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The Palace Royale at Kendall
Nursing Home, Assisted Living, Continuing Care Retirement Community, Home Care, Independent Living, Memory Care & Skilled Nursing · Miami, FL
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Nursing Home, Assisted Living, Continuing Care Retirement Community, Home Care, Independent Living, Memory Care & Skilled Nursing · Miami, FL
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Palace Royale at Kendall accepts Medicaid, Medicare, and private pay.
Overview of The Palace Royale at Kendall
The Palace Royale at Kendall offers nursing home, assisted living, continuing care retirement community, home care, independent living, memory care, and skilled nursing in Miami, FL. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident maintains an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering. Nursing home and skilled nursing care provide licensed nursing on site around the clock, while home care delivers support in a resident’s home. Independent living provides private living with community services and no daily care.
As a continuing care retirement community with multiple care levels, The Palace Royale at Kendall can suit a resident whose needs may grow over time without requiring a move to a different community. The home has 510 beds, so daily life involves more residents, staff, and usually programming. Housing includes studio and one-bedroom apartments, giving a resident the choice of a single-room layout or a separate bedroom. Pets are allowed, so a resident may be able to bring a pet when moving in.
Medicaid, Medicare, and private pay are accepted. Medicaid can help a family whose savings may not cover a long stay, while Medicare applies to short-term skilled care after a hospital stay rather than long-term residence. Private pay allows a family to pay directly. Total nurse staffing is 4 hours 2 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Ricardo A Martinez serves as administrator, and Kendall Healthcare Properties operates the community.
A Walk Score of 51 places the area in the somewhat walkable category, meaning some errands can be done on foot. A resident who no longer drives may be able to handle some nearby trips independently.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health InspectionBased on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
StaffingMeasures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality MeasuresBased on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
StaffingData period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 88th out of 182 nursing homes we track in Florida for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This facility
FL avg 4h 4m
≈ 0% · FL 4h 4mThis facility: 4h 2m per resident per day, level with the Florida average of 4h 4m (among Florida facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rank#88 / 182Nurse hours — State benchmarkedThis nursing home is ranked 88th out of 182 nursing homes we track in Florida for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Florida average, with a ranking across 182 Florida facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Nurse hours — State benchmarkedThis nursing home is ranked 88th out of 182 nursing homes we track in Florida for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Florida average, with a ranking across 182 Florida facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
4h 2m
Standout metric: RN, weekends is +92% above Florida average
3 of 6 metrics below Florida average
Daily care time per resident, by role
FL average · US = national average
Registered nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 36 are the facility's own employees; no agency contractors work in this role.36 staff · 9.5-hour shifts
1h 16m↑ 67% · FL 45mThis facility: 1h 16m per resident per day, 67% above the Florida average of 45m (among Florida facilities reporting a recent figure).
US average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 43m
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 10 are the facility's own employees; no agency contractors work in this role.10 staff · 9.5-hour shifts
18m↓ 65% · FL 51mThis facility: 18m per resident per day, 65% below the Florida average of 51m (among Florida facilities reporting a recent figure).
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 52m
Certified nursing assistant Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 96 are the facility's own employees; no agency contractors work in this role.96 staff · 8-hour shifts
2h 29m↑ 1% · FL 2h 27mThis facility: 2h 29m per resident per day, 1% above the Florida average of 2h 27m (among Florida facilities reporting a recent figure).
US average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 2h 26m
Physical therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
2m↓ 63% · FL 6mThis facility: 2m per resident per day, 63% below the Florida average of 6m (among Florida facilities reporting a recent figure).
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 4m
Total nursing, weekends Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.RN + LPN + aide · Sat–Sun
3h 38m↓ 2% · FL 3h 42mThis facility: 3h 38m per resident per day, 2% below the Florida average of 3h 42m (among Florida facilities reporting a recent figure).
US average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 3h 32m
RN, weekends Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.Sat–Sun
1h 1m↑ 92% · FL 32mThis facility: 1h 1m per resident per day, 92% above the Florida average of 32m (among Florida facilities reporting a recent figure).
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 29m
Headcount
Total staffEvery person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.193
180 employees · 13 contractors · 99 on an average day Staff per resident193 total staff / 176 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.1.10 : 1↓ 25% · FL 1.46This facility: 1.10 staff per resident, 25% below the Florida average of 1.46 (among Florida facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
193 staff ÷ 176 residents See full Florida ranking →Average shiftAverage hours one staff member works on a day they are on shift, across every role.8.3 h↑ 5% · FL 7.9 hThis facility: 8.3 h, 5% above the Florida average of 7.9 h (among Florida facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
75,538 staff hours this quarter See full Florida ranking →
99.4%
of staff hours were worked by the facility's own employees
Florida average: 95.1% · Contractors this quarter: Physical Therapy Assistant (4), Physical Therapy Aide (3), Speech Language Pathologist (2), Respiratory Therapy Technician (2), Occupational Therapy Assistant (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Bed count
A large-scale community that may provide a wide range of amenities, services, and structured programs.510Rank#1 / 237Bed count — State benchmarkedThis nursing home is ranked 1st out of 237 nursing homes we track in Florida for bed count. Shows this facility's certified or reported bed count compared to other Florida facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Bed count — State benchmarkedThis nursing home is ranked 1st out of 237 nursing homes we track in Florida for bed count. Shows this facility's certified or reported bed count compared to other Florida facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
High-capacity home
· May provide extensive amenities, services and programs.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.Rank#101 / 261Walk Score — State benchmarkedThis nursing home is ranked 101st out of 261 nursing homes we track in Florida for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Florida facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Walk Score — State benchmarkedThis nursing home is ranked 101st out of 261 nursing homes we track in Florida for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Florida facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
51/ 100
Residents per day (avg) The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
169
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
106days
About This Community
License Details
IssuanceFebruary 19, 2025
CountyMiami-Dade
License Number7649
Ownership & Operating Entity
The Palace Royale at Kendall is legally operated by Kendall Healthcare Properties, and administered by Ricardo A Martinez.
Profit StatusFor-profit
Type Of Units
Private
510 units
Total beds
510 units
Languages Spoken
CreoleHebrewSpanish
Staffing & Medical
1 service
Medication ManagementSupport with organizing, administering, and monitoring medicines can help prevent missed or incorrect doses.
Additional Services
4 services
Personal Assistance
Housekeeping
Transportation
Beauty Services
Additional Policies & Features
Pets Allowed
Amenities & Lifestyle
Activities
Arts and Crafts
Cooking Classes
Dancing
Exercise Classes
Games & Cards
Gardening
Music Programs
Shopping Activities
Social Events & Outings
Theater & Movies
Yoga Classes
Room Accommodations
Building TypeMid-rise
Room Types
Apartment
This profile shows two inspection records, and their totals often differ.
Inspection History and the Inspection Scorecard below are state data — the
figures the state publishes and the state inspection reports we hold on file —
covering the entire facility. CMS Health Inspection History covers only this
home's Medicare and Medicaid-certified nursing beds, from federal certification
surveys.
Inspection History
In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.
The figures below cover inspections recorded since July 12, 2012.
Legal Actions
Formal stipulations and orders filed by Florida regulators against this facility, including fines and total monetary penalties.
This FacilityFL Averagevs. FL Avg
Enforcement actionsFormal actions the state took against the facility.
0
vs 4 avg
↓ 100% fewer than FL avg
FinesTotal number of fines issued.
0
vs 3 avg
↓ 100% fewer than FL avg
Total amount finedTotal dollar amount of fines issued.
$0
vs $10k
↓ 100% lower than FL avg
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Florida state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Overall vs. FL average
0 Worse
No metrics in this bucket.
4 Better
Metrics better than Florida average:
• Total citations (71% below)
• Citations per inspection (70% below)
• Inspections with citations (44% below)
• Inspection citation rate (44% below)
Citations Citations are formal regulatory issues recorded during state inspections.
This Facility
FL Average
vs. FL Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.
7
24.0
This facility has 71% fewer total citations than a typical Florida nursing home (7 vs. FL avg 24).↓ 71% better
Citations per inspection Average citations per inspection.
0.3
1.0
This facility has 70% fewer citations per inspection than a typical Florida nursing home (0.3 vs. FL avg 1).↓ 70% betterRank#105 / 181Citations per inspection — State benchmarkedThis nursing home is ranked 105th out of 181 nursing homes we track in Florida for citations per inspection. Shows this facility's citations per inspection compared to the Florida average among the 181 nursing homes in the ranking pool.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Citations per inspection — State benchmarkedThis nursing home is ranked 105th out of 181 nursing homes we track in Florida for citations per inspection. Shows this facility's citations per inspection compared to the Florida average among the 181 nursing homes in the ranking pool.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Inspections State inspections evaluate whether the facility meets health and safety standards.
This Facility
FL Average
vs. FL Avg
Total inspections Combined count of all inspections conducted at this facility.
28
27.0
This facility has had 4% more total inspections than the Florida average (28 vs. FL avg 27). More inspections can mean more regulatory scrutiny rather than worse care.↑ 4% more
Inspections with citations Inspections that resulted in at least one regulatory citation.
5
9.0
This facility has 44% fewer inspections with citations than a typical Florida nursing home (5 vs. FL avg 9).↓ 44% better
Inspection citation rate Percentage of inspections that resulted in at least one citation.
18%
32%
This facility has 14 percentage points lower inspection citation rate than a typical Florida nursing home (18% vs. FL avg 32%).↓ 14% better
Since 2023 · 3 years of data · Last health inspection Apr 2026
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
3↓ 30% · FL 4.3This facility: 3, 30% below the Florida average of 4.3 (among Florida facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
14Rank#59 / 181Health citations — State benchmarkedThis nursing home is ranked 59th out of 181 nursing homes we track in Florida for health citations. Shows this facility's total health deficiency citations benchmarked to the Florida State average, with a ranking across all 181 FL facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Health citations — State benchmarkedThis nursing home is ranked 59th out of 181 nursing homes we track in Florida for health citations. Shows this facility's total health deficiency citations benchmarked to the Florida State average, with a ranking across all 181 FL facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 29% · FL 19.8This facility: 14, 29% below the Florida average of 19.8 (among Florida facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.67Rank#105 / 181Citations per inspection — State benchmarkedThis nursing home is ranked 105th out of 181 nursing homes we track in Florida for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Florida mean across 181 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Citations per inspection — State benchmarkedThis nursing home is ranked 105th out of 181 nursing homes we track in Florida for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Florida mean across 181 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 3% · FL 4.53This facility: 4.67, 3% above the Florida average of 4.53 (among Florida facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
14 of 14 citations corrected
Bar = mix of this home's 14 citations, not a state comparison
Moderate (D–F, no harm, more than minimal risk): 14 citations, corrected
Lighter shade = corrected
CriticalJ–L
0↓ 100% · FL 0.7This facility: 0, 100% below the Florida average of 0.7 (among Florida facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
SeriousG–I
0↓ 100% · FL 0.3This facility: 0, 100% below the Florida average of 0.3 (among Florida facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
ModerateD–F
14↓ 25% · FL 18.6This facility: 14, 25% below the Florida average of 18.6 (among Florida facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
MinorA–C
0↓ 100% · FL 0.2This facility: 0, 100% below the Florida average of 0.2 (among Florida facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk
Latest inspection: Apr 23, 2026 · 6 citations, all corrected
Most cited category: Quality of Life & Care, 4 of 14 citations · 6 categories in total
Citations history
Most recent first
Apr 23, 20266 citations
Administration moderate citation
Corrected
Infection Control moderate citation
Corrected
Pharmacy moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Resident Rights moderate citation
Corrected
Oct 03, 20244 citations
Infection Control moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
May 10, 20234 citations
Administration moderate citation
Corrected
Pharmacy moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Top deficiency categories
Share of 14 citations
Quality of Life & Care4 deficiencies (29%)
Infection Control2 deficiencies (14%)
Resident Rights2 deficiencies (14%)
Resident Assessment & Care Planning2 deficiencies (14%)
Administration2 deficiencies (14%)
Pharmacy Services2 deficiencies (14%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 14 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious).
Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Clean record
Aug 2023202420252026Aug 2026
Total fines
$0FL avg $64KFlorida average: $64,370. Average among the 270 Florida facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0FL avg 2.32Florida average: 2.32. Average among the 270 Florida facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0FL avg 0.06Florida average: 0.06. Average among the 270 Florida facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Florida average.
Data as of Aug 2026 · CMS Care Compare
Long-stay quality ratingCMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.5/ 5★★★★★Significantly above averageShort-stay quality ratingCMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.5/ 5★★★★★Significantly above averageHigh-risk clinical eventsAverage of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.5.0Score · lower is better↓ 19% · FL 6.1This facility: 5.0, 19% below the FL average of 6.1 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Functional declineAverage of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.8.3Score · lower is better↓ 14% · FL 9.6This facility: 8.3, 14% below the FL average of 9.6 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
11 long-stay measures:7 better, 2 worse, 2 near FL average
3 short-stay measures:3 better
Long-stay residents
People who live at the home · 11 measures
FL average
Daily care & independence
Needed more help with daily activitiesPercent of long-stay residents whose need for help with daily activities has increased13.3%↑ 53% · FL 8.7This facility: 13.3, 53% above the FL average of 8.7 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsenedPercent of long-stay residents whose ability to move independently worsened5.6%↓ 41% · FL 9.5This facility: 5.6, 41% below the FL average of 9.5 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)Percent of low risk long-stay residents who lose control of their bowels or bladder5.9%↓ 44% · FL 10.5This facility: 5.9, 44% below the FL average of 10.5 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Safety & clinical stability
Urinary tract infectionPercent of long-stay residents with a urinary tract infection1.2%↑ 81% · FL 0.7This facility: 1.2, 81% above the FL average of 0.7 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injuryPercent of long-stay residents experiencing one or more falls with major injury1.5%↓ 42% · FL 2.5This facility: 1.5, 42% below the FL average of 2.5 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)Percent of long-stay high risk residents with pressure ulcers1.9%↓ 57% · FL 4.5This facility: 1.9, 57% below the FL average of 4.5 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Physical & mental health
Lost too much weightPercent of long-stay residents who lose too much weight2.5%↓ 55% · FL 5.5This facility: 2.5, 55% below the FL average of 5.5 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptomsPercent of long-stay residents who have depressive symptoms0.0%↓ 100% · FL 4.6This facility: 0.0, 100% below the FL average of 4.6 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic usePercent of long-stay residents who received an antipsychotic medication6.2%↓ 28% · FL 8.6This facility: 6.2, 28% below the FL average of 8.6 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Preventive care
Pneumococcal vaccinePercent of long-stay residents assessed and appropriately given the pneumococcal vaccine99.8%↑ 2% · FL 98.2This facility: 99.8, 2% above the FL average of 98.2 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.0%↑ 1% · FL 99.2This facility: 100.0, 1% above the FL average of 99.2 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
FL average
Physical & mental health
New antipsychotic medicationPercent of short-stay residents who newly received an antipsychotic medication1.4%↓ 6% · FL 1.5This facility: 1.4, 6% below the FL average of 1.5 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Preventive care
Pneumococcal vaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine99.8%↑ 5% · FL 95.2This facility: 99.8, 5% above the FL average of 95.2 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine99.5%↑ 5% · FL 94.7This facility: 99.5, 5% above the FL average of 94.7 (among FL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Breakdown by payment type
Medicare
40% of new residents, usually for short-term rehab.
Typical stay24 days
Private pay
52% of new residents, often for short stays.
Typical stay1 - 2 months
Medicaid
9% of new residents, often for long-term daily care.
Typical stay1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jun 2026)
Total residents176
Medicare
28
15.9% of residents
Medicaid
143
81.3% of residents
Private pay or other
5
2.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Financial Trends
Historical financial and operational data for The Palace Royale at Kendall from 2011–2024, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Net Patient Income$639.6K↑ ~$229.7K vs 2023
Payroll Costs$12.7M↓ ~$236.8K vs 2023
Operating Margin3.0%↑ 1.0pp vs 2023
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Occupancy %
95.4%
94.6%
95.3%
95.7%
95.3%
95.3%
95.8%
96.6%
96.0%
89.5%
84.8%
90.1%
95.1%
95.0%
Beds
180
180
180
180
180
180
180
180
180
180
180
180
180
180
Net Income
$1,583,879
$649,175
$1,041,390
$1,169,194
-$254,527
$121,435
$341,518
$587,528
$890,159
$1,442,500
$609,374
-$251,887
$413,276
$651,137
Gross Revenue
$19,645,118
$21,282,884
$21,041,679
$21,890,631
$22,668,565
$23,848,309
$23,343,617
$23,000,377
$23,837,768
$22,573,912
$21,457,534
$23,709,687
$27,593,793
$27,985,493
Operating Expenses
$17,851,680
$18,687,281
$17,868,257
$17,878,619
$19,655,607
$19,458,722
$19,039,553
$18,805,792
$19,066,107
$18,138,151
$17,995,998
$19,517,039
$20,765,587
$20,873,870
Net Patient Income
$1,571,899
$638,217
$1,021,297
$1,223,887
-$278,821
$104,535
$323,740
$572,659
$874,125
$81,621
$81,408
-$252,975
$409,866
$639,602
Net Patient Revenue
$19,423,579
$19,325,498
$18,889,554
$19,102,506
$19,376,786
$19,563,257
$19,363,293
$19,378,451
$19,940,232
$18,219,772
$18,077,406
$19,264,064
$21,175,453
$21,513,472
Payroll Costs
$10,035,577
$10,316,465
$10,064,777
$10,237,946
$11,537,796
$11,536,186
$11,053,628
$10,641,656
$11,004,006
$10,749,043
$10,853,872
$11,997,743
$12,938,451
$12,701,676
Operating Margin %
8.1%
3.3%
5.4%
6.4%
-1.4%
0.5%
1.7%
3.0%
4.4%
0.5%
0.5%
-1.3%
1.9%
3.0%
Medicare %
27.8%
29.2%
24.9%
21.3%
20.4%
16.7%
15.7%
16.1%
12.3%
10.7%
13.2%
12.7%
11.1%
10.4%
Medicaid %
48.6%
50.1%
51.4%
50.6%
55.9%
53.1%
61.2%
57.2%
52.5%
49.1%
46.4%
49.0%
52.2%
57.3%
Private %
23.6%
20.8%
23.7%
28.2%
23.7%
30.2%
23.1%
26.7%
35.2%
40.2%
40.4%
38.2%
36.7%
32.3%
Net Patient Revenue/Day
$310
$310
$302
$304
$309
$312
$308
$305
$316
$309
$324
$325
$339
$344
Cost/Day
$285
$300
$285
$284
$314
$310
$303
$296
$302
$308
$323
$330
$333
$334
Avg Length of Stay
48.7 days
44.9 days
72.6 days
59.3 days
51.8 days
44.8 days
53.8 days
63.9 days
61.7 days
95.8 days
66.7 days
68.9 days
92.7 days
106.0 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
For-profit
Operated by a partnership between two or more business owners.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$21.5MFiscal year ending 12/2024
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$639.6KFiscal year ending 12/2024
For-profit Operated by a partnership between two or more business owners.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$21.5MFiscal year ending 12/2024Rank#21 / 177Net patient revenue — State benchmarkedThis nursing home is ranked 21st out of 177 nursing homes we track in Florida. Shows this facility's net patient revenue compared to the Florida average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Net patient revenue — State benchmarkedThis nursing home is ranked 21st out of 177 nursing homes we track in Florida. Shows this facility's net patient revenue compared to the Florida average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$639.6KFiscal year ending 12/2024
Other incomeMoney the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$11.5KFiscal year ending 12/2024
Payroll costsStaff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.Rank#38 / 177Payroll costs — State benchmarkedThis nursing home is ranked 38th out of 177 nursing homes we track in Florida. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Florida average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll costs — State benchmarkedThis nursing home is ranked 38th out of 177 nursing homes we track in Florida. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Florida average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$12.7MFiscal year ending 12/2024
59% of net patient revenue
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.Rank#66 / 177Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 66th out of 177 nursing homes we track in Florida. Shows payroll as a percentage of net patient revenue versus the Florida average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 66th out of 177 nursing homes we track in Florida. Shows payroll as a percentage of net patient revenue versus the Florida average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Florida that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.2MFiscal year ending 12/2024
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$20.9MFiscal year ending 12/2024
Certification details
CMS Certification Number:105719
Rural vs. Urban:Urban
County:Miami-Dade
Type of Control:For-profit — Operated by a partnership between two or more business owners.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Who this home usually serves
TYPE OF STAY
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (52% of admissions), and a typical private pay stay runs around 1 - 2 months.
Admissions
677 total
Coverage residents most often arrive under.
Medicare40%
Private pay52%
Medicaid9%
Discharges
590 total
Coverage residents most often leave under.
Medicare38%
Private pay55%
Medicaid7%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How length of stay is calculated
Average length of stay comes from the facility's Medicare cost report: total resident days in the year divided by total discharges, across all residents and payment types. Homes that mostly provide long-term care show long averages, because few residents leave in a given year.
Video
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Places of interest near The Palace Royale at Kendall
11355 Sw 84Th Street, Miami, FL 33173 — 5.19 miles to nearest hospital (Baptist Health South Miami Hospital)
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Info below is compiled from CMS reports & the FL Agency for Health Care Administration (AHCA), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Florida average is: 70.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other FL nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
193
180 employees · 13 contractors · 99 on an average day 
100% corrected 
