denominator 86 |
| Discharge mobility score | 31.4% |
50.94%
19.5 pts worse
|
Numerator 27 · Denominator 86 |
| Pressure ulcers or injuries, new or worsened | 6.9% |
2.29%
4.6 pts worse
|
Numerator 10 · Denominator 145 · Adjusted rate 5.26% |
| Healthcare-associated infections requiring hospitalization | 7.26% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 104 · Observed rate 8.65% · Lower 95% interval 4.54% |
| Staff COVID-19 vaccination coverage | 0.57% |
8.2%
7.6 pts worse
|
Numerator 3 · Denominator 527 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 1077 · Denominator 1077 |
| Discharge function score | 39.53% |
56.45%
16.9 pts worse
|
Numerator 34 · Denominator 86 |
| Transfer of health information to provider | 89.86% |
95.95%
6.1 pts worse
|
Numerator 62 · Denominator 69 |
| Transfer of health information to patient | 92% |
96.28%
4.3 pts worse
|
Numerator 46 · Denominator 50 |
| Resident COVID-19 vaccinations up to date | 22.67% |
25.2%
2.5 pts worse
|
Numerator 17 · Denominator 75 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
2.1
0.9 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.0 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.2
About the same
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.8 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.2% |
97.8%
10.6 pts worse
|
93.4%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 69.1% · Q2 83.3% · Q3 98.1% · Q4 98.4% · 4Q avg 87.2% |
| 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 | 2.3% |
2.6%
0.3 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.3% · Q3 2.3% · Q4 2.4% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
3.7%
1.8 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.4% · Q3 2.3% · Q4 1.0% · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
5.9%
1.7 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.5% · Q3 5.1% · Q4 4.8% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.1% |
15.7%
1.4 pts worse
|
19.6%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 17.6% · Q3 16.7% · Q4 16.5% · 4Q avg 17.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.7% |
9.8%
2.9 pts worse
|
16.7%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.1% · Q3 13.0% · Q4 14.3% · 4Q avg 12.7% · 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 | 15.8% |
11.7%
4.1 pts worse
|
16.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 18.1% · Q3 17.6% · Q4 13.2% · 4Q avg 15.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.2% |
9.8%
2.4 pts worse
|
14.9%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 11.4% · Q3 13.4% · Q4 11.5% · 4Q avg 12.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.4%
0.1 pts worse
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.6% · Q3 0.5% · Q4 0.6% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
0.8%
0.3 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.4% · Q3 0.4% · Q4 0.8% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.9% |
12.5%
3.4 pts worse
|
19.8%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 20.4% · Q3 15.7% · Q4 16.1% · 4Q avg 15.9% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
5.1%
0.2 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.8% · Q3 4.5% · Q4 3.6% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
94.3%
1.3 pts better
|
81.7%
13.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 95.6% · Q3 94.8% · Q4 96.3% · 4Q avg 95.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.0% |
9.3%
4.3 pts better
|
12.0%
7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.0% · Observed 5.4% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.5%
0.2 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.5% · Q3 1.4% · Q4 1.3% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.0% |
94.7%
1.3 pts better
|
79.7%
16.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.6% |
26.2%
4.4 pts worse
|
23.9%
6.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.6% · Observed 35.9% · Expected 27.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-09 · Fire 2024-05-09
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-12-15 · Fire 2022-12-15
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2022-12-15
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-01-25
D · Potential for more than minimal harm
2022-12-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-03
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-19
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-10-31
D · Potential for more than minimal harm
2025-09-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-31
D · Potential for more than minimal harm
2025-09-19
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 2025-10-31
D · Potential for more than minimal harm
2025-09-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-31
D · Potential for more than minimal harm
2025-06-02
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-02
D · Potential for more than minimal harm
2025-02-25
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 2025-04-15
D · Potential for more than minimal harm
2025-02-25
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 2025-03-07
D · Potential for more than minimal harm
2024-05-09
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-06-09
G · Actual harm
2023-04-12
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 2023-05-12
G · Actual harm
2023-04-12
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 2023-05-12
D · Potential for more than minimal harm
2022-12-15
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-25
D · Potential for more than minimal harm
2022-12-15
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-01-25
Penalties and ownership
What sits behind the stars
$0
2025-06-02
Payment Denial
Payment Denial · denial start 2025-09-02 · 59 days
59 day denial
$7,443
2023-04-12
Fine
Fine · fine $7,443
Fine
$8,150
2023-04-12
Fine
Fine · fine $8,150
Fine
Ownership
Corbett, Shaun
Corporate Director · Individual
Mccloskey, Fiona
Operational/Managerial Control · Individual
Pincus, Jason
Corporate Officer · Individual
Purcell, Robert
Corporate Director · Individual
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#2
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5-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Unity Healthcare And Rehabilitation Center
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4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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