1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Coral Gables, FL
5-star overall rating with 5-star inspections with 1 recent health deficiencies
6901 Yumuri Street, Coral Gables, FL
(786) 517-6999
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
223
Certified beds
Average residents
216
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2012-06-14
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
RN hours / resident day
1.49
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.33
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
3.09
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
4.92
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.83
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
4.30
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.12
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.36
CMS adjusted RN staffing hours
Adjusted total hours
4.49
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
5,541
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.86
Composite VBP score used to determine payment impact.
Payment multiplier
0.9894
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.57
Baseline 23.55% · Performance 22.20% · Measure score 1.57 · Achievement 0 · Improvement 1.57
Healthcare-associated infections
0.81
Baseline 10.08% · Performance 9.42% · Measure score 0.81 · Achievement 0 · Improvement 0.81
Total nurse turnover
7.62
Baseline 43.14% · Performance 32.53% · Measure score 7.62 · Achievement 7.62 · Improvement 5.30
Adjusted total nurse staffing
4.34
Baseline 4.30 hours · Performance 4.31 hours · Measure score 4.34 · Achievement 4.34 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.65% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 400 · Observed rate 11.25% · Lower 95% interval 9.32% |
| Discharge to community | 48.33% |
50.57%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 371 · Observed rate 43.94% · Lower 95% interval 44.73% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.7% |
95.27%
4.4 pts better
|
Numerator 335 · Denominator 336 |
| Falls with major injury | 0.6% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 336 |
| Discharge self-care score | 41.38% |
53.69%
12.3 pts worse
|
Numerator 84 · Denominator 203 |
| Discharge mobility score | 46.31% |
50.94%
4.6 pts worse
|
Numerator 94 · Denominator 203 |
| Pressure ulcers or injuries, new or worsened | 0.6% |
2.29%
1.7 pts better
|
Numerator 2 · Denominator 336 · Adjusted rate 0.52% |
| Healthcare-associated infections requiring hospitalization | 9.42% |
7.12%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 264 · Observed rate 10.61% · Lower 95% interval 6.04% |
| Staff COVID-19 vaccination coverage | 4.31% |
8.2%
3.9 pts worse
|
Numerator 15 · Denominator 348 |
| Staff flu vaccination coverage | 95.4% |
42%
53.4 pts better
|
Numerator 332 · Denominator 348 |
| Discharge function score | 38.42% |
56.45%
18 pts worse
|
Numerator 78 · Denominator 203 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 206 · Denominator 206 |
| Transfer of health information to patient | 84.78% |
96.28%
11.5 pts worse
|
Numerator 39 · Denominator 46 |
| Resident COVID-19 vaccinations up to date | 35.63% |
25.2%
10.4 pts better
|
Numerator 57 · Denominator 160 |
Quality measures
| 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 2.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.2
0.4 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.3 · 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 | 0.6% |
2.6%
2 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · 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 | 1.4% |
5.9%
4.5 pts better
|
5.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.8% · Q3 2.7% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.0% |
15.7%
0.7 pts better
|
19.6%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 16.7% · Q3 14.0% · Q4 12.6% · 4Q avg 15.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.7% |
9.8%
6.1 pts better
|
16.7%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.9% · Q3 4.8% · Q4 3.2% · 4Q avg 3.7% · 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 | 7.2% |
11.7%
4.5 pts better
|
16.3%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 4.7% · Q3 13.5% · Q4 1.7% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.4% |
9.8%
3.4 pts better
|
14.9%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.1% · Q3 5.2% · Q4 7.9% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
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% · 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 | 1.2% |
12.5%
11.3 pts better
|
19.8%
18.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.6% · Q3 1.6% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents with pressure ulcers | 0.8% |
5.1%
4.3 pts better
|
5.1%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.5% · Q3 0.0% · Q4 1.6% · 4Q avg 0.8% · 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 | 6.1% |
9.3%
3.2 pts better
|
12.0%
5.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.1% · Observed 5.5% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.1% |
1.5%
1.4 pts better
|
1.6%
1.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.2% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.5% |
94.7%
4.8 pts better
|
79.7%
19.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
26.2%
3.8 pts better
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 24.1% · Expected 25.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-14
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-01
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-01-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-01-22
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-01-22
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-01-22
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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