This is a skilled nursing facility rather than an assisted living facility, and it is not part of a continuing care retirement community. Nursing homes provide medical and personal care around the clock, while assisted living generally provides personal care only. If you are weighing the two, our comparison of assisted living and nursing home care explains which setting fits which needs, and which Medicaid program pays for each.
Facility at a glance
● Address: 390 NE 135th St, North Miami, FL 33161, Miami-Dade County
● Size: 139 certified beds
● Care: skilled nursing, short term rehabilitation, and long term care
● Payment accepted: Medicare, Medicaid, private pay
● Certification: Medicare and Medicaid certified since 1968, CMS Facility ID 105172
● Ownership: for profit limited liability company
Services offered
Fountain Manor offers a full range of inpatient and outpatient care, including long term care, skilled nursing care, short term rehabilitation, and occupational, physical, and speech therapy.
On staffing, CMS payroll data shows the facility providing roughly 4.26 total nursing hours per resident per day, which sits above the 4.1 hour figure often cited as a quality benchmark. Star ratings change with each inspection cycle and vary between reporting sources, so the reliable place to check current scores, staffing, and inspection history is the official Medicare Care Compare profile for this facility. The Florida Agency for Health Care Administration publishes inspection reports for every licensed nursing home in the state, and our guide to how nursing home ratings work explains what the stars actually measure.
You can contact the facility directly to ask about availability. We always advise comparing several facilities before deciding, so that the choice is made on care quality rather than on whichever bed opens first.
Worried About How to Pay for Care at Fountain Manor?
As you consider a skilled nursing facility for the next stage of life, the harder question is usually not which facility. It is how to pay for it without losing everything you have built. Skilled nursing care in Florida averages roughly $10,645 per month, and our guide to what a Florida nursing home costs breaks the numbers down. With proper legal advice it is possible to cover the cost of care while preserving your assets.
Medicare has a very limited nursing home benefit
Many Americans assume Medicare will pay for nursing home care. It will not, beyond a short window, and even the best Medicare supplement does not change that. Under Medicare's skilled nursing facility benefit, coverage requires a qualifying hospital stay of at least three inpatient days. Medicare then covers days 1 through 20 in full after you meet the Part A deductible, which is $1,736 in 2026. Starting on day 21 a coinsurance applies, $217 per day in 2026, which a Medicare supplement or Medicare Advantage plan may cover in part. After day 100, Medicare pays nothing at all, and it never covers long term custodial care.
Where Medicaid comes in
That gap is why families with meaningful assets do Medicaid planning. With proper planning it is not necessary to spend down your assets to qualify. Many Floridians sell a home unnecessarily because they believe they will lose it when they apply, or give away liquid assets because they assume those are forfeit once someone enters a nursing home. Neither is true. For a fuller picture of the Florida Medicaid long term care programs that pay for nursing home and home care, our comparison is a good starting point.
Timing is what separates a good outcome from a poor one. Medicaid reviews transfers made during the 60 month look back period. If you move money or property to someone other than your spouse during those five years, it can create a penalty period. If you have five years to plan, we plan around it. If you need Medicaid now or in a few months, we approach the case with a different set of strategies, and those strategies still work. Our Florida Medicaid planning attorneys protect client assets as far as the law allows, so that needing a nursing home later does not mean surrendering everything first.
TALK TO A MEDICAID PLANNING ATTORNEY
How Elder Needs Law Helps North Miami Families
Elder Needs Law is a Florida firm handling asset protection, estate planning, and Medicaid planning. Beyond finding a good nursing home, planning for this stage involves decisions that are easier made early than late.
Comprehensive estate planning
Our estate planning attorneys prepare the documents that protect what you own from probate and creditors and put the right people in charge when you cannot decide for yourself. That includes wills setting out what happens to your estate, trusts such as a revocable living trust that avoids probate, advance directives stating your wishes for medical care if you are incapacitated, and powers of attorney giving someone you choose the authority to manage your affairs.
Elder law, guardianship, and probate
Our broader elder law practice covers Medicaid planning, retirement benefits, nursing home negligence, and Medicare supplement or Advantage selection. Guardianship becomes necessary when a court must appoint someone to care for an older person who cannot care for themselves and has no durable power of attorney, which is one reason to sign that document while you still can. Probate is the public court process that reviews an estate and distributes it under the will or under Florida law, and in Florida it is slow and expensive. Our probate attorneys handle administration when it is needed and help avoid it when it is not.
What planning ahead protects
● More of your savings and investments, for yourself and your heirs
● Your home, which many families sell without needing to
● Your ability to choose the facility rather than take what is available
● Your family from the cost of probate
Younger Floridians should think about general estate planning when they buy a home or have their first child. Once you are near retirement, it is time for senior focused estate and Medicaid planning. Waiting is what costs people, because many Americans lose most of what they own paying for long term or skilled nursing care that planning could have covered.
Frequently Asked Questions
Q. Does Fountain Manor Health and Rehabilitation Center accept Medicaid?
A. Yes. The facility has been certified by both Medicare and Medicaid since 1968, so residents who qualify for Florida long term care Medicaid can use those benefits toward the cost of care. Qualifying is a separate process from admission, and it is where planning ahead makes the biggest difference.
Q. How many beds does Fountain Manor have, and where is it located?
A. It has 139 certified beds and is located at 390 NE 135th St in North Miami, within Miami-Dade County. It is a for profit limited liability company and is not part of a continuing care retirement community.
Q. Is Fountain Manor a continuing care retirement community?
A. No. CMS records show it is a standalone skilled nursing facility. A continuing care retirement community is a different model that bundles independent living, assisted living, and skilled nursing on one campus, usually under a contract with an entry fee. Fountain Manor provides skilled nursing, short term rehabilitation, and long term care.
Q. How long will Medicare pay for a stay at Fountain Manor?
A. Up to 100 days per benefit period, and only after a qualifying hospital stay of at least three inpatient days. Days 1 through 20 are covered in full once you meet the $1,736 Part A deductible in 2026. Days 21 through 100 carry a coinsurance of $217 per day. After day 100 Medicare pays nothing, and it never covers long term custodial care.
Q. Will I have to sell my house to qualify for Medicaid?
A. Usually not. Many Florida families sell a home unnecessarily because they assume Medicaid will take it. The homestead is frequently an exempt asset, and lawful planning can protect it in most situations. Ask before you list it, since selling first can create problems that were avoidable.
Q. How do I check the facility's current quality rating?
A. Use the official Medicare Care Compare profile, which reflects the latest health inspections, staffing data, and quality measures. Ratings shift with each inspection cycle and third party sites often lag, so a current official source beats any figure printed elsewhere.
Choose the Facility on Care, Not on What You Can Afford
Most families touring nursing homes are quietly doing math in their heads about how many months they can sustain. That math changes entirely once Medicaid is part of the picture, and the earlier you look at it the more options remain. If someone in your family may need care at Fountain Manor or any North Miami nursing home, a good first step is to gather recent financial statements, any current benefit letters, and a realistic picture of the care needed now and over the next year. Bring that to a consultation and we will map out what Medicaid would cover, what can be protected, and what the look back period means for your timeline, so the facility decision can be made on quality of care rather than on a spend down clock. When you are ready, schedule a consultation with our Florida elder law team. We serve families throughout Florida, in person or remotely, in English and Spanish.
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