Cycle 1
Health 2025-05-15 · Fire 2025-05-15
3 health deficiencies
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Miami, FL
Ponce Health and Rehabilitation Center
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
335 Sw 12 Avenue, Miami, FL
(305) 545-6695
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
147
Certified beds
Average residents
140
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Onyx Health
Operator or chain grouping
Approved since
2000-04-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 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
Staffing
Hours and turnover
RN hours / resident day
1.16
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.28
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.24
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.68
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.44
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
1.01
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.07
CMS adjusted RN staffing hours
Adjusted total hours
3.39
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,544
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9925
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.95% · Performance 22.06% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
8.56
Baseline 7.10% · Performance 5.28% · Measure score 8.56 · Achievement 8.56 · Improvement 8.17
Total nurse turnover
6.60
Baseline 37.63% · Performance 36.72% · Measure score 6.60 · Achievement 6.60 · Improvement 0.22
Adjusted total nurse staffing
0.65
Baseline 3.24 hours · Performance 3.26 hours · Measure score 0.65 · Achievement 0.65 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.95% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 111 · Observed rate 13.51% · Lower 95% interval 8.69% |
| Discharge to community | 36.48% |
50.57%
14.1 pts worse
|
No Different than the National Rate · Eligible stays 61 · Observed rate 22.95% · Lower 95% interval 27.06% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 215 · Denominator 215 |
| Falls with major injury | 1.4% |
0.77%
0.6 pts worse
|
Numerator 3 · Denominator 215 |
| Discharge self-care score | 49.3% |
53.69%
4.4 pts worse
|
Numerator 70 · Denominator 142 |
| Discharge mobility score | 51.41% |
50.94%
0.5 pts better
|
Numerator 73 · Denominator 142 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 215 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.28% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 65 · Observed rate 1.54% · Lower 95% interval 2.91% |
| Staff COVID-19 vaccination coverage | 69.01% |
8.2%
60.8 pts better
|
Numerator 118 · Denominator 171 |
| Staff flu vaccination coverage | 21.76% |
42%
20.2 pts worse
|
Numerator 37 · Denominator 170 |
| Discharge function score | 61.27% |
56.45%
4.8 pts better
|
Numerator 87 · Denominator 142 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 67 · Denominator 67 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 47 · Denominator 47 |
| Resident COVID-19 vaccinations up to date | 5.69% |
25.2%
19.5 pts worse
|
Numerator 7 · Denominator 123 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.1
0.6 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.5 · Expected 1.7 · Used in QM five-star |
| 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 · Adjusted 0.5 · Observed 0.4 · Expected 1.4 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 1.1% |
2.6%
1.5 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.9% · Q3 0.9% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.9% |
3.7%
5.2 pts worse
|
11.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 9.6% · Q3 4.5% · Q4 8.8% · 4Q avg 8.9% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
5.9%
0.9 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 11.2% · Q3 3.0% · Q4 1.0% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.4% |
15.7%
2.3 pts better
|
19.6%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 12.5% · Q3 7.8% · Q4 9.5% · 4Q avg 13.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.8% |
9.8%
1 pts worse
|
16.7%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 9.6% · Q3 7.5% · Q4 8.9% · 4Q avg 10.8% · 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 | 3.4% |
11.7%
8.3 pts better
|
16.3%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 0.0% · Q3 6.3% · Q4 2.2% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.7% |
9.8%
4.1 pts better
|
14.9%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 7.2% · Q3 7.1% · Q4 4.8% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.4%
0.2 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.7% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 0.2% |
12.5%
12.3 pts better
|
19.8%
19.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents with pressure ulcers | 1.8% |
5.1%
3.3 pts better
|
5.1%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.8% · Q3 1.4% · Q4 2.0% · 4Q avg 1.8% · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 5.0% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.1% · Q3 2.2% · Q4 2.3% · 4Q avg 1.7% · 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 | 27.7% |
26.2%
1.5 pts worse
|
23.9%
3.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 30.8% · Expected 26.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-21 · Fire 2023-12-21
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2022-10-20 · Fire 2022-10-20
7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-05-15
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-05-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-15
F · Potential for more than minimal harm
2023-12-21
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-05
E · Potential for more than minimal harm
2023-12-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-27
D · Potential for more than minimal harm
2022-10-20
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
K371 · Smoke Deficiencies
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
K917 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure electrical receptacles or cover plates have distinctive color or marking.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-11-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-15
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-05-15
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-05-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-15
D · Potential for more than minimal harm
2023-12-21
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-01-27
D · Potential for more than minimal harm
2023-12-21
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 2024-01-27
D · Potential for more than minimal harm
2023-12-21
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 2024-01-27
D · Potential for more than minimal harm
2022-10-20
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
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 2022-11-20
D · Potential for more than minimal harm
2022-10-20
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
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 2022-11-20
Penalties and ownership
What sits behind the stars
Ownership
Ponce Opco Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Gutman, Samuel
5% Or Greater Indirect Ownership Interest · Individual
Lima, David
Operational/Managerial Control · Individual
Romero, Sandor
Operational/Managerial Control · Individual
Schuster, Rachel
Operational/Managerial Control · Individual
Schuster, Rachel
Corporate Officer · Individual
Solis, Jennifer
Operational/Managerial Control · Individual
Verela, Mailyn
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Riverside Care Center
Miami, FL
5-star overall rating with 4-star inspections with 3 recent health deficiencies
#2
Victoria Nursing & Rehabilitation Center, Inc.
Miami, FL
5-star overall rating with 4-star inspections with 6 recent health deficiencies
#3
Jackson Gardens Health And Rehabilitation Center
Miami, FL
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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