Coral Reef Subacute Care Center LLC
9869 SW 152nd Street, Miami, FL 33157 · Miami-Dade County · 180 certified beds · avg 156 residents/day · certified since Feb 29, 1996
Part of chain: CARERITE CENTERS (34 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Dec 6, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 19, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (29)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 30, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jun 5, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Dec 6, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 6, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Dec 6, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jan 19, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 19, 2024 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Nov 17, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 9 | 0 | F |
| 2024 | 14 | 1 | J ▲ |
| 2025 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $10,039.
| Date | Type | Amount / length |
|---|---|---|
| Dec 6, 2024 | Fine | $10,039 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.36 | 4.03 | 3.95 | bottom 6% in Florida; bottom 29% in the U.S. |
| Registered Nurse hours | 1.18 | 0.76 | 0.69 | top 11% in Florida; top 10% in the U.S. |
| Weekend total nurse staffing | 2.98 | 3.68 | 3.50 | bottom 3% in Florida; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.06 | 0.53 | 0.48 | top 7% in Florida; top 5% in the U.S. |
| Total nursing staff turnover (%) | 38.4 | 41.4 | 45.8 | top 41% in Florida; top 32% in the U.S. |
| RN turnover (%) | 38.9 | 46.0 | 42.9 | top 37% in Florida; top 45% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.76, RN 1.31, weekend 3.32. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Coral Reef Center Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/02/2021 |
| MD Friedman Family 2017 Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/20/2025 |
| MZM 2017 Trust | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/20/2025 |
| Neal Einhorn Family 2017 Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/20/2025 |
| Zucker, Yossie | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2021 |
| Einhorn, Neal | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/20/2025 |
| Einhorn, Neal | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/20/2025 |
| Friedman, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/20/2025 |
| Friedman, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/20/2025 |
| Gonzalez, Jesus | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/15/2023 |
| Gonzalez, Jesus | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2023 |
| Horna, Joyce | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/15/2009 |
| Horna, Joyce | Individual | ADP of the SNF | NOT APPLICABLE | 06/15/2009 |
| MD Friedman Family 2017 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 02/20/2025 |
| MZM 2017 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 02/20/2025 |
| Neal Einhorn Family 2017 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 02/20/2025 |
| Oliva, Tania | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/15/2016 |
| Oliva, Tania | Individual | ADP of the SNF | NOT APPLICABLE | 12/15/2016 |
| Zucker, Yossie | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| South Dade Nursing and Rehabilitation Center | 0.9 mi | Miami, FL | ★★★★★ | 4/5 | |
| East Ridge Rehabilitation and Nursing Center | 3.0 mi | Cutler Bay, FL | ★★★★★ | 4/5 | |
| Jackson Memorial Perdue Medical Center | 3.3 mi | Cutler Bay, FL | ★★★★★ | 4/5 | |
| St Annes Nursing Center, St Annes Residence INC | 3.4 mi | Miami, FL | ★★★☆☆ | 2/5 | abuse |
| Harmony Health Center | 4.1 mi | Miami, FL | ★★★★★ | 5/5 | |
| Palace at Kendall Nursing and Rehabilitation Cente | 4.5 mi | Miami, FL | ★★★★★ | 4/5 | |
| Nspire Healthcare Kendall | 5.4 mi | Kendall, FL | ★★★★★ | 4/5 | |
| Riviera Health Resort | 6.9 mi | Coral Gables, FL | ★★★★★ | 5/5 | |
| Kendall Lakes Healthcare and Rehab Center | 7.0 mi | Miami, FL | ★★★★★ | 5/5 | |
| West Gables Health Care Center | 8.5 mi | Miami, FL | ★★★★★ | 4/5 | |
| Palmetto Subacute Care Center | 9.5 mi | Miami, FL | ★★★★★ | 4/5 | |
| Coral Gables Nursing and Rehabilitation Center | 9.7 mi | Miami, FL | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105910.