Kendall, FL

Nspire Healthcare Kendall

4-star overall rating with 3-star inspections with $29,355 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

9400 Sw 137th Avenue, Kendall, FL

(305) 385-8290

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

120

Certified beds

Average residents

117

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care

Operator or chain grouping

Approved since

1989-08-31

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

36 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

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

1.14

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

2.13

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.51

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.42

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

0.03

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.23

CMS adjusted RN staffing hours

Adjusted total hours

3.76

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

21%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

32%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,218

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

Performance score

27.46

Composite VBP score used to determine payment impact.

Payment multiplier

0.9846

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.43

Baseline 21.80% · Performance 19.92% · Measure score 3.43 · Achievement 3.25 · Improvement 3.43

Healthcare-associated infections

Baseline 6.08% · Performance 8.33% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.52

Baseline 47.00% · Performance 41.12% · Measure score 5.52 · Achievement 5.52 · Improvement 2.15

Adjusted total nurse staffing

2.03

Baseline 3.74 hours · Performance 3.66 hours · Measure score 2.03 · Achievement 2.03 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.9%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 63 · Observed rate 9.52% · Lower 95% interval 6.69%
Discharge to community	38.81%	50.57% 11.8 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 27.5% · Lower 95% interval 27.19%
Medicare spending per beneficiary	1.09	1.02 0.1 pts worse
Drug regimen review with follow-up	78.57%	95.27% 16.7 pts worse	Numerator 143 · Denominator 182
Falls with major injury	0.55%	0.77% 0.2 pts better	Numerator 1 · Denominator 182
Discharge self-care score	38.4%	53.69% 15.3 pts worse	Numerator 48 · Denominator 125
Discharge mobility score	17.6%	50.94% 33.3 pts worse	Numerator 22 · Denominator 125
Pressure ulcers or injuries, new or worsened	1.65%	2.29% 0.6 pts better	Numerator 3 · Denominator 182 · Adjusted rate 1.1%
Healthcare-associated infections requiring hospitalization	8.33%	7.12% 1.2 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 16.67% · Lower 95% interval 4.96%
Staff COVID-19 vaccination coverage	88.27%	8.2% 80.1 pts better	Numerator 173 · Denominator 196
Staff flu vaccination coverage	12.62%	42% 29.4 pts worse	Numerator 27 · Denominator 214
Discharge function score	28%	56.45% 28.5 pts worse	Numerator 35 · Denominator 125
Transfer of health information to provider	94.64%	95.95% 1.3 pts worse	Numerator 53 · Denominator 56
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 56 · Denominator 56
Resident COVID-19 vaccinations up to date	31.68%	25.2% 6.5 pts better	Numerator 32 · Denominator 101

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	4.3	2.1 2.2 pts worse	1.9 2.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.3 · Observed 3.5 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.4	1.2 0.8 pts better	1.8 1.4 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.9%	97.8% 6.9 pts worse	93.4% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 80.6% · Q2 87.9% · Q3 95.5% · Q4 100.0% · 4Q avg 90.9%
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	1.8%	2.6% 0.8 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 3.0% · Q4 1.4% · 4Q avg 1.8% · 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	2.2%	5.9% 3.7 pts better	5.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 1.8% · Q4 3.4% · 4Q avg 2.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.3%	15.7% 2.6 pts worse	19.6% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 13.3% · Q3 12.3% · Q4 29.0% · 4Q avg 18.3%
Percentage of long-stay residents who received an antipsychotic medication	3.9%	9.8% 5.9 pts better	16.7% 12.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.1% · Q3 0.0% · Q4 6.2% · 4Q avg 3.9% · 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	22.9%	11.7% 11.2 pts worse	16.3% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 22.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.7%	9.8% 3.9 pts worse	14.9% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 14.8% · Q3 7.5% · Q4 12.5% · 4Q avg 13.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.4% 0.1 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.2%	0.8% 0.4 pts worse	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.0% · Q4 3.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.9%	12.5% 1.4 pts worse	19.8% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 9.5% · Q3 18.6% · Q4 8.8% · 4Q avg 13.9%
Percentage of long-stay residents with pressure ulcers	5.2%	5.1% 0.1 pts worse	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 4.8% · Q3 4.6% · Q4 5.3% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	94.3% 4.4 pts better	81.7% 17 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 98.7% · Q3 99.2% · Q4 99.4% · 4Q avg 98.7%
Percentage of short-stay residents who had an outpatient emergency department visit	3.6%	9.3% 5.7 pts better	12.0% 8.4 pts better	Short Stay · 20240701-20250630 · Adjusted 3.6% · Observed 3.4% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.5% 0.6 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.2% · Q3 0.9% · Q4 0.0% · 4Q avg 0.9% · 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	29.3%	26.2% 3.1 pts worse	23.9% 5.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.3% · Observed 30.7% · Expected 25.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-21 · Fire 2024-11-21

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-08-09 · Fire 2023-08-09

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2022-07-28 · Fire 2022-07-28

16 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-11-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-21

D · Potential for more than minimal harm 2024-04-04

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-05-30

F · Potential for more than minimal harm 2023-08-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-09

F · Potential for more than minimal harm 2023-08-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-09-09

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-11-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-17

D · Potential for more than minimal harm 2024-11-21

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 2024-12-17

D · Potential for more than minimal harm 2024-11-21

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-12-17

D · Potential for more than minimal harm 2024-11-21

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 2024-12-17

D · Potential for more than minimal harm 2024-11-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-17

D · Potential for more than minimal harm 2023-08-09

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 2023-09-09

D · Potential for more than minimal harm 2023-08-09

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-09-09

D · Potential for more than minimal harm 2023-08-09

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 2023-09-09

D · Potential for more than minimal harm 2023-08-09

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-09-09

D · Potential for more than minimal harm 2023-08-09

F867 · Administration Deficiencies

Health

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

Corrected 2023-09-09

D · Potential for more than minimal harm 2023-06-27

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-07-27

G · Actual harm 2023-05-01

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 2023-06-01

D · Potential for more than minimal harm 2023-05-01

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 2023-06-01

D · Potential for more than minimal harm 2023-05-01

F867 · Administration Deficiencies

Health

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

Corrected 2023-06-01

E · Potential for more than minimal harm 2022-07-28

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 2022-09-16

E · Potential for more than minimal harm 2022-07-28