Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Nspire Healthcare Miami Lakes during CMS and state inspections, most recent first.
The facility failed to maintain sanitary conditions in food preparation areas, affecting nearly all residents. Observations revealed brown stains on convection oven doors, a missing thermometer in the Unit 2 Pantry Freezer, and an unclean microwave in the Unit 1 Pantry. These issues were confirmed by the Certified Dietary Manager and the DON.
A facility failed to maintain a resident's dignity during meal assistance when an RN stood while assisting a resident with breakfast, contrary to the protocol requiring staff to be seated at eye level. The resident, with severe cognitive impairment, required setup and cleanup assistance for eating. The RN, who started in July 2023, was unaware of the protocol and had not received relevant in-service training. The facility's policy mandates staff to assist residents by positioning them comfortably and being seated during feeding.
A resident's MDS was inaccurately coded, omitting the use of hearing aids despite daily use and observations confirming their presence. The resident, diagnosed with dementia, had a care plan addressing hearing difficulties, yet the MDS did not reflect this. The Social Services Director acknowledged the error, highlighting a lapse in following the facility's MDS assessment policy.
The facility failed to implement care plans for two residents, leading to deficiencies in their care. One resident with muscle weakness did not consistently receive a prescribed splinting device, and staff were unclear about its application. Another resident with a skin tear did not receive timely treatment as ordered, with a lack of documentation and awareness among staff. These issues highlight a failure in communication and adherence to care plans.
The facility failed to prevent catheter-related injuries for two residents, as their catheter tubing was observed touching the floor, contrary to care plans. Additionally, a resident's prescribed wound care treatment for a skin tear was not implemented timely, with a delay of several days before treatment began. These deficiencies indicate lapses in following care protocols and physician orders.
The facility's QAA Committee failed to implement an effective plan to address a repeated deficiency related to F641, concerning the accuracy of assessments. Despite monthly meetings and a comprehensive QAPI program, the committee did not resolve the issue, affecting the care quality for 115 residents.
The facility failed to maintain essential kitchen equipment, including a convection oven, food steamer, and gas range stove, in good repair and cleanliness, potentially affecting residents' food safety. Observations revealed brown stains on the oven, a non-functional steamer, and a partially working stove. Additionally, the Unit 1 Pantry microwave was found unclean with rust-like stains, confirmed by the DON.
Sanitation Deficiencies in Kitchen and Pantry Areas
Penalty
Summary
The facility failed to ensure food was prepared under sanitary conditions, as evidenced by several observations during a survey. The initial kitchen tour revealed brown stains on the inside and outside of the convection oven doors, which were confirmed by the Certified Dietary Manager, Senior Food Service Director, who stated that the oven is cleaned weekly. Additionally, the Unit 2 Pantry Freezer was found to lack a thermometer, which is against the facility's policy that requires an accurate thermometer to be maintained inside the refrigerator and freezer. This was confirmed by the Director of Nursing (DON) during an observation and interview. Furthermore, the Unit 1 Pantry Microwave, used to warm up residents' food, was observed to be unclean, with brown, dried substances and brown-like rust stains inside. This was also confirmed by the DON during an observation and interview. These deficiencies have the potential to affect one hundred and fourteen out of one hundred and fifteen residents who eat orally at the facility.
Failure to Maintain Resident Dignity During Meal Assistance
Penalty
Summary
The facility failed to uphold the resident's right to dignity during meal assistance for one resident out of twelve who required such assistance. This deficiency was observed when a registered nurse (RN) was seen standing while assisting a resident with breakfast, contrary to the facility's protocol, which requires staff to be seated at eye level with the resident during meals. The RN, who started working at the facility in July 2023, admitted to not being sure about the protocol and not having received any in-service training regarding this procedure. The resident involved had a severe cognitive impairment, as indicated by a Brief Interview of Mental Status (BIMS) score of 3, and required setup and cleanup assistance for eating. The resident was on a therapeutic diet with no significant weight changes noted. The facility's policies and procedures, effective since November 2018 and revised in September 2023, clearly state that nursing personnel should assist residents with feeding by positioning them comfortably and transferring them to a straight-back chair if appropriate. Despite these guidelines, the RN's actions did not align with the established protocol, as confirmed by the Director of Nursing.
Inaccurate MDS Coding for Resident's Hearing Aids
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for a resident, identified as Resident #34, who was observed using hearing aids daily. Despite the resident's regular use of hearing aids, the Medicare 5-day MDS with a reference date of 7/8/24 did not include this information in Section B. Observations by surveyors on 8/26/24 and 8/28/24 confirmed the presence of hearing aids, either on the nightstand or in use by the resident. The resident, who has a diagnosis of dementia, was noted to have hearing difficulties, as indicated by a physician's order dated 6/11/24 and a care plan initiated on 6/10/24 addressing hearing-related self-care deficits. The Social Services Director acknowledged on 8/29/24 that the MDS was incorrectly coded, confirming that Section B should have included the use of hearing aids. The facility's policy on MDS assessments, effective since 11/30/2014 and revised on 9/25/2017, mandates comprehensive and accurate assessments at least every three months. The policy requires designated interdisciplinary team members to complete specified sections of the MDS, signing an attestation statement to ensure accuracy. This oversight in coding reflects a failure to adhere to the established procedures for accurate resident assessments.
Failure to Implement Care Plans for Residents
Penalty
Summary
The facility failed to implement care plans for two residents, leading to deficiencies in their care. Resident #302, who was diagnosed with muscle weakness and left side hemiplegia, had a physician's order for a left resting hand splint and electrical stimulation to facilitate movement. However, the splinting device was not consistently applied as per the care plan. Observations showed the splint was often not in use, and staff were unclear about the frequency and responsibility for its application. The resident expressed discomfort with the splint, and there was no documentation of refusal or removal of the device, indicating a lack of communication and adherence to the care plan. Resident #252 had a care plan addressing potential skin integrity issues, with specific interventions for a skin tear on the left ankle. Despite a physician's order for daily treatment with Mupirocin ointment, the treatment was not documented or administered until several days after the order was given. The Director of Nursing and the wound care nurse were unaware of the initial order, and the treatment administration record lacked documentation for the prescribed care, highlighting a failure in implementing the care plan and ensuring timely treatment. These deficiencies were identified through observations, interviews, and record reviews, revealing a lack of coordination and communication among staff regarding the residents' care plans. The facility's policy required an individualized, person-centered care plan developed by an interdisciplinary team, but the execution of these plans was inadequate, resulting in unmet needs for the residents involved.
Failure to Prevent Catheter-Related Injuries and Delay in Wound Care
Penalty
Summary
The facility failed to implement necessary precautions to prevent catheter-related injuries for two residents with indwelling catheters. Resident #352 was observed with the catheter tubing touching the floor while propelling herself in a wheelchair. Despite having orders to monitor the catheter per shift and use a leg strap to anchor it, these precautions were not followed, leading to potential infection control issues. Similarly, Resident #21 was observed on two occasions with the catheter tubing on the floor, despite care plans indicating the need to position the catheter bag and tubing properly to prevent trauma. Additionally, the facility did not timely implement a prescribed treatment for a skin tear on Resident #252's left ankle. The wound care note dated 06/14/2024 indicated a treatment plan, but the Treatment Administration Record showed no documentation of treatment until 06/21/2024. This delay in treatment was acknowledged by the Director of Nursing, who confirmed that the treatment was not implemented as ordered by the physician. The report highlights deficiencies in adhering to care plans and physician orders, which are critical for preventing complications and ensuring resident safety. The failure to maintain catheter tubing off the floor and the delay in wound care treatment reflect lapses in the facility's compliance with established care protocols.
Repeated Deficiency in Accuracy of Assessments
Penalty
Summary
The facility's Quality Assurance and Assessment (QAA) Committee failed to implement an effective plan of action to address a repeated deficiency related to F641, which concerns the accuracy of assessments. This deficiency was identified during a survey and has the potential to affect all 115 residents residing in the facility. The facility had been previously cited for this deficiency in 2023, indicating a repeated failure to address the issue adequately. The QAA Committee, which includes various interdisciplinary team members such as the Administrator, Medical Director, and Director of Nursing, meets monthly to review and address quality deficiencies. However, despite these meetings, the committee did not demonstrate an effective corrective plan to resolve the identified deficiency. The facility's policy on Quality Assurance Performance Improvement (QAPI) outlines procedures for identifying quality deficiencies and developing corrective actions. The policy allows the facility to choose methods such as Plan, Do, Study, Act or Performance Improvement Projects to address deficiencies. Despite having a comprehensive, data-driven QAPI program, the facility's efforts to correct the deficiency related to F641 were insufficient, as evidenced by the repeated citation. The report highlights that the QAA Committee's meetings and discussions did not result in effective actions to ensure the accuracy of assessments, which is crucial for the quality of care and quality of life of the residents.
Deficiencies in Kitchen Equipment Maintenance and Cleanliness
Penalty
Summary
The facility failed to maintain essential kitchen equipment in good repair and cleanliness, which could potentially affect the majority of residents who consume food orally. During an initial kitchen tour, surveyors observed brown stains on the convection oven doors, indicating inadequate cleaning despite a weekly cleaning schedule. The Certified Dietary Manager confirmed the presence of these stains. Additionally, the food steamer was found to be non-functional, as it kept shutting off, and only one side of the gas range stove was operational. These issues were confirmed by staff interviews, highlighting a lack of prompt maintenance and repair. Furthermore, the Unit 1 Pantry microwave, used to warm residents' food, was found to be unclean, with brown dried substances and rust-like stains. This was confirmed by the Director of Nursing during an observation and interview. The facility's policy on maintenance, which requires preventive maintenance and prompt repair actions, was not adhered to, leading to these deficiencies in equipment cleanliness and functionality.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hialeah
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Glades West Rehabilitation And Nursing C | 3.2 mi | — | 3 | 0 |
| Palmetto Care Center And Rehab | 4 mi | — | 8 | 0 |
| Villa Maria West Skilled Nursing Facility | 4.6 mi | — | 2 | 0 |
| Susanna Wesley Health Center | 4.9 mi | — | 0 | 0 |
| Memorial Manor | 5.4 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.