Cycle 1
Health 2024-12-12 · Fire 2024-12-12
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Miami, FL
Victoria Nursing & Rehabilitation Center, Inc.
5-star overall rating with 4-star inspections with 6 recent health deficiencies
955 Nw 3rd St, Miami, FL
(305) 548-4020
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
264
Certified beds
Average residents
306
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2000-11-13
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
1.63
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.13
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
3.08
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
4.84
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
4.42
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.41
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.36
CMS adjusted RN staffing hours
Adjusted total hours
4.04
CMS adjusted total nurse staffing hours
Case-mix index
1.64
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,617
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.50
Composite VBP score used to determine payment impact.
Payment multiplier
0.9965
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.42
Baseline 21.29% · Performance 18.46% · Measure score 6.42 · Achievement 6.42 · Improvement 6.15
Healthcare-associated infections
0.94
Baseline 7.19% · Performance 7.55% · Measure score 0.94 · Achievement 0.94 · Improvement 0
Total nurse turnover
7.21
Baseline 43.00% · Performance 34.22% · Measure score 7.21 · Achievement 7.21 · Improvement 4.34
Adjusted total nurse staffing
2.83
Baseline 3.56 hours · Performance 3.88 hours · Measure score 2.83 · Achievement 2.83 · Improvement 0.97
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.42% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 248 · Observed rate 14.52% · Lower 95% interval 9.32% |
| Discharge to community | 37.86% |
50.57%
12.7 pts worse
|
Worse than the National Rate · Eligible stays 157 · Observed rate 25.48% · Lower 95% interval 28.83% |
| Medicare spending per beneficiary | 1.21 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 430 · Denominator 430 |
| Falls with major injury | 0.23% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 430 |
| Discharge self-care score | 56.06% |
53.69%
2.4 pts better
|
Numerator 148 · Denominator 264 |
| Discharge mobility score | 35.23% |
50.94%
15.7 pts worse
|
Numerator 93 · Denominator 264 |
| Pressure ulcers or injuries, new or worsened | 0.93% |
2.29%
1.4 pts better
|
Numerator 4 · Denominator 429 · Adjusted rate 0.56% |
| Healthcare-associated infections requiring hospitalization | 7.55% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 140 · Observed rate 10% · Lower 95% interval 4.53% |
| Staff COVID-19 vaccination coverage | 0.93% |
8.2%
7.3 pts worse
|
Numerator 5 · Denominator 535 |
| Staff flu vaccination coverage | 38.6% |
42%
3.4 pts worse
|
Numerator 210 · Denominator 544 |
| Discharge function score | 44.7% |
56.45%
11.8 pts worse
|
Numerator 118 · Denominator 264 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 253 · Denominator 253 |
| Transfer of health information to patient | 97.3% |
96.28%
1 pts better
|
Numerator 36 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 2.65% |
25.2%
22.6 pts worse
|
Numerator 5 · Denominator 189 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.3 |
1.2
0.9 pts better
|
1.8
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.2 · 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 | 1.4% |
2.6%
1.2 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.8% · Q3 0.0% · Q4 1.4% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
3.7%
3.4 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 0.5% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 5.1% |
5.9%
0.8 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.0% · Q3 5.6% · Q4 6.4% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.9% |
15.7%
1.2 pts worse
|
19.6%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 20.2% · Q3 15.9% · Q4 10.8% · 4Q avg 16.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.4% |
9.8%
0.6 pts worse
|
16.7%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 11.7% · Q3 10.9% · Q4 7.5% · 4Q avg 10.4% · 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 | 12.2% |
11.7%
0.5 pts worse
|
16.3%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 16.7% · Q3 10.8% · Q4 2.1% · 4Q avg 12.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.1% |
9.8%
0.3 pts worse
|
14.9%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 9.0% · Q3 13.5% · Q4 5.3% · 4Q avg 10.1% · 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 0.5% · Q2 0.3% · Q3 0.4% · Q4 0.0% · 4Q avg 0.3% · 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 1.6% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.5% |
12.5%
6 pts better
|
19.8%
13.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 8.0% · Q3 7.4% · Q4 0.0% · 4Q avg 6.5% |
| 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 5.2% · Q2 5.5% · Q3 6.5% · Q4 2.6% · 4Q avg 4.9% · 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 | 1.9% |
9.3%
7.4 pts better
|
12.0%
10.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 1.9% · Observed 1.9% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.5%
0.1 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.1% · Q3 1.5% · Q4 0.9% · 4Q avg 1.4% · 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 | 19.7% |
26.2%
6.5 pts better
|
23.9%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 26.3% · Expected 31.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-20 · Fire 2023-07-20
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-06-24 · Fire 2022-06-24
9 health deficiencies
Top issue: Quality of Life and Care (3 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
2022-06-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-24
D · Potential for more than minimal harm
2022-06-24
K908 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2022-07-24
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-04
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 2025-09-04
D · Potential for more than minimal harm
2025-08-04
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 2025-09-04
D · Potential for more than minimal harm
2024-12-12
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-01-20
D · Potential for more than minimal harm
2024-12-12
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 2025-01-20
D · Potential for more than minimal harm
2024-12-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-20
D · Potential for more than minimal harm
2024-12-12
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 2025-01-20
D · Potential for more than minimal harm
2023-07-20
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-08-20
D · Potential for more than minimal harm
2023-07-20
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 2023-08-20
D · Potential for more than minimal harm
2023-07-20
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-08-20
D · Potential for more than minimal harm
2023-07-20
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-08-20
D · Potential for more than minimal harm
2022-06-24
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-07-24
D · Potential for more than minimal harm
2022-06-24
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-07-24
D · Potential for more than minimal harm
2022-06-24
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 2022-07-24
D · Potential for more than minimal harm
2022-06-24
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-07-24
D · Potential for more than minimal harm
2022-06-24
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 2022-07-24
D · Potential for more than minimal harm
2022-06-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-07-24
D · Potential for more than minimal harm
2022-06-24
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 2022-07-24
D · Potential for more than minimal harm
2022-06-24
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 2022-07-24
D · Potential for more than minimal harm
2022-06-24
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-07-24
Penalties and ownership
What sits behind the stars
Ownership
Stacey Sr, Richard
5% Or Greater Direct Ownership Interest · Individual
Alvarado, Francisco
Operational/Managerial Control · Individual
Arauz, Julio
Operational/Managerial Control · Individual
Carlos, Sheila
Operational/Managerial Control · Individual
Enriquez, Jennifer
Operational/Managerial Control · Individual
Forvis Mazars Llp
Operational/Managerial Control · Organization
Ocean Bank
5% Or Greater Mortgage Interest · Organization
Pereira, Jose
Operational/Managerial Control · Individual
Stacey Sr, Richard
Operational/Managerial Control · Individual
Stacey Sr, Richard
Corporate Officer · Individual
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#3
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