Miami, FL

Sierra Lakes Nursing & Rehabilitation Center

3-star overall rating with 3-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

220 Sierra Drive, Miami, FL

(305) 653-8427

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

172

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ventura Services Florida

Operator or chain grouping

Approved since

2019-11-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 3 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

Staffing

Hours and turnover

RN hours / resident day

0.77

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.52

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.33

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.62

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.50

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.61

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

0.79

CMS adjusted RN staffing hours

Adjusted total hours

3.73

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

18%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,275

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

Performance score

58.14

Composite VBP score used to determine payment impact.

Payment multiplier

1.0133

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.89

Baseline 21.55% · Performance 18.70% · Measure score 5.89 · Achievement 5.89 · Improvement 5.80

Healthcare-associated infections

6.17

Baseline 6.15% · Performance 5.99% · Measure score 6.17 · Achievement 6.17 · Improvement 0.91

Total nurse turnover

10

Baseline 25.58% · Performance 16.43% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

1.19

Baseline 3.09 hours · Performance 3.42 hours · Measure score 1.19 · Achievement 1.19 · Improvement 0.71

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.86%
10.72%
0.9 pts better
No Different than the National Rate · Eligible stays 78 · Observed rate 6.41% · Lower 95% interval 5.82%
Discharge to community 27.3%
50.57%
23.3 pts worse
Worse than the National Rate · Eligible stays 43 · Observed rate 6.98% · Lower 95% interval 16.2%
Medicare spending per beneficiary 1.32
1.02
0.3 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 138 · Denominator 138
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 138
Discharge self-care score 20.22%
53.69%
33.5 pts worse
Numerator 18 · Denominator 89
Discharge mobility score 10.11%
50.94%
40.8 pts worse
Numerator 9 · Denominator 89
Pressure ulcers or injuries, new or worsened 6.52%
2.29%
4.2 pts worse
Numerator 9 · Denominator 138 · Adjusted rate 5.5%
Healthcare-associated infections requiring hospitalization 5.99%
7.12%
1.1 pts better
No Different than the National Rate · Eligible stays 37 · Observed rate 0% · Lower 95% interval 2.94%
Staff COVID-19 vaccination coverage 2.47%
8.2%
5.7 pts worse
Numerator 7 · Denominator 283
Staff flu vaccination coverage 31.34%
42%
10.7 pts worse
Numerator 89 · Denominator 284
Discharge function score 23.6%
56.45%
32.9 pts worse
Numerator 21 · Denominator 89
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 42 · Denominator 42
Transfer of health information to patient 96%
96.28%
0.3 pts worse
Numerator 24 · Denominator 25
Resident COVID-19 vaccinations up to date 11.48%
25.2%
13.7 pts worse
Numerator 7 · Denominator 61

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
2.1
0.3 pts better
1.9
0.1 pts better
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.2 · Expected 2.3 · 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 0.4 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
97.8%
2 pts better
93.4%
6.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.4% · 4Q avg 99.8%
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 0.3%
2.6%
2.3 pts better
3.3%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.6% · Q4 0.6% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.7%
3.7%
3 pts better
11.4%
10.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.7% · Q4 0.7% · 4Q avg 0.7%
Percentage of long-stay residents who lose too much weight 6.6%
5.9%
0.7 pts worse
5.4%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 7.1% · Q3 8.2% · Q4 6.5% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.8%
15.7%
6.1 pts worse
19.6%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 21.5% · Q3 21.7% · Q4 23.3% · 4Q avg 21.8%
Percentage of long-stay residents who received an antipsychotic medication 29.4%
9.8%
19.6 pts worse
16.7%
12.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 26.2% · Q3 29.2% · Q4 32.6% · 4Q avg 29.4% · 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 3.3%
11.7%
8.4 pts better
16.3%
13 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 0.0% · Q3 7.6% · Q4 1.5% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 3.9%
9.8%
5.9 pts better
14.9%
11 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.5% · Q3 3.6% · Q4 4.4% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
0.4%
0.3 pts worse
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.5% · Q3 0.4% · Q4 0.9% · 4Q avg 0.7% · 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 2.4%
12.5%
10.1 pts better
19.8%
17.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 3.3% · Q3 1.8% · Q4 3.7% · 4Q avg 2.4%
Percentage of long-stay residents with pressure ulcers 8.6%
5.1%
3.5 pts worse
5.1%
3.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 9.9% · Q3 10.7% · Q4 7.2% · 4Q avg 8.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
94.3%
5.3 pts better
81.7%
17.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.1% · Q4 100.0% · 4Q avg 99.6%
Percentage of short-stay residents who had an outpatient emergency department visit 9.4%
9.3%
0.1 pts worse
12.0%
2.6 pts better
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 10.8% · Expected 12.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 6.2%
1.5%
4.7 pts worse
1.6%
4.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 0.0% · 4Q avg 6.2% · 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 20.3%
26.2%
5.9 pts better
23.9%
3.6 pts better
Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 20.0% · Expected 23.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-15 · Fire 2026-01-15

8 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-07-18 · Fire 2024-07-18

7 health deficiencies

Top issue: Environmental (2 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-02-23 · Fire 2023-02-23

12 health deficiencies

Top issue: Nutrition and Dietary (6 deficiencies)

2 fire-safety deficiencies

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

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2026-01-15

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2026-02-14

D · Potential for more than minimal harm 2026-01-15

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-02-14

D · Potential for more than minimal harm 2024-07-18

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 2024-08-18

F · Potential for more than minimal harm 2023-02-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-25

E · Potential for more than minimal harm 2023-02-23

K917 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure electrical receptacles or cover plates have distinctive color or marking.

Corrected 2023-03-25

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-15

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 2026-02-14

E · Potential for more than minimal harm 2026-01-15

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 2026-02-14

E · Potential for more than minimal harm 2026-01-15

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 2026-02-14

E · Potential for more than minimal harm 2026-01-15

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2026-02-14

D · Potential for more than minimal harm 2026-01-15

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 2026-02-12

D · Potential for more than minimal harm 2026-01-15

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 2026-02-14

D · Potential for more than minimal harm 2026-01-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-02-14

D · Potential for more than minimal harm 2026-01-15

F867 · Administration Deficiencies

Health

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

Corrected 2026-02-14

F · Potential for more than minimal harm 2024-07-18

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-08-18

D · Potential for more than minimal harm 2024-07-18

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-08-18

D · Potential for more than minimal harm 2024-07-18

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-08-18

D · Potential for more than minimal harm 2024-07-18

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 2024-08-18

D · Potential for more than minimal harm 2024-07-18

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 2024-08-18

D · Potential for more than minimal harm 2024-07-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-18

D · Potential for more than minimal harm 2024-07-18

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-08-18

D · Potential for more than minimal harm 2023-10-03

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-11-03

D · Potential for more than minimal harm 2023-10-03

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 2023-11-03

F · Potential for more than minimal harm 2023-02-23

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 2023-04-06

E · Potential for more than minimal harm 2023-02-23

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 2023-04-06

E · Potential for more than minimal harm 2023-02-23

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 2023-04-06

E · Potential for more than minimal harm 2023-02-23

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-04-06

E · Potential for more than minimal harm 2023-02-23

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-04-06

E · Potential for more than minimal harm 2023-02-23

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 2023-04-06

E · Potential for more than minimal harm 2023-02-23

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-02-23

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-02-23

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-02-23

F867 · Administration Deficiencies

Health

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

Corrected 2023-04-06

Penalties and ownership

What sits behind the stars

Ownership

Ventura Opco Holdco, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2020-07-22
Bengio, Jacob

Operational/Managerial Control · Individual

0% 15 facilities 2019-09-30
Paritzky, Jeremie

Operational/Managerial Control · Individual

0% 13 facilities 2019-09-30
Phillip, Felica

Operational/Managerial Control · Individual

0% 1 facilities 2020-10-05
Schaffer, Daniel

Operational/Managerial Control · Individual

0% 10 facilities 2019-09-30

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