FOUNTAIN MANOR HEALTH & REHABILITATION CENTER
390 NE 135TH ST
NORTH MIAMI, FL, 33161
3058954804
CCN: 105172
5
Overall4
Health3
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
GATEWAY TO HEALTH REHABILITATI
1128b8
Excluded 2006-05-18
REHABILITATION CENTER AT HOLLY
1128b5
Excluded 2018-11-20
Ownership
| Name | Role | % |
|---|---|---|
| FOUNTAIN MANOR HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| BURSTEIN, JONATHAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% |
| CHAVIN, SAMUEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 32% |
| TAPIA, JILL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% |
| ROTH, DANIEL | CORPORATE OFFICER | NOT APPLICABLE |
| CHAVIN, SAMUEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ORTIZ, EDWIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROTH, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BURSTEIN, JONATHAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (13)
2025-07-28 · Health
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-06-18 · Health
D
F761 · Pharmacy Service Deficiencies
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.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-02-10 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2024-11-15 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-10-30 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-06-29 · Health
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2022-05-26 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.16
RN Hrs/Resident/Day0.54
1.01
LPN Hrs/Resident/Day0.81
0.54
CNA Hrs/Resident/Day2.33
2.61
PT Hrs/Resident/Day0.12
0.05
Data as of 2026-03-01