Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
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 Sierra Lakes Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to maintain an effective pest control program, leading to a fly infestation in areas such as the kitchen and conference room. Despite having a pest control contract, flies were not included in the treatment plan, resulting in persistent issues confirmed by staff and photographic evidence.
The facility failed to protect residents' healthcare information as electronic health record screens on three medication carts were left open and unattended, displaying residents' information. Staff, including an LPN and an RN, did not follow the procedure to lock screens when away from the carts, despite being trained. The Director of Nursing acknowledged the requirement to close screens to protect personal information, as outlined in the facility's HIPAA policy.
A facility failed to coordinate with the State authority to ensure an accurate Level I PASRR for a resident with a major mental disorder. The PASRR omitted diagnoses of Schizophrenia, Bipolar disorder, and Anxiety, despite these being present in the resident's records. The Social Services Director was notified of the new diagnoses months later, leading to a delay in updating the PASRR.
The facility failed to accurately reconcile two controlled medications on a medication cart. An LPN administered medication but did not sign it out due to being busy with other tasks. The DON confirmed that the procedure requires signing out medications once removed from the bingo card. The facility's policy mandates recording both narcotic disposition and patient administration.
The facility failed to properly store and label medications, with a vial of Lorazepam injection found without an open date and crushed medication left unattended on a cart. An RN acknowledged the oversight, and the DON confirmed the policy requirement for labeling open vials. These incidents highlight deficiencies in medication storage and labeling practices.
An LPN failed to follow infection prevention protocols by not wearing a gown while providing wound care to a resident under enhanced barrier precautions. The resident had a Stage 4 pressure ulcer and an indwelling catheter, requiring gowns and gloves during care. The facility's policy mandates these precautions for residents at risk of multidrug-resistant organisms.
The facility did not maintain clean lint screens for two out of three dryers, as observed during a laundry tour. The Housekeeping Director could not immediately provide the lint log, which later revealed unsigned entries for specific times, contrary to the facility's policy requiring lint removal every three hours. This indicates a lapse in following the established laundry procedures.
Facility Fails to Control Fly Infestation
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in a significant presence of flies throughout various areas, including the kitchen, conference room, and multiple floors where residents reside. Observations revealed swarms of flies in the conference room and kitchen, with flies noted around the steam table and tray line. Staff, including the Dietary Supervisor and Registered Dietitian, confirmed the presence of flies during interviews. Photographic evidence was submitted to support these observations. The facility's pest control policy, issued in March 2020, outlines the need for a comprehensive pest control program and a contract with an outside pest service. However, the pest control contract, effective from May 2024, did not include flies as part of the interior pest control treatment. Despite regular visits from the pest control company, as confirmed by the Director of Maintenance and the Administrator, the issue of flies persisted, indicating a gap in the pest control measures specifically addressing flies.
Failure to Protect Residents' Healthcare Information
Penalty
Summary
The facility failed to protect residents' healthcare information on three out of seven medication carts reviewed. During observations on the third floor, electronic health record computer screens were found open and unattended, displaying residents' information. On one occasion, a Licensed Practical Nurse (LPN) left the screen open on the medication cart, explaining that the computer had issues and might have turned back on when plugged in. Another incident involved a Registered Nurse (RN) who left the screen open while checking on a resident, despite being trained to close the screen when away from the cart. A third observation noted an LPN leaving the screen open during a medication administration. The Director of Nursing confirmed that the electronic medication administration screen should be closed when staff is away from the cart to protect residents' personal information. The facility's HIPAA Security Measure policy, dated May 2024, mandates reasonable and appropriate measures to protect residents' identifiable information in electronic format, including automatic logoff after a predetermined time of inactivity. Despite this policy, the facility did not ensure compliance, resulting in the exposure of residents' private information.
Failure to Timely Update PASRR for Resident with Major Mental Disorder
Penalty
Summary
The facility failed to coordinate with the appropriate State authority to ensure an accurate Level I Preadmission Screening and Resident Review (PASRR) was completed in a timely manner for a resident with a major mental disorder. The Level I PASRR dated 2/19/24 omitted diagnoses of Schizophrenia, Bipolar disorder, and Anxiety, despite the resident having these conditions. The resident's demographic sheet and electronic health records indicated diagnoses of Major Depressive Disorder, Psychosis, Bipolar, Anxiety, and Schizophrenia, but the PASRR did not reflect these, leading to the conclusion that a Level II PASRR evaluation was not required. The facility's policy requires notification of the state mental health authority after a significant change in a resident's mental condition. However, the Social Services Director was only notified of the resident's new diagnoses by the previous case worker via email last week, months after the initial PASRR was completed. This delay in communication and failure to update the PASRR in a timely manner resulted in the deficiency. The facility's process for completing PASRRs involves evaluating all diagnoses upon admission and reviewing current Level I PASRRs to determine the need for Level II evaluations, which was not adequately followed in this case.
Controlled Medication Reconciliation Failure
Penalty
Summary
The facility failed to accurately reconcile two controlled medications on one of the seven medication carts reviewed during the survey. This deficiency was identified on the 4th floor medication cart, where a controlled medication count was conducted with a Licensed Practical Nurse (LPN), referred to as Staff E. The Medication Monitoring/Control Records were found to be inaccurate when compared to the corresponding bingo card. Staff E admitted to administering the medication to a resident but failing to sign it out at the time of administration due to being occupied with other nursing tasks. The Director of Nursing (DON) confirmed that the correct procedure requires nurses to sign out controlled medications once they are removed from the bingo card. The facility's policy on Controlled Substance Administration and Accountability, implemented in June 2021, mandates that the Controlled Drug Record serves the dual purpose of recording both narcotic disposition and patient administration, with safeguards in place to prevent loss, diversion, or accidental exposure.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to properly store and label medications in one medication room and one medication cart. During an observation on the second floor, a vial labeled Lorazepam injection was found without an open date. A Registered Nurse (RN) acknowledged that the vial should have been labeled with an open date, indicating a lapse in following the facility's policy for labeling medications. This oversight was confirmed by the Director of Nursing, who stated that all open vials should be labeled with an open and expiration date. Additionally, an observation was made of crushed medication left unattended in a transparent medicine cup on top of a medication cart. A Registered Nurse admitted to leaving the medication unattended while going to call another nurse to open the fridge. This action was against the facility's policy, which states that no medication should be left unattended. These incidents highlight deficiencies in the facility's medication storage and labeling practices, as outlined in their policy dated 11/28/2019.
Infection Control Breach During Wound Care
Penalty
Summary
The facility failed to adhere to infection prevention protocols for a resident under enhanced barrier precautions. During a wound care observation, the LPN responsible for wound care did not wear a gown while attending to a resident with a Stage 4 pressure ulcer and an indwelling catheter. The resident was under enhanced barrier precautions due to the presence of wounds and a catheter, which necessitates the use of gowns and gloves during high-contact care activities. The facility's policy on Enhanced Barrier Precautions, revised in April 2024, mandates the use of gowns and gloves for residents at increased risk of acquiring multidrug-resistant organisms, such as those with wounds or indwelling medical devices. The LPN acknowledged the mistake of not wearing a gown during the procedure, which was a deviation from the established protocol. This oversight was identified during a survey when the facility had 172 residents.
Failure to Maintain Clean Lint Screens in Laundry
Penalty
Summary
The facility failed to ensure that lint screens were cleaned for two out of three dryers, as observed during a laundry tour. The surveyor noted that two dryers had lint screens filled with lint, despite the facility's policy requiring lint removal every three hours while in use. The Housekeeping Director was unable to provide the lint log immediately, stating it was located upstairs. Upon later review, the lint log for July 18 was found to be unsigned for the 1:00 AM, 3:00 AM, and 5:00 AM checks. The Housekeeping Director mentioned that staff would sign for these times on the following overnight shift, indicating a lapse in adherence to the facility's laundry policy.
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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 Miami
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Gardens Nursing And Rehab Center | 0.3 mi | — | 26 | 0 |
| Hampton Court Nursing And Rehabilitation Center | 2.3 mi | — | 0 | 0 |
| Aventura Rehab And Nursing Center | 2.4 mi | — | 8 | 0 |
| Regents Park At Aventura | 2.9 mi | — | 6 | 0 |
| North Beach Healthcare And Rehabilitation Center | 3 mi | — | 11 | 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.