The 10 Worst Nursing Homes in Florida

  Worst Nursing Homes in Florida By City

Every city in Florida has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Miami

• Gardens Nursing and Rehab Center (466.5)
• Have elevators that firefighters can control in the event of a fire. (2025-01-15)
• Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2025-01-15)
• South Dade Nursing and Rehabilitation Center (156)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-08-26)
• PASARR screening for Mental disorders or Intellectual Disabilities (2024-08-26)
• Coral Reef Subacute Care Center LLC (129.5)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-01-19)
• 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. (2025-01-19)
• Pines Nursing Home (110.167)
• Ensure each resident receives an accurate assessment. (2024-01-23)
• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (2024-01-23)
• Miami Nursing Center, LLC (103.5)
• Provide and implement an infection prevention and control program. (2024-11-08)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-09-03)
• Azure Shores Rehab (75.333)
• 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. (2024-10-31)
• Ensure services provided by the nursing facility meet professional standards of quality. (2024-10-31)
• Unity Healthcare and Rehabilitation Center (56.667)
• 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. (2024-03-21)
• Ensure each resident receives an accurate assessment. (2024-03-21)
• Sierra Lakes Nursing and Rehabilitation Center (53.333)
• Keep residents' personal and medical records private and confidential. (2024-08-18)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2024-08-18)
• University Health and Rehabilitation Center (49.333)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-02-10)
• Reasonably accommodate the needs and preferences of each resident. (2024-02-10)
• Shoreside Health and Rehabilitation Center (42)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-07-06)
• Ensure medication error rates are not 5 percent or greater. (2024-07-06)

Worst Nursing Homes in Tampa

• The Bristol Care Center (424.833)
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2025-03-01)
• Respond appropriately to all alleged violations. (2025-03-01)
• Rehabilitation and Healthcare Center of Tampa (291.333)
• PASARR screening for Mental disorders or Intellectual Disabilities (2024-12-01)
• Ensure each resident receives an accurate assessment. (2024-12-01)
• Aspire at The Bay (188.333)
• Keep residents' personal and medical records private and confidential. (2024-07-26)
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2024-07-26)
• Aspire at Fletcher (173.833)
• Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2025-01-06)
• Provide safe, appropriate pain management for a resident who requires such services. (2025-01-06)
• Carrollwood Care Center (87.167)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2025-02-08)
• Assist a resident in gaining access to vision and hearing services. (2025-02-08)
• Concordia Village of Tampa (81.833)
• Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2024-07-12)
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (2024-05-10)
• Bayshore Pointe Nursing and Rehab Center (75.333)
• PASARR screening for Mental disorders or Intellectual Disabilities (2024-10-31)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2024-10-31)
• Whispering Oaks (69.667)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-09-24)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2023-09-22)
• Palm Garden of Tampa (46.667)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-12-15)
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2023-12-15)
• St. Andrew Post-Acute Rehabilitation Center (45.333)
• PASARR screening for Mental disorders or Intellectual Disabilities (2024-10-04)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-10-04)

Worst Nursing Homes in Orlando

• Orlando Health and Rehabilitation Center (253.667)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-09-22)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-04-08)
• Aspire at Rosewood (129)
• Provide doctor's orders for the resident's immediate care at the time the resident was admitted. (2024-12-24)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-12-24)
• Bedrock Rehabilitation and Nursing Center at Orlan (114.333)
• Honor the resident's right to organize and participate in resident/family groups in the facility. (2024-09-07)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-09-07)
• South Orange Health and Rehabilitation Center (103)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2025-01-11)
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2025-01-11)
• Lotus Nursing and Rehabilitation Center (74)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2024-11-03)
• PASARR screening for Mental disorders or Intellectual Disabilities (2024-11-03)
• Palm Garden of Orlando (71.5)
• Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. (2024-12-06)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2024-12-06)
• Courtyards of Orlando Care Center and Rehab (70.5)
• Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. (2024-09-05)
• Allow residents to self-administer drugs if determined clinically appropriate. (2024-04-21)
• Solaris Healthcare College Park (67.333)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-12-04)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-12-04)
• Delaney Park Health and Rehabilitation Center (63.667)
• Allow residents to self-administer drugs if determined clinically appropriate. (2024-07-05)
• Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. (2024-07-05)
• Hunters Creek Nursing and Rehab Center (56)
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (2025-01-19)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-01-19)

Worst Nursing Homes in Jacksonville

• Arcadia Care Jacksonville (236)
• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (2024-12-19)
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (2024-12-18)
• Palm Garden of Jacksonville (178.333)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-10-04)
• Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (2024-10-04)
• The Grove Health and Rehab Ctr (129.167)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-11-21)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-09-27)
• Riverside Post Acute (125.5)
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2024-05-24)
• Install an approved automatic sprinkler system. (2024-02-23)
• Twin Oaks Health and Rehabilitation Center (121.667)
• Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2024-10-18)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-10-18)
• Premier Nursing and Rehabilitation Center (119.5)
• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2024-07-19)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-07-19)
• Woodland Hills Healthcare and Rehabilitation (98.667)
• Allow residents to self-administer drugs if determined clinically appropriate. (2025-01-17)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-01-17)
• Jacksonville Skld Nur and Rehab (90.667)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-10-12)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-08-14)
• Cedar Hill Nursing and Rehab Center (87.333)
• 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. (2024-09-23)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2024-09-23)
• Fouraker Hills Rehab and Nursing Center (77.5)
• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. (2025-02-11)
• Ensure each resident receives an accurate assessment. (2025-02-07)

Worst Nursing Homes in Sarasota

• Siesta Key Health and Rehabilitation Center (333)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-09-06)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-09-06)
• The Meadows Center For Nursing and Healing (165.333)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-11-03)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-11-03)
• Crescent Health and Rehabilitation Center (132.667)
• 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. (2025-02-07)
• 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. (2024-10-11)
• Sarasota Health and Rehabilitation Center (114.5)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2025-02-14)
• Respond appropriately to all alleged violations. (2025-02-14)
• Springs at Lake Pointe Woods (89.833)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-09-19)
• Have generator or other power source capable of supplying service within 10 seconds. (2024-06-07)
• Aspire at Sarasota (82)
• Reasonably accommodate the needs and preferences of each resident. (2025-01-11)
• 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. (2025-01-11)
• Birchwood Health and Rehabilitation Center (72)
• Ensure that residents are free from significant medication errors. (2023-11-12)
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2023-11-12)
• Brookdale Palmer Ranch Snf (63)
• Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2023-06-11)
• Develop and maintain an Emergency Preparedness Program (EP). (2023-06-11)
• Creekside Health and Rehabilitation Center (61.667)
• 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. (2024-10-18)
• Provide activities to meet all resident's needs. (2022-09-11)
• Aspire at Beneva (61.333)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-12-02)
• 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. (2023-12-02)

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in Florida
• Analysis of Nursing Homes in Florida

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in Florida:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit

  How We Compile Nursing Home Ratings in Florida

Every month, we rank all of the skilled nursing facilities in Florida. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Florida is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Florida nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

• Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
• Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
• Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
• Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Florida nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!