Sierra Lakes Nursing & Rehabilitation Center
220 Sierra Drive, Miami, FL 33179 · Miami-Dade County · 180 certified beds · avg 171 residents/day · certified since Nov 13, 2019
Part of chain: VENTURA SERVICES (14 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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 · May 1, 2026 · 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: May 7, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (28)
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 |
|---|---|---|
| May 1, 2026 | ▲ 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 |
| Jan 15, 2026 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 15, 2026 | 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. |
| Jan 15, 2026 | 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 15, 2026 | 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 15, 2026 | 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. |
| Jan 15, 2026 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jan 15, 2026 | 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. |
| Jan 15, 2026 | 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. |
| Jul 18, 2024 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jul 18, 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. |
| Jul 18, 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. |
| Jul 18, 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. |
| Jul 18, 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. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Feb 23, 2023 | 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. |
| Feb 23, 2023 | 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. |
| Feb 23, 2023 | 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. |
| Feb 23, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 23, 2023 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Feb 23, 2023 | E · Potential for harm, repeated | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Feb 23, 2023 | 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. |
| Feb 23, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Feb 23, 2023 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Feb 23, 2023 | 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 stayed about the same across the last two inspection cycles (7 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 12 | 0 | F |
| 2024 | 7 | 0 | F |
| 2026 | 9 | 1 | J ▲ |
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) | 3.84 | 4.03 | 3.95 | bottom 47% in Florida; top 47% in the U.S. |
| Registered Nurse hours | 0.98 | 0.76 | 0.69 | top 20% in Florida; top 17% in the U.S. |
| Weekend total nurse staffing | 3.53 | 3.68 | 3.50 | bottom 50% in Florida; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.64 | 0.53 | 0.48 | top 26% in Florida; top 20% in the U.S. |
| Total nursing staff turnover (%) | 15.8 | 41.4 | 45.8 | top 3% in Florida; top 1% in the U.S. |
| RN turnover (%) | 23.5 | 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 3.74, RN 0.95, weekend 3.44. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Agrp 2011 Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/30/2019 |
| Deborah Philipson 2011 Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/30/2019 |
| Philipson Family Limited Liability Company, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/30/2019 |
| Schaffer, Daniel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/30/2019 |
| Ventura Opco Holdco, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/22/2020 |
| Agrp 2011 Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 09/30/2019 |
| Agrp 2011 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/30/2019 |
| Bengio, Jacob | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/30/2019 |
| Deborah Philipson 2011 Family Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 09/30/2019 |
| Deborah Philipson 2011 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/30/2019 |
| Moghaddam, Hamidreza | Individual | ADP of the SNF | NOT APPLICABLE | 09/30/2019 |
| Paritzky, Jeremie | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/30/2019 |
| Philipson Family Limited Liability Company, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/30/2019 |
| Philipson, Bent | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Philipson, Gabrielle | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/12/2025 |
| Philipson, Raquel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/12/2025 |
| Phillip, Felica | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/05/2020 |
| Phillip, Felica | Individual | ADP of the SNF | NOT APPLICABLE | 10/05/2020 |
| Richards Mitchell & Cross Pa | Organization | ADP of the SNF | NOT APPLICABLE | 09/30/2019 |
| Schaffer, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/30/2019 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "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 |
|---|---|---|---|---|---|
| Gardens Nursing and Rehab Center | 0.3 mi | Miami, FL | ★★☆☆☆ | 1/5 | abuseSFF |
| Hampton Court Nursing and Rehabilitation Center | 2.3 mi | North Miami Beach, FL | ★★★★★ | 4/5 | |
| Aventura Rehab and Nursing Center | 2.4 mi | North Miami Beach, FL | ★★★☆☆ | 3/5 | |
| Regents Park at Aventura | 2.9 mi | Aventura, FL | ★★☆☆☆ | 2/5 | |
| North Beach Healthcare and Rehabilitation Center | 3.0 mi | North Miami Beach, FL | ★★☆☆☆ | 1/5 | |
| Serenity Bay Nursing and Rehabilitation Center | 3.1 mi | North Miami Beach, FL | ★★☆☆☆ | 2/5 | |
| Palm Garden of Aventura | 3.3 mi | North Miami Beach, FL | ★★★★☆ | 4/5 | |
| Emerald Nursing and Rehabilitation Center | 3.4 mi | Hollywood, FL | ★★☆☆☆ | 2/5 | |
| Claridge House Nursing and Rehabilitation Center | 3.6 mi | North Miami, FL | ★★☆☆☆ | 2/5 | |
| The Lilac at Silver Palms | 3.6 mi | North Miami, FL | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 106131.