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Complaint Investigation

Jackson Memorial Long Term Care Center

February 27, 2026 · Miami, FL · 2500 Nw 22nd Ave
Citations 1
CMS Rating 5/5
Beds 180
Provider ID 105392
Healthcare Facility
Jackson Memorial Long Term Care Center
Miami, FL  ·  View full profile →
Inspection Summary

JACKSON MEMORIAL LONG TERM CARE CENTER in MIAMI, FL — inspection on February 27, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies

as indicated and maintain fall and safety precautions at all times.

Interview with Staff A, Certified

and the facility's policy on 1:1 supervision, she stated: The resident asked me for some water, went

ask who was going to cover my break. I know the facility policy for 1:1 supervision is for the sitter to maintain at the resident's bedside at all times without exceptions.

Interview with Staff A, Certified Nursing Assistant (CNA) on 02/27/2026 at 11:13 AM revealed, when asked regarding facility policy on 1:1 sitter communicating with staff about break time, Staff A stated: If the sitter needs to communicate with other staff to request a break, then it should be done using the call light always.

Interview with the Senior Director of Risk Manager on 02/27/2026 at 10:19 AM revealed when asked if the setting was appropriate for Resident #1 and sitter leaving him unsupervised, she responded: I do not think the resident was a candidate for long-term care. He needed more aggressive care due to his Traumatic Brain Injury and psychiatric history. I believe, due to the resident's restlessness and impulsiveness, the incident would have occurred anywhere else. I also think the resident's sitter should not have stepped away from the bedside this is why she was held accountable.

Interview on 02/27/2026 at 10:46 AM, Staff B, Registered Nurse (RN) Leader on 02/27/2026 at 10:46 AM revealed a sitter's role when assigned to a 1:1 supervision is to be within one arm length from the resident and if a bathroom break is needed, it should be communicated via the call light.

Interview with the Administrator on 02/27/2026 at 12:52 PM; when asked if the incident with Resident #1 could have been avoided, he stated: I do not think this incident could have been avoided because the resident was agitated since he arrived at this facility and it could have happened anywhere else. I also do not think what the sitter did was correct; she should have never left the resident alone.

Interview with the Director of Nursing on 02/27/2026 at 2:08 PM revealed when asked if the setting was appropriate for Resident #1 and the facility's policy on 1:1 supervision, she stated: The facility's policy regarding 1:1 supervision is for the sitter to remain with the assigned resident at all times. If the sitter needs a break, she needs to use the call light to communicate it; there is no reason for the sitter to leave the room. I also do not think the resident was a proper candidate to be in this facility because he was agitated and had been treated with Haldol in the previous facility.

Record review of the facility's Policy titled: Resident Abuse, Neglect, Exploitation and Misappropriation of Resident Property dated 04/04/2023 and revised on 04/15/2025 indicated: Policy: [NAME] Memorial Long-Term Care shall make every effort to ensure that residents are free from abuse, neglect, exploitation, mistreatment, and misappropriation of resident property.2.

Neglect is defined as the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish or emotional distress.

Type/Example of Neglect: b.

Inadequate supervision (victim left alone caregiver present but unable to provide or not providing supervision).

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MIAMI, FL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from JACKSON MEMORIAL LONG TERM CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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