The Lilac At Silver Palms

The Lilac At Silver Palms holds an overall 4-star rating from CMS, which means it performs above average compared to nursing homes across the country. That overall score is a composite that pulls together three separate ratings, each measuring something different about how the facility operates. The health inspection rating sits at 3 stars, which is average. That score reflects the number and severity of citations found during state inspections, so it tells you the facility has had some findings but nothing that stands out as especially concerning. The staffing rating comes in at 4 stars, meaning nurses are spending more time with residents than what you would typically see at other facilities. More hours per resident generally translates to more attentive, responsive care on a daily basis. The quality measures rating is a perfect 5 stars, the highest possible, and this one looks at 15 real clinical outcomes like how often residents experience falls, pressure sores, or other health changes. Five stars here is a strong sign that residents are staying healthier over time.

When you put it all together, the 4-star overall rating reflects a facility that genuinely stands out in the areas that tend to matter most to families. The health inspection score is solidly average, which keeps the overall number from being a 5, but the excellent staffing and outstanding clinical outcomes suggest that day-to-day care quality is a real strength here.

The Lilac At Silver Palms provides about 0.65 registered nurse hours per resident each day, which is slightly above the Florida average of 0.52, meaning residents here get a bit more time with a higher-skilled nurse than is typical across Florida nursing homes. However, when you look at total nurse hours, which includes CNAs and other nursing staff who handle most of the hands-on daily care, the picture shifts a little. The facility logs 3.50 total nurse hours per resident per day, compared to the state average of 3.87. In practical terms, that gap can translate to slightly less hands-on help with bathing, meals, and mobility assistance during a typical day. Neither number is alarming, but it is worth asking the facility how they schedule staff across morning, evening, and overnight shifts, since those daily totals can look very different depending on when care is actually available.

The Lilac At Silver Palms has a three-star health inspection rating from the government, which puts it right in the middle of the pack, not among the best-rated facilities but not among the worst either. There are two penalties on record, with fines totaling $42,946, and the most recent penalty was issued in September 2023, which means this is fairly recent history that families should take seriously. Penalties of this size and recency are worth asking about directly when you tour the facility - it is reasonable to ask staff what went wrong and what steps were taken to fix it. This does not automatically disqualify the facility, but it does mean you should go in with your eyes open and ask good questions. Families evaluating this facility can compare it to others in North Miami on the North Miami nursing homes and assisted living page.

1. How many residents does each certified nursing assistant care for during the day shift, and how does that number change at night and on weekends?
2. How long have your charge nurses and CNAs been working here, and what does your staff turnover look like over the past year?
3. If my loved one has a fall or a sudden change in condition, walk me through exactly what happens from the moment staff notices something is wrong to when the family gets a call.
4. Can you show me the most recent state inspection report, and what specific steps has the facility taken to fix any deficiencies that were cited?
5. What does a typical weekday actually look like for a resident who needs help with meals and getting around, from the time they wake up to when they go to bed?
6. How does the facility handle a resident who refuses a bath, skips meals, or becomes upset, and who on staff is trained to manage those situations?

For more guidance on evaluating facilities, see our guide to questions to ask when choosing a Florida nursing home.