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GARDENS NURSING AND REHAB CENTER

190 NE 191ST STREET, MIAMI, FL, 33161 · 3056519690

Nursing HomeMedicare CertifiedMedicaid CertifiedUpdated 2026-05-20
2.0
★★☆☆☆
Overall Rating
Health Inspection
1.0
Staffing
5.0
Quality Measures
5.0
120
Licensed Beds
5.0
Staffing Rating
Gardens Nursing And Rehab Center presents a mixed picture in its CMS star ratings that families should look at closely. The staffing rating of 5 out of 5 stars is genuinely impressive, meaning residents here receive more hands-on nursing time relative to the number of residents than the vast majority of facilities nationwide. The quality measures rating is also 5 out of 5, which reflects strong outcomes across 15 clinical indicators, things like how well the facility manages pain, prevents pressure wounds, and maintains residents' physical functioning. Those two scores suggest that day-to-day care and resident health outcomes are real strengths here. Where the concern comes in is the health inspection rating of 1 out of 5 stars, which is the lowest possible score. This rating is based on findings from state inspectors who visit the facility and document any problems they find. A 1-star inspection score means inspectors cited a higher number of deficiencies, more serious ones, or both, compared to other Florida nursing homes. Because the overall 2-star rating is a composite of all three categories, that rock-bottom inspection score pulls the overall rating down significantly, even with the excellent staffing and quality numbers working in the other direction. For families, this means it's worth asking the facility directly about recent inspection findings and what steps they've taken to address them. You can also pull the full inspection report on the Medicare Care Compare website to see exactly what was cited.
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Questions to ask when visiting
1. How many residents does each certified nursing assistant care for during a typical day shift and a typical night shift? 2. How often do residents see the same caregivers from week to week, and what is your current staff turnover rate? 3. What is your process when a resident falls, and can you walk me through what happened the last time a fall occurred here? 4. If my loved one has a concern or complaint, who do they talk to, and how do you make sure that concern actually gets resolved? 5. Can I visit at different times of day, including evenings and weekends, without giving advance notice? 6. What does a typical day look like for a resident who does not have many scheduled therapies, and how do you make sure they stay engaged and comfortable? For more guidance on evaluating facilities, see our guide to [questions to ask when choosing a Florida nursing home](/blog/questions-to-ask-before-choosing-a-nursing-home-in-florida).
About CMS Star Ratings

CMS assigns 1–5 star ratings to Medicare and Medicaid-certified nursing homes based on three domains: health inspections, staffing levels, and quality measures. The overall rating is a weighted composite.

A 5-star overall rating does not guarantee excellence in every domain — inspect each sub-rating independently. Data is updated quarterly.

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Data sourced from CMS Care Compare. Last updated via nightly pipeline.