| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L4 |
| Actual harm | G· | H· | I· |
| Potential harm | D18 | E3 | F5 |
| Minimal | A· | B· | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Sep 5, 2025 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Jul 31, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 31, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Mar 15, 2024 | Fire safety | Fire Safety Standard | 6 | Immediate jeopardy | — | Open → |
| Mar 15, 2024 | Health | Health Standard | 6 | Immediate jeopardy | — | Open → |
| Dec 1, 2022 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 1, 2022 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 5, 2025 | Civil money penalty (fine) | $42,650 | — | 105232|Fine|136342 |
| Mar 15, 2024 | Civil money penalty (fine) | $118,460 | — | 105232|Fine|31262 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L4 |
| Actual harm | G· | H· | I· |
| Potential harm | D18 | E3 | F5 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 5, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Oct 10, 2025 | Complaint |
| Sep 5, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Oct 10, 2025 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 2 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Villa Maria Nursing & Rehabilitation Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 31, 1995 |
| Archdiocese of Miami Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jan 31, 1995 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Villa Maria Nursing & Rehabilitation Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 31, 1995 |
| Archdiocese of Miami Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jan 31, 1995 |
| Nathaniel Johnson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2017 |
| Hamidreza Moghaddam | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Villa Maria West Skilled Nursing Facility 8850 NW 122 St, Hialeah Gardens, FL 33018 CCN 106080 | 27 | Sep 11, 2025 | 11 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Pines Nursing Home 301 NE 141 Street, Miami, FL 33161 CCN 105057 | 0.1 km | 46 | Jun 25, 2026 | 27 | — | |
| Biscayne Health and Rehabilitation Center 12505 NE 16th Ave, North Miami, FL 33161 CCN 105008 | 1.1 km | 98 | May 14, 2026 | 15 | — | |
| North Dade Nursing and Rehabilitation Center 1255 NE 135th Street, North Miami, FL 33161 CCN 106133 | 1.1 km | 245 | Jan 28, 2026 | 605 IJ | $120k | |
| Fountain Manor Health & Rehabilitation Center 390 NE 135th St, North Miami, FL 33161 CCN 105172 | 1.6 km | 139 | May 21, 2026 | 12 | — | |
| Pinecrest Center for Rehabilitation and Healing 13650 NE 3rd Court, North Miami, FL 33161 CCN 105153 | 1.9 km | 100 | Mar 13, 2025 | 23 | — | |
| Claridge House Nursing and Rehabilitation Center 13900 NE 3rd Court, North Miami, FL 33161 CCN 105513 | 2 km | 240 | Mar 20, 2026 | 382 IJ | $25k | |
| Shoreside Health and Rehabilitation Center 201 NE 112th Street, Miami, FL 33161 CCN 105711 | 2.2 km | 150 | Sep 26, 2025 | 23 | — | |
| The Lilac at Silver Palms 14601 NE 16th St, North Miami, FL 33161 CCN 686125 | 2.4 km | 104 | Feb 20, 2026 | 301 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 105232 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 105232 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Sep 5, 2025 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Oct 10, 2025 | Complaint |
| Sep 5, 2025 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Past non-compliance Oct 10, 2025 | Complaint |
| Jul 31, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 31, 2025 |
| Jul 31, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 31, 2025 |
| Jul 31, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 31, 2025 |
| Jul 31, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 31, 2025 |
| Jul 31, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 31, 2025 |
| Jul 31, 2025 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 31, 2025 |
| Jul 31, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 31, 2025 |
| Mar 15, 2024 | K-0222 | 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. Egress Deficiencies · Environment & life safety | L · Immediate jeopardy Widespread | Corrected Apr 21, 2024 |
| Mar 15, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | L · Immediate jeopardy Widespread | Corrected Apr 21, 2024 |
| Mar 15, 2024 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | L · Immediate jeopardy Widespread | Corrected Apr 21, 2024 |
| Mar 15, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | L · Immediate jeopardy Widespread | Corrected Apr 21, 2024 |
| Mar 15, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2024 |
| Mar 15, 2024 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2024 |
| Mar 15, 2024 | K-0344 | Have an alternate power supply for its alarm system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2024 |
| Mar 15, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 21, 2024 |
| Mar 15, 2024 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 21, 2024 |
| Mar 15, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 21, 2024 |
| Mar 15, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 21, 2024 |
| Mar 15, 2024 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Apr 21, 2024 |
| Dec 1, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 1, 2023 |
| Dec 1, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 1, 2023 |
| Dec 1, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 1, 2023 |
| Dec 1, 2022 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 1, 2023 |
| Dec 1, 2022 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 1, 2023 |
| Dec 1, 2022 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 1, 2023 |
| Dec 1, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 1, 2023 |
| Dec 1, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 1, 2023 |
| Dec 1, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 1, 2023 |
| Dec 1, 2022 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Jan 1, 2023 |
| Dec 1, 2022 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Jan 1, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.84 (case-mix index 1.32).
| Laura Wilson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Mary Frick | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2024 |
| Nathaniel Johnson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 13, 2025 |
| Hamidreza Moghaddam | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 16, 2025 |