Sands at South Beach Care Center, the
42 Collins Avenue, Miami Beach, FL 33139 · Miami-Dade County · 230 certified beds · avg 189 residents/day · certified since Mar 24, 1970
Part of chain: ONYX HEALTH (11 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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.
All citations in the current public record (26)
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 |
|---|---|---|
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Jun 3, 2025 | D · Potential for harm, one-off | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · from a complaint |
| Jun 3, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Jun 3, 2025 | 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. · from a complaint |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Mar 7, 2024 | 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. |
| Mar 7, 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. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Mar 7, 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. |
| Mar 7, 2024 | 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. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Mar 7, 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. |
| Mar 7, 2024 | D · Potential for harm, one-off | 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. |
| Dec 1, 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. |
| Dec 1, 2022 | 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. |
| Dec 1, 2022 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Dec 1, 2022 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Dec 1, 2022 | E · Potential for harm, repeated | 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. |
| Dec 1, 2022 | 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. |
| Dec 1, 2022 | E · Potential for harm, repeated | 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. |
| Dec 1, 2022 | 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. |
| Dec 1, 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. |
| Dec 1, 2022 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Dec 1, 2022 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Dec 1, 2022 | 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. |
| Dec 1, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 13 | 0 | F |
| 2024 | 9 | 0 | E |
| 2025 | 4 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
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) | 3.63 | 4.03 | 3.95 | bottom 27% in Florida; bottom 43% in the U.S. |
| Registered Nurse hours | 1.14 | 0.76 | 0.69 | top 12% in Florida; top 11% in the U.S. |
| Weekend total nurse staffing | 3.38 | 3.68 | 3.50 | bottom 31% in Florida; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.89 | 0.53 | 0.48 | top 12% in Florida; top 8% in the U.S. |
| Total nursing staff turnover (%) | 28.8 | 41.4 | 45.8 | top 20% in Florida; top 12% in the U.S. |
| RN turnover (%) | 23.3 | 46.0 | 42.9 | top 12% in Florida; top 19% 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 3.41, RN 1.07, weekend 3.17. 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: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 42 Collins Avenue Care INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/17/2018 |
| Bleich, Michael | Individual | 5% or Greater Indirect Ownership Interest | 5% | 03/19/2018 |
| Halpern, Michael | Individual | 5% or Greater Indirect Ownership Interest | 18% | 03/17/2018 |
| Kohen, Eliyahu | Individual | 5% or Greater Indirect Ownership Interest | 5% | 03/17/2018 |
| Scheiner, Heather | Individual | 5% or Greater Indirect Ownership Interest | 18% | 03/17/2018 |
| Schwartz, Louis | Individual | 5% or Greater Indirect Ownership Interest | 10% | 03/17/2018 |
| Aghigh, Soroush | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Aghigh, Soroush | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2025 |
| Boiangiu, Lincuta | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/26/2003 |
| Mondragon, Luisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/11/2024 |
| Onyx Healthcare Consulting LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Onyx Healthcare Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/20/2025 |
| Preter, Barry | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/06/2025 |
| Preter, Barry | Individual | ADP of the SNF | NOT APPLICABLE | 11/20/2025 |
| Schuster, Rachel | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2019 |
| Schuster, Rachel | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2019 |
| Schuster, Rachel | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2019 |
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 choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How can my family member make private phone or video calls, and can we see where?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "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 |
|---|---|---|---|---|---|
| Ponce Health and Rehabilitation Center | 4.3 mi | Miami, FL | ★★★★★ | 4/5 | |
| Riverside Care Center | 4.8 mi | Miami, FL | ★★★★★ | 4/5 | |
| Victoria Nursing & Rehabilitation Center, INC. | 4.8 mi | Miami, FL | ★★★★★ | 4/5 | |
| University Health and Rehabilitation Center | 4.9 mi | Miami, FL | ★★★★☆ | 3/5 | |
| Jackson Gardens Health and Rehabilitation Center | 5.0 mi | Miami, FL | ★★★★☆ | 3/5 | |
| Miami Jewish Health Systems, INC | 5.3 mi | Miami, FL | ★★★★☆ | 3/5 | |
| Treasure Isle Care Center | 5.5 mi | North Bay Village, FL | ★★☆☆☆ | 2/5 | |
| Unity Healthcare and Rehabilitation Center | 5.7 mi | Miami, FL | ★★★★★ | 4/5 | |
| Jackson Memorial Long Term Care Center | 6.4 mi | Miami, FL | ★★★★★ | 3/5 | |
| Floridean Health & Rehabilitation Center | 7.2 mi | Miami, FL | ★★★★★ | 4/5 | |
| Miami Shores Nursing and Rehab Center | 7.9 mi | Miami, FL | ★★★★☆ | 3/5 | |
| Azure Shores Rehab | 8.1 mi | Miami, FL | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105229.