Biscayne Health and Rehabilitation Center
12505 Ne 16th Ave, North Miami, FL 33161 · Miami-Dade County · (305) 891-1710
98 certified beds, about 93 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1971
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105008 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 14, 2026, inspectors cited 4 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 13 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.60 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.94 of those hours.
20.5% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Onyx Health, an affiliated group of 11 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
507/23
410/24
405/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
3E
1F
Potential for minimal harm
0A
0B
0C
May 14, 2026Standard inspection · 4 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record reviews and interviews, the facility did not maintain an environment free of accident hazards on one (second floor) of two floors. As evidenced by shaving razors observed in Resident #29's room. Staff disposed of lancets in the regular trash and left a housekeeping cart with germicidal wipes unattended and easily accessible. There were 94 residents residing in the facility at the time of the survey.
- D 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.
Inspectors wroteBased on observations, record reviews, and interviews, the facility did not adhere to proper medication storage protocols on the second floor, as evidenced by medicated ointments observed in the rooms of Resident #58, Resident #20, and Resident #29.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observations, records reviewed and interviews the facility failed to document adequate information in the medical records for one (Resident # 62) out of two sampled residents with a pressure ulcer. Staff did not sign the Medication Administration Record for pain medication ordered before wound care on several dates in May 2026 for Resident # 62, even though wound care was provided on those days. Five residents with pressure ulcers lived in the facility at the time of the survey.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations, interview and record review, the facility's Quality Assurance and Performance Improvement Activities (QAPI/QAA) failed to demonstrate an effective plan of action to correct repeated deficiencies in the problem area as evidenced by repeated deficient practices for F0761; failed to properly store medications. There were 94 residents residing in the facility at the time of survey.
October 31, 2024Standard inspection · 4 citations
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observations, interviews and record review the facility failed to provide pharmaceutical services to ensure the accurate administration and documenting of medications for 4 of 5 sampled residents reviewed for controlled medications (Resident #43, Resident # 51, Resident # 83 and Resident #35) and failed to ensure a discontinued controlled medication was removed from the med cart for 1 of 5 residents reviewed for controlled medications (Resident #51).
- D 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.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to properly secure dispensed medications left at the bedside for 1 of 1 resident (Resident #39). The facility also failed to ensure that 1 of 4 medications carts was locked and inaccessible to unauthorized staff and residents.
- D Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to follow fluid restriction orders for 1 of 1 resident on dialysis (Resident #16).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to properly post signage for Enhanced Barrier Precautions (EBP) for a resident with a central line, failed to wear appropriate Personal Protection Equipment (PPE) during care of a central line, and failed to maintain the IV catheter tubing in a manner to prevent infection for 1 of 1 resident reviewed for central line receiving IV therapy (Resident #90).
July 27, 2023Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to store, distribute, and serve food in accordance with professional standards for food service safety that include; ensure the department is free of pest, ensure that hot and cold foods are held at regulatory temperatures, ensure that equipment is cleaned and maintained on a regular basis, and ensure that dietary staff facial hair is properly covered as per regulation.
- E 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.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for the first and second floor resident rooms, dialysis treatment room, and nursing storage closets and affected one out of 28 sampled residents (Resident #141).
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and record review, it was determined that foods were not prepared by methods that conserve nutritive value, flavor, and appearance for 4 (#53, #56, #64, and #391) out of 19 residents with physician ordered Pureed diets.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on interview and record review, the facility failed to demonstrate effective plan of actions were implemented to correctly identify quality deficiencies in the problem area related to repeated deficient practices for F812 Food Procurement, Store/Prepare/Serve-Sanitary. This practice has the potential to increase the risk of negative resident outcomes and to affect all 91 residents residing in the facility at the time of this survey.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to follow infection control standards of practice as evidenced by dialysate (a fluid used during dialysis) jugs on the counter next to a disinfectant spray and sink; personal bags found in storage rooms; a broom/dustpan found in dialysate storage rooms; a biohazard bag on floor; and an overflowing trash bin. These actions have the potential to affect the seven residents who are receiving dialysis including sampled Resident #17.
Fire safety inspections
2 fire safety citations on file: 1 on May 14, 2026, 1 on July 27, 2023.
Every fire safety citation2 citations
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.60 | 3.82 | 3.86 |
| Registered nurses | 0.94 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.47 | 3.49 | 3.42 |
| Nurse aides | 2.26 | ||
| Licensed practical nurses | 0.39 | ||
| Nursing staff turnover (share who left in a year) | 20.5% | 41.4% | 45.8% |
| Registered nurse turnover | 45.5% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.72 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.65 on weekdays and 3.47 on weekends, 5% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.60 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.60 | 0.94 | 3.65 | 3.47 | 0.0% | 0 of 90 | 93 |
| Oct to Dec 2025 | 3.56 | 0.93 | 3.63 | 3.39 | 0.0% | 0 of 92 | 89 |
| Jul to Sep 2025 | 3.55 | 0.90 | 3.61 | 3.42 | 0.0% | 0 of 92 | 91 |
| Apr to Jun 2025 | 3.56 | 0.79 | 3.63 | 3.39 | 0.0% | 0 of 91 | 92 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Florida
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.6 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.3 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.7 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.0 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.3 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.1 | 1.8 |
Owners and operators
Legal business name: ARCH REHAB OPERATIONS, LLC. CMS links this home to Onyx Health, a group of 11 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Arch Opco Holdings, LLC | 5% or greater direct ownership interest | Organization | 100% | 09/01/2021 |
| Schuster, Rachel | Corporate officer | Individual | 09/01/2021 | |
| Bruno, Marc | Operational/managerial control | Individual | 07/01/2024 | |
| Leon, Lissette | Operational/managerial control | Individual | 09/20/2021 | |
| Pianko, Leonard | Operational/managerial control | Individual | 06/08/2025 | |
| Quintero, Elisa | Operational/managerial control | Individual | 09/27/2021 | |
| Schuster, Rachel | Operational/managerial control | Individual | 09/01/2021 | |
| Onyx Healthcare Consulting LLC | Adp of the SNF | Organization | 01/01/2022 | |
| Bruno, Marc | Adp of the SNF | Individual | 11/20/2025 | |
| Pianko, Leonard | Adp of the SNF | Individual | 11/20/2025 | |
| Schuster, Rachel | Adp of the SNF | Individual | 09/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 14, 2026: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on October 31, 2024: "Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on May 14, 2026: "Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on October 31, 2024: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.47 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Villa Maria Nursing Center North Miami, 0.7 mi · 2 of 5 stars · 23 citations
- North Dade Nursing and Rehabilitation Center North Miami, 0.7 mi · 2 of 5 stars · 50 citations
- Pines Nursing Home Miami, 0.7 mi · 4 of 5 stars · 24 citations
- The Lilac at Silver Palms North Miami, 1.3 mi · 4 of 5 stars · 25 citations
- Fountain Manor Health & Rehabilitation Center North Miami, 1.6 mi · 5 of 5 stars · 10 citations
- Pinecrest Center for Rehabilitation and Healing North Miami, 1.7 mi · 5 of 5 stars · 19 citations
- Claridge House Nursing and Rehabilitation Center North Miami, 1.8 mi · 2 of 5 stars · 31 citations
- Shoreside Health and Rehabilitation Center Miami, 2 mi · 5 of 5 stars · 19 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Biscayne Health and Rehabilitation Center's Medicare star rating?
- CMS rates Biscayne Health and Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Biscayne Health and Rehabilitation Center get at its last inspection?
- 4 health deficiencies at the standard inspection on May 14, 2026. The Florida average is 7.1.
- Has Biscayne Health and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Biscayne Health and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Biscayne Health and Rehabilitation Center?
- CMS lists 11 owners and managers, and links the home to Onyx Health. Legal business name: ARCH REHAB OPERATIONS, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.