220 Sierra Drive, Miami, FL 33179 · Miami-Dade County · (305) 653-8427
180 certified beds, about 171 residents a day · For profit - Individual · Medicare and Medicaid since 2019
CMS Care Compare ratings, data as of September 1, 2026 · CCN 106131 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 15, 2026, inspectors cited 8 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 28 health citations since February 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.74 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.95 of those hours.
15.8% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Ventura Services, an affiliated group of 14 nursing homes.
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.
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 28 health citations on file.
Inspectors wroteBased on observations, records reviewed and interviews, it was determined that the facility did not maintain adequate supervision to ensure a safe environment that is free from accident and hazards for 1 out of 5 residents sampled for accident hazards and supervision. On 04/28/2026, at approximately 6:20 PM, Resident #1 became dissatisfied with staff after being denied [brand] over-the-counter antacid medication that was not ordered by the physician. The resident #1 proceeded to light a cigarette in the hallway. Facility staff confiscated the cigarette and lighter and Resident #1 returned to her room unsupervised. Shortly thereafter, Resident #1 exited her room and informed staff that she had set her room on fire, and they needed to remove her roommate. [...]
Inspectors wroteBased on observations, record reviews and interviews, the facility failed to prevent accidents and hazards as evidenced by unsecured housekeeping carts on the Fourth Floor East and [NAME] Hallways. 2) Resident #77 was observed unattended in high positioned bed. 3) A hand sanitizer dispenser observed located directly above a light switch in the facility's conference room of the facility. There were 160 residents residing in the facility at the time of survey.
Inspectors wroteBased on observations record review and interviews, the facility failed to maintain accurate narcotic accounting records, failed to record and implement narcotic disposal/wasting protocols in accordance with professional standards of practice for one (4th Floor East Cart) of four medication carts reviewed. As evidenced by Medication Monitoring Control Records for the 4th Floor East Cart were inaccurate when compared to the corresponding bingo cards and staff failed to have a witness before disposing narcotic. There were 160 residents residing in the facility at the time of the survey.
Inspectors wroteBased on observations, interviews and record review, the facility failed to store food under sanitary condition by ensuring 1) two reach-in refrigerators in the kitchen did not contain thermometers on the inside out of three reach-in refrigerators and 2) failed to ensure the proper washing of the dishes and utensils by not having an operable final rinse tank temperature gauge on the high temperature dish machine. This has the potential to affect 154 out of 160 residents who eat orally residing in the facility at the time of the survey.
Inspectors wroteBased on observations, interviews and record review the facility failed to ensure the high temperature dish machine final rinse cycle was working properly. This has the potential to affect 154 out of 160 residents who eat orally residing in the facility at the time of the survey.
Inspectors wroteBased on observations, interviews, and record review, facility failed to ensure a dignified dining experience for one (Resident #40) out of 11 sampled residents as evidenced by Resident #40's lunch tray was not served at the same time as other residents in the same dining table. On 01/12/2026 at 12:31 PM, lunch trays arrived at the third-floor dining room. On 01/12/2026 at 12:32 PM, staff began passing out meal trays to residents sitting at the first dining table. On 01/12/2025 at 12:35 PM, all residents in first dining table were served a meal tray except for Resident #40. On 01/12/2026 at 12:36 PM, staff began passing meal trays to residents sitting in second dining table. On 01/12/2026 at 12:44 PM, staff served meal tray to Resident #40 who was sitting at the first dining table. On 01/12/2026 at 1:21 PM, Restorative Nurse was notified about the dining concern and stated: [...]
Inspectors wroteBased on observations, record review, and interviews, the facility failed to provide adequate activities of daily living (ADLs) care for one (Resident #71) out of three sampled residents. Resident #71 had long, uncleaned fingernails that dug into the skin on the palm of his hand. This deficiency increased the risk of self-injury and infection. There were 160 residents residing in the facility at the time of the survey.
Inspectors wroteBased on observations records reviewed and interviews, the facility failed to maintain a medication error rate of less than 5%. This consisted of nine (9) medication errors out of 88 opportunities, resulting in a medication error rate of 10.23%. Staff crushed medications together and administered them mixed in applesauce to Resident # 85; also identified were two omissions (Resident # 85 and Resident # 117) and one medication administered in the wrong dose form (Resident # 27). There were 160 residents residing in the facility at the time of survey.
Inspectors wroteBased on interview and record review, the facility failed to demonstrate an effective plan of action was implemented to correctly identify quality deficiencies in the problem area related to repeated deficient practices for F761 (Label/Store Drugs & Biologicals). These deficient practices have the potential to affect 160 residents residing in the facility at the time of the survey.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain an effective pest control program so that the environment is free of flies. This was evident throughout the facility in the kitchen, conference room, second floor, third floor and fourth floor where resident's reside. This has the potential to affect the entire resident population (one-hundred and seventy-two residents) residing in the facility at the time of this survey.
Inspectors wroteBased on observation, record review and interview, the facility failed to protect residents' healthcare information on 3 out of 7 medication carts reviewed as evidenced by electronic health record screen were observed open and unattended. There were 172 residents residing in the facility at the time of the survey.
Inspectors wroteBased on record review and interview 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 one resident (Resident #46) with a major mental disorder out of nine residents sampled as evidenced by Level I PASRR dated 2/19/24 omitted diagnosis of Schizophrenia, Bipolar disorder and Anxiety. There were 172 residents residing in the facility at the time of survey.
Inspectors wroteBased on observations and interviews, the facility failed to accurately reconcile two controlled medications on one medication cart out of seven medications carts reviewed. There were 172 residents residing I the facility at the time of survey.
Inspectors wroteBased on observations and interview the facility failed to properly store and label medications in one medication room and one medication cart out of three medication rooms and seven medication carts reviewed as evidenced by an observation of an unlabeled vial and medication left unattended. There were 172 residents residing I the facility at the time of survey.
Inspectors wroteBased on observation, record review and Interview the facility failed to follow infection prevention protocol for one resident (Resident #118) out of seven sampled as evidenced by; the wound care nurse not wearing gown while providing wound care to Resident #118 who is under enhanced barrier precaution. There were 172 residents in the facility at the time of survey.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure lint screens were cleaned for two out of three dryers as evidenced by two out of three dryers lint screens observed full of lint. There were 172 residents residing in the facility at the time of the survey.
Inspectors wroteBased on record reviews and interviews, the facility failed to implement their abuse and neglect policy as evidenced by staff failure to notify law enforcement that a crime had occurred against a resident this involved two (Resident #1, Resident #2) out of six residents sampled during the time of this survey.
Inspectors wroteBased on record review and interviews, the facility failed to report an alleged abuse incident to the abuse registry for allegation of abuse for one (Resident #1, Resident #2) out of six residents reviewed for abuse.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by failure to maintain refrigeration/freezer units in proper working order, failure to properly clean and sanitize food preparation and serving equipment, and failure to hold hot and cold foods at regulatory temperatures.
Inspectors wroteBased on observations and interviews conducted the facility failed to provide a safe, clean, comfortable, and homelike environment, as evidenced by unclean, disrepair, unkempt environment to include floors, ceilings, bathrooms and furniture. There were 178 residents residing in the facility at the time of the survey.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow the approved menu for Regular Diets (94 residents), Mechanical Soft Diet (47 residents), No Added Salt Diet (26 residents), and Low Concentrated Sweets Diet (15 residents), and Pureed Diet (21 residents).
Inspectors wroteBased on record review, observation, and interview it was determined that food was not prepared by following standardized recipes to ensure nutritive value, flavor, and appearance for Regular Diet, Mechanical Soft Diet, No Added Sugar Diet, No Concentrated Sweet Diets (141 facility residents) and Pureed Diet (21 Residents) to include sample Resident #2, Resident #22, Resident #32, Resident #42, Resident #79, Resident #80, and Resident #89.
Inspectors wroteBased on record review, observations and interviews, the facility failed to follow food preferences for 4 (Resident #12, Resident #33, Resident #104, and Resident #69) out of 12 residents reviewed for nutrition.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow physician ordered Double Portion Diet that were a nutrition intervention for weight loss for 17 out of 17 facility residents that included sampled Resident #20, Resident #80, Resident #124, Resident #137, and Resident #166.
Inspectors wroteBased on observations and interviews the facility failed to maintain refrigeration/freezer units in proper working order
Inspectors wroteBased on observation, interviews, record review and policy review, the facility failed to provide adequate pain control management for 1 (Resident #102) out of 1 sampled resident for pain management.
Inspectors wroteBased on observations, interviews and record review, the facility failed to provide physician ordered adaptive equipment for 1 out of 35 sampled residents (Resident #17).
Inspectors wroteDuring the QAPI review and interview on 02/23/23 at 10:11 AM it was revealed that the QAPI meeting is conducted on the third Friday of the month. The risk manager is the Administrator. The QAPI members are committee chairperson, administrator, Director of Nursing, Medical Director, Dietary, Pharmacy representative, Social Service, Activities, Environmental representative, Infection control, Rehab, Staff Development, Safety representative and Medical records representative. [...]
5 fire safety citations on file: 2 on January 15, 2026, 1 on July 18, 2024, 2 on February 23, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.74 | 3.82 | 3.86 |
| Registered nurses | 0.95 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.44 | 3.49 | 3.42 |
| Nurse aides | 2.28 | ||
| Licensed practical nurses | 0.51 | ||
| Nursing staff turnover (share who left in a year) | 15.8% | 41.4% | 45.8% |
| Registered nurse turnover | 23.5% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.73 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.86 on weekdays and 3.44 on weekends, 11% 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 3.62 in April to June 2025 to 3.74 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 | 3.74 | 0.95 | 3.86 | 3.44 | 0.0% | 0 of 90 | 171 |
| Oct to Dec 2025 | 3.89 | 0.97 | 4.00 | 3.60 | 0.0% | 0 of 92 | 168 |
| Jul to Sep 2025 | 3.62 | 0.77 | 3.66 | 3.50 | 0.0% | 0 of 92 | 172 |
| Apr to Jun 2025 | 3.62 | 0.76 | 3.72 | 3.37 | 0.0% | 0 of 91 | 171 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 5.5 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 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 | 0.3 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.1 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.0 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.7 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.3 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.5 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Sierra Lakes Nursing & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (27.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
27.3% this home
Worse than the national rate
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 43 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 78 eligible stays.
6.0% this home
No different from the national rate
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 37 eligible stays.
52.4% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 82 residents counted.
0.0% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 115 residents counted.
2.8% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 115 residents counted.
95.2% this home
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 21 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: GOLDEN GLADES OPCO, LLC. CMS links this home to Ventura Services, a group of 14 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ventura Opco Holdco, LLC | 5% or greater direct ownership interest | Organization | 100% | 07/22/2020 |
| Agrp 2011 Trust | Indirect ownership interest | Organization | 09/30/2019 | |
| Deborah Philipson 2011 Family Trust | Indirect ownership interest | Organization | 09/30/2019 | |
| Philipson Family Limited Liability Company, LLC | Indirect ownership interest | Organization | 09/30/2019 | |
| Schaffer, Daniel | Indirect ownership interest | Individual | 09/30/2019 | |
| Bengio, Jacob | Operational/managerial control | Individual | 09/30/2019 | |
| Paritzky, Jeremie | Operational/managerial control | Individual | 09/30/2019 | |
| Phillip, Felica | Operational/managerial control | Individual | 10/05/2020 | |
| Schaffer, Daniel | Operational/managerial control | Individual | 09/30/2019 | |
| Philipson, Bent | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Philipson, Gabrielle | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/12/2025 | |
| Philipson, Raquel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/12/2025 | |
| Agrp 2011 Trust | Trustee of the SNF | Organization | 09/30/2019 | |
| Deborah Philipson 2011 Family Trust | Trustee of the SNF | Organization | 09/30/2019 | |
| Agrp 2011 Trust | Adp of the SNF | Organization | 09/30/2019 | |
| Deborah Philipson 2011 Family Trust | Adp of the SNF | Organization | 09/30/2019 | |
| Philipson Family Limited Liability Company, LLC | Adp of the SNF | Organization | 09/30/2019 | |
| Richards Mitchell & Cross Pa | Adp of the SNF | Organization | 09/30/2019 | |
| Ventura Services - Florida, LLC | Adp of the SNF | Organization | 09/30/2019 | |
| Moghaddam, Hamidreza | Adp of the SNF | Individual | 09/30/2019 | |
| Phillip, Felica | Adp of the SNF | Individual | 10/05/2020 |
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.
Chosen from this home's own inspection record.
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.