{"id":823371,"date":"2026-08-23T17:54:38","date_gmt":"2026-08-23T17:54:38","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/823371\/"},"modified":"2026-08-23T17:54:38","modified_gmt":"2026-08-23T17:54:38","slug":"jackson-homeless-trust-pay-millions-to-alfs-state-punished","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/823371\/","title":{"rendered":"Jackson, Homeless Trust pay millions to ALFs state punished"},"content":{"rendered":"<p>            <img loading=\"lazy\" decoding=\"async\" class=\"responsive-image\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2026\/08\/Miami-dcf-maze-3.jpg\"   width=\"1200\" height=\"674\" title=\"Two prominent public institutions  \u2014 Jackson Health System and the Miami-Dade Homeless Trust  \u2014 placed seniors with nowhere to go into the hands of a private ALF owner, and paid her company millions of dollars. She sent many to her own homes, some of which state health regulators fined or shut down due to their poor care.\" alt=\"Vulnerable Miami-Dade elders removed from their homes may be placed under an Adult Protective Services supervisor promoted despite objections from families and whistleblowers.\"\/><\/p>\n<p>        Two prominent public institutions  \u2014 Jackson Health System and the Miami-Dade Homeless Trust  \u2014 placed seniors with nowhere to go into the hands of a private ALF owner, and paid her company millions of dollars. She sent many to her own homes, some of which state health regulators fined or shut down due to their poor care.<\/p>\n<p>            Neil Nakahodo, McClatchy<\/p>\n<p>Jackson Memorial Hospital, Miami\u2019s steadfast sanctuary, accepts the patients no one else wants. Elderly people with no money, no insurance, no family and nowhere else to go always found an open door and a warm bed for their taxpayer-funded healthcare.<\/p>\n<p>But when it came time to discharge some of the neediest elders, Jackson often faced a dilemma: Dump helpless patients onto the street, or keep them in hospital limbo, where they take up expensive space and risk exposure to infection.<\/p>\n<p>Jackson had a multimillion-dollar problem. Roxana Solano knew how to fix it.<\/p>\n<p>For the past 10 years, Jackson paid Solano more than $35 million to place scores of patients into assisted living beds around the county, then manage their long-term care. She chose to move many of them \u2014 more than 1 in 4 \u2014 to her own chain of homes, Villa Serena. She sent patients to two of her homes the state would later shut down due to unsafe conditions and a third she was forced to sell after a resident ran away.<\/p>\n<p>In January, Solano incorporated a new venture, called Solara, an \u201cindependent living\u201d and \u201chousing stabilization\u201d program for elders who do not need specialized care. She has placed 37 Jackson patients there already.<\/p>\n<p>She placed other Jackson patients in homes state health regulators considered so dangerous they initiated proceedings to close them. One home crammed residents into rooms where they had less personal space than they would in a Florida prison cell. In another, a resident died following a brain bleed and two broken jaws when staff did nothing to prevent repeated falls.<\/p>\n<p>In response to detailed questions from the Miami Herald, Jackson administrators acknowledged they could do more to safeguard the welfare of the patients they discharge. To \u201cfurther strengthen\u201d oversight, Jackson will now \u201censure timely and direct notification\u2026 of any complaint, disruption, regulatory matter or other issue involving an ALF serving our patients,\u201d Jackson spokeswoman Krysten Brenlla wrote in an Aug. 13 statement to the Herald.<\/p>\n<p>The Miami-Dade Homeless Trust also relied on Solano to care for homeless seniors. The Trust, a county agency, hired Solano during the peak of the COVID pandemic to run a shelter and find beds at assisted living facilities for incapacitated elders. Since 2023, when the county bought the shelter site, the Trust has paid Solano $5.7 million. Before that, the Trust paid $4.3 million to house homeless seniors, but that amount was shared between the property owner and Solano, who managed the facility.<\/p>\n<p>Her current contract, which ends in September, is for $1.7 million.<\/p>\n<p>Solano has acted as her own matchmaker. But using her contracts with two of Miami-Dade\u2019s most respected institutions as conduits for funneling patients to her own homes raises ethical questions, health and social service leaders say.<\/p>\n<p>In the world of elder care, beds equal dollars, except when they\u2019re empty. Jackson Health System and the Homeless Trust \u2014 both entities funded with taxpayer dollars \u2014 helped Solano keep hers filled, despite the problems state regulators found at her homes.<\/p>\n<p>\u201cThat a person is managing care arrangements and self-referring \u2014 that is more than a red flag,\u201d said Jess McDonald, the former director of the Illinois Department of Children and Family Services who oversaw social welfare programs for a decade. \u201cThe ability to manage care and do the selection of providers \u2014 and refer to your own organization without any oversight \u2014 as a matter of principle should not exist.\u201d<\/p>\n<p>The elders being discharged into these ALFs are among<a target=\"_blank\" rel=\"Follow nofollow noopener\" href=\"https:\/\/www.miamiherald.com\/news\/health-care\/article311751473.html\"> Florida\u2019s most frail<\/a>. Their loved ones either can\u2019t care for them or won\u2019t, creating a grim last chapter for many of them.<\/p>\n<p>\u201cJackson does not believe the solution is discharging these individuals to the street, nor is it appropriate to keep them indefinitely in an acute-care hospital setting where they no longer require that level of care,\u201d said Brenlla in the Herald statement.<\/p>\n<p>\u201cJackson assumes the responsibility of this vulnerable population beyond the walls of our hospitals, investing approximately $25 million annually to help ensure these patients have a safe and appropriate place to receive the care and support they need. It is a substantial commitment \u2013 one that reflects our role as the community\u2019s safety net health system. This is our mission in action.\u201d<\/p>\n<p>Of the nearly $35.2 million Jackson paid Unlimited Senior Solutions, Solano\u2019s Miami company, $12 million, or 34 percent, involved patients discharged to a home Solano owned, Brenlla said.<\/p>\n<p>                                          <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2026\/08\/MIA_201VillaSerenaALF31NEWPPP.JPG\"   width=\"1200\" height=\"0\" title=\"MIA_201VillaSerenaALF31NEWPPP.JPG\" alt=\"Villa Serena VII, an assisted living facility at 3317 SW 24th Terrace, in Miami. Roxana Solano owns the ALF, which state health regulators have cited and fined.\"\/>                                                                                    Villa Serena VII, an assisted living facility at 3317 SW 24th Terrace, in Miami. Roxana Solano owns the ALF, which state health regulators have cited and fined.                                                                                            Pedro Portal                                                                            pportal@miamiherald.com                                                                                        <\/p>\n<p>Ron Book, the longtime chairman of the Homeless Trust, in a recent Herald interview, questioned his organization\u2019s decision to allow Solano to steer clients to her own homes. \u201cWe should have gone deeper when we had even the remotest reservation about Roxana,\u201d he said.<\/p>\n<p>Through her lawyer, Solano, 57, declined to discuss this story with the Herald.<\/p>\n<p>Her attorney, Kristen Jackwin, issued a short statement on Solano\u2019s behalf: \u201cFor over 30 years, my client has served mental health and indigent communities. She has always complied with the law, put patients first, and treated them with respect and professionalism. Her reputation for excellence and the utmost integrity is well-earned. Any assertions or allegations to the contrary are patently false.\u201d<\/p>\n<p>\u2018Huge mountain of conflict\u2019<\/p>\n<p>How Solano came to have her hand on the spigot of a senior citizen pipeline is a story distinct to Miami-Dade County. The county has the largest number of older adults in Florida, more than half a million age 60 or older. About one-fifth of Florida\u2019s impoverished elderly people live in the county, state records show.<\/p>\n<p>Miami-Dade is confronting a demographic truth: The population is aging. More than 17 percent of Miami-Dade\u2019s residents are 60 or older. In less than 15 years, demographers predict 25 percent of the county, about 800,000 people, will be 60 and older.<\/p>\n<p>Many are impoverished, lack health insurance and have no ties to family who can assume their care. Jackson cannot simply push them out the door.<\/p>\n<p>Hospitals can discharge patients who still require care following emergency treatment \u2014 but only to an appropriate facility willing and able to accept them, according to the federal Emergency Medical Treatment and Labor Act.<\/p>\n<p>Solano sent 673 Jackson patients into Miami-Dade assisted living facilities from 2016 to the end of July 2026, according to records. She admitted 28 percent of them, or 189, to the chain of eight Miami ALFs she owns or had owned. She admitted another 37 to her independent living program, Solara. Together, the self-admissions account for 33.6 percent of all Jackson discharges \u2014 one in three.<\/p>\n<p>The state\u2019s Agency for Health Care Administration halted new admissions to one home, Villa Serena VIII, in 2019 after a resident vanished, and two years later closed Villa Serena I and II after they had accumulated 131 violations. The two homes \u201cviolated the minimum requirements of law,\u201d the state said.<\/p>\n<p>A settlement kept Villa Serena III open after the state sought to close it in 2020; it has logged 41 violations since 2013, including three Class 1 or Class 2 infractions, the most serious.<\/p>\n<p>Three of her other homes have been cited for at least another 145 violations since 2012, records show. Among the violations: Not preventing or documenting falls; failing to store medication properly; failing to \u201cserve food in a safe manner;\u201d and failing to \u201cprovide a safe living environment.\u201d<\/p>\n<p>The laundry list of violations \u2014 plus the state shutting down two of Solano\u2019s ALFs \u2014 should have caused alarm immediately, say elder care experts.<\/p>\n<p>\u201cTaking care of elders who suffer from self-abuse, neglect and the inability to care for themselves is a national scandal. And not just in Florida,\u201d said Arthur Caplan, head of medical ethics at the New York University Grossman School of Medicine. \u201cWe live in a culture that wants to forget about these people. They are not the happy grandparents, the sharp or vigorous elders of The Villages.\u201d<\/p>\n<p>Caplan said the apparent self-dealing is a particular concern, because it robs elders of a layer of protection: \u201cIt is obvious that you can\u2019t assign discretion about placements to someone who has ownership interest in the facilities where people go,\u201d Caplan said. \u201cIt\u2019s a huge mountain of conflict of interest.\u201d<\/p>\n<p>Brenlla said Jackson administrators will \u201conce again conduct a competitive request for proposal process to ensure we have the strongest possible network of providers to meet the complex needs of this vulnerable population\u201d when the current contracts expire. Solano\u2019s contract will end on Sept. 30 if it is not extended or renewed.<\/p>\n<p>The Homeless Trust faced similar challenges to Jackson when, in 2020, it needed a home for what its leaders believed to be scores of elders sleeping in cars, parks, libraries and shopping center parking lots \u2013 and at great risk of contracting COVID.<\/p>\n<p>The Trust began moving elders into Mia Casa of North Miami, a 118-bed planned ALF that Solano was managing for a real estate company, in April 2020, a month after the pandemic struck.<\/p>\n<p>Four months later, state health administrators filed a complaint seeking to shut down Villa Serena I for its infection-control practices.<\/p>\n<p>\u201cDuring COVID we were all learning new things every day in crisis mode,\u201d said Book. \u201cI rented Mia Casa because she had just renovated it \u2026 We needed room for 123 elderly homeless people.\u201d<\/p>\n<p>In January 2023, the county bought Mia Casa from FVP Eden Gardens for $6.4 million. The Trust, supported by a 1 percent food-and-beverage restaurant tax, used it as a quarantine site for homeless elders imperiled by COVID.<\/p>\n<p>Too fast, too big<\/p>\n<p>Records obtained by the Herald from the Trust show leaders were aware of Solano\u2019s problems with the state early on.<\/p>\n<p>Solano\u2019s lawyer wrote two letters to AHCA in the spring and summer of 2021. In one, his goal was to convince the state to reconsider its decision to close Villa Serena I \u2014 a 14-bed home in Miami.<\/p>\n<p>The lawyer acknowledged in the letters AHCA\u2019s concerns that Villa Serena may have \u201cgrown too fast and\/or too big, resulting in overstretching its operational capabilities.\u201d But he reminded AHCA that no one had died from COVID at Solano\u2019s ALFs.<\/p>\n<p>Book, who was forwarded the letter, did not find Solano\u2019s explanations convincing: \u201cThere is nothing in the letter that does anything to move any level of concern I might have,\u201d he wrote in a September 2021 email to his staff.<\/p>\n<p>When reminded of the email exchange in a recent interview with the Herald, Book acknowledged he was \u201cterribly embarrassed\u201d that he and agency staff failed to properly vet the contractor. He said wryly that perhaps his agency should have insisted on a higher standard than no reported deaths.<\/p>\n<p>Book said Mia Casa appears to be well run, with residents well cared for.<\/p>\n<p>                                          <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2026\/08\/Miacasa.JPG\"   width=\"1200\" height=\"0\" title=\"Miacasa.JPG\" alt=\"In January 2023, the county bought Mia Casa from FVP Eden Gardens for $6.4 million. The Miami-Dade Homeless Trust uses Mia Casa, 12221 W. Dixie Hwy., North Miami, to house seniors who don\u2019t have a home.\"\/>                                                                                    In January 2023, the county bought Mia Casa from FVP Eden Gardens for $6.4 million. The Miami-Dade Homeless Trust uses Mia Casa, 12221 W. Dixie Hwy., North Miami, to house seniors who don\u2019t have a home.                                                                                            Pedro Portal                                                                            pportal@miamiherald.com                                                                                        <\/p>\n<p>\u201cI go to Mia Casa and the people are happy. They are getting what they need as formerly homeless people. I don\u2019t have a problem with Mia Casa,\u201d Book said. \u201cMy staff thinks she is honest and we don\u2019t have a better provider. Her bills and invoices all seem to check out. I don\u2019t believe she has cut corners on care.\u201d<\/p>\n<p>                                          <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2026\/08\/MIA_Ron_Book_Mia_Casa_MJO_2.JPG\"   width=\"1200\" height=\"0\" title=\"MIA_Ron_Book_Mia_Casa_MJO_2.JPG\" alt=\"Ron Book, chairman of the Miami-Dade Homeless Trust, hugs Roxana Solano at Mia Casa as they participate in a tree-lighting event for Mia Casa residents on Thursday, Dec. 19, 2024, in North Miami. In 2023, the county purchased Mia Casa as a shelter for unhoused seniors for $6.4 million.\"\/>                                                                                    Ron Book, chairman of the Miami-Dade Homeless Trust, hugs Roxana Solano at Mia Casa as they participate in a tree-lighting event for Mia Casa residents on Thursday, Dec. 19, 2024, in North Miami. In 2023, the county purchased Mia Casa as a shelter for unhoused seniors for $6.4 million.                                                                                            MATIAS J. OCNER                                                                            mocner@miamiherald.com                                                                                        <\/p>\n<p>Book said his staff has been evaluating the Trust\u2019s partnership with Solano since the Herald questioned him about the contract months ago.<\/p>\n<p>\u201cI don\u2019t know if she did anything wrong with us because we haven\u2019t been able to find it,\u201d he said.<\/p>\n<p>The Miami Herald reviewed hundreds of pages of emails involving Solano and leaders of the Homeless Trust. They illustrate Solano\u2019s role in finding beds for frail, sickly seniors whose misfortune left them stranded.<\/p>\n<p>The sister of a man who was homeless, disabled and chronically ill contacted Mayor Daniella Levine Cava\u2019s office seeking help. He was about to be evicted, said an email from a county public housing worker, \u201cand will find himself homeless\u201d \u2014 again.<\/p>\n<p>The Chapman Partnership, a non-profit overseeing efforts to ease homelessness in Miami-Dade, needed a home for a man who was nearly blind and couldn\u2019t walk, feed himself or use the bathroom without help. \u201cWe are unable to continue this level of care,\u201d an executive wrote.<\/p>\n<p>Camillus House, the county\u2019s flagship homeless assistance program, needed a home for an 80-year-old with dementia: \u201cThis poor man is walking around forgetting his ID, wallet, watch and other items,\u201d the home\u2019s security director wrote. \u201cWhen asked for his ID, he looks down and tries to remember but can\u2019t. Then he starts to cry.<\/p>\n<p>\u201cTruly, he does not belong here.\u201d<\/p>\n<p>Miami-Dade Commissioner Oliver Gilbert sought help for a Miami Gardens constituent, a cancer patient dependent on an oxygen tank who was surviving on $850-a-month in Social Security payments and was being evicted.<\/p>\n<p>All found their way to Solano\u2019s inbox.<\/p>\n<p>\u201cA lot of people on [Trust Executive Director Vicki Mallette\u2019s] radar went to Roxana\u2019s,\u201d Book said in a Herald interview. \u201cSome people went from Mia Casa to Villa Serena, but we don\u2019t know how many.\u201d<\/p>\n<p>Rodent droppings and a chicken<\/p>\n<p>With more than 800 licensed assisted living facilities in Miami-Dade, caseworkers and discharge planners have a full buffet of choices. Yet records show Solano placed Jackson patients in homes \u2013 which she did not own \u2013 with woeful records of care, including facilities state health administrators have sought to close.<\/p>\n<p>Residents at the Tropical Heaven elder care home in southwest Miami-Dade were jammed so tightly into shared bedrooms that inspectors reported they had only 30 feet of personal space \u2013 smaller than an average Florida prison cell. Inspectors found a caregiver bathing a nude and terminally ill patient in front of two roommates. One resident left the home and was found next to a wheelchair in the middle of the road.<\/p>\n<p>Inspectors reported seeing rodent droppings, cracked tiles in a shower, a tarp on the roof, a crack in the ceiling, debris and furniture dumped outside.<\/p>\n<p>And a chicken. Tied up to a laundry hamper in the yard.<\/p>\n<p>Despite these conditions, Jackson Memorial helped keep its beds full.<\/p>\n<p>In the 28 months after the home\u2019s license expired on Oct. 27, 2020 \u2013 and before the state closed it in March 2023 \u2013 Jackson, through Solano, made 27 separate discharges to the home \u2013 some patients were discharged more than once to Tropical Heaven. The home was, overall, the third-largest destination for discharged patients not owned by Solano.<\/p>\n<p>Jackson records show 99 patient discharges to a chain called Villa Rosa, 24 of them to Villa Rosa I, a 40-bed home on West Ninth Street in Hialeah.<\/p>\n<p>Villa Rosa I also had been cited for multiple violations by health administrators, including a $5,500 fine in December 2019 for failing to report an alleged rape to authorities. A caregiver accused the resident of lying without investigating the claim, the report said.<\/p>\n<p>State health records don\u2019t indicate how the allegations were resolved, only that several residents of the home reported incidents involving sexual aggression.<\/p>\n<p>AHCA cited Villa Rosa I for failing to report the allegations, as required.<\/p>\n<p>Subsequent inspections cited the home for failing to follow proper infection-control precautions, for using staff with inadequate training and for failing to have toilet paper or paper towels in the bathrooms. \u201cSometimes they give you sheets of paper,\u201d a resident told an inspector investigating a complaint. \u201cIt\u2019s not very sanitary.\u201d<\/p>\n<p>The home\u2019s owner, Amanda Perez Martinez, did not return a call from the Herald, and screened out subsequent calls.<\/p>\n<p>Solano also arranged for 30 Jackson patients to go to the 14-bed Dulce Hogar ALF on Northwest 26th Avenue between 2016 and the end of 2023.<\/p>\n<p>State health inspectors said a resident was sleeping in a folding bed in the living room, and reported \u201cmultiple, necrotic\u201d pressure sores on another resident\u2019s thigh, ankle and foot. Staff had been using full bed rails as restraints on two residents without consent, a November 2021 complaint said.<\/p>\n<p>The state fined Dulce Hogar $5,000 in January 2022.<\/p>\n<p>In the months after the state filed its complaint, Unlimited Senior Solutions, Solano\u2019s company, placed 20 Jackson patients in the home.<\/p>\n<p>The home\u2019s administrator, Dania Lima, said the home was very clean, and that \u201call the patients are bathed and dressed. They are given good food. All their needs are attended to.\u201d Lima added: \u201cThey are given their therapy if they need it. They get the care that they need. The doctor comes once a month to check on them.\u201d<\/p>\n<p>The largest number of Jackson patients went to homes owned by Solano, Jackson records show. Among 1,423 total discharges from 2016 through Nov. 30, 2025, three Villa Serena homes were among the top six destinations.<\/p>\n<p>Solano has said she entered the elder care industry by accident. Her website says she earned a doctoral degree in 1992 from the Dominican Dental University in Santo Domingo, the Dominican Republic capital. Several years later, at age 28, she was hired as activities director at a senior living center, she said in an interview published by the Homeless Trust.<\/p>\n<p>\u201cShe learned everything she could about the business,\u201d the article stated.<\/p>\n<p>She began buying her own elder care homes. Solano opened Villa Serena, which calls itself a \u201ccommunity\u201d of Miami-area ALFs, in 2004, the chain\u2019s website says.<\/p>\n<p>In less than a decade, Solano became an influential figure in the long-term care industry. Then-Gov. Rick Scott appointed her in 2011 to a state task force assigned to study ALF oversight after a Miami Herald series documented rampant neglect of elders.<\/p>\n<p>She\u2019s chair of the Florida Assisted Living Association\u2019s Miami chapter, and on the board of directors of Thriving Mind, a Miami mental health care provider group. Thriving Mind\u2019s website says she has \u201cextensive experience collaborating across public-private systems including hospitals, aging services, behavioral health systems, supportive housing organizations\u201d and others.<\/p>\n<p>Rousting caregivers at night<\/p>\n<p>Villa Serena\u2019s ALFs have been repeatedly cited by the Agency for Health Care Administration, which regulates nursing homes and ALFs in Florida. The agency has fined Solano\u2019s homes $38,125 since the early 2010s.<\/p>\n<p>Health regulators issued an \u201cimmediate\u201d moratorium on admissions to Villa Serena VIII when a resident vanished after warning caregivers that \u201che did not want to stay [there] and would leave,\u201d a 2019 report said. After reappearing at a hospital two days later injured, \u201cunresponsive and dehydrated,\u201d he was returned to the home \u2014 only to bolt the next day.<\/p>\n<p>Health regulators also accused the ALF of ignoring state law by having no caregivers awake at night. The home provided nightly care \u201conly if the resident has the wherewithal to roust a caregiver\u201d from bed \u2014 a practice that \u201cclearly places all residents at immediate risk,\u201d an administrative complaint said.<\/p>\n<p>Solano signed a settlement agreement with the state in December 2019, requiring her to pay an $18,500 fine and sell Villa Serena VIII within 90 days \u2014 which she did.<\/p>\n<p>A 2019 complaint found violations at Villa Serena VII, a 12-bed home off 24th Terrace and Southwest 33rd Avenue: One resident suffered from partial paralysis following a stroke and needed help eating, moving in and out of bed and with other activities. The resident tried to stand up and fell, requiring emergency rescue.<\/p>\n<p>Staff failed to report the fall, as required, and did nothing to prevent it from happening again, the report said. The report cited administrators for denying the fall had occurred, though internal records documented it.<\/p>\n<p>A second resident, diagnosed with dementia, was also hospitalized after a fall. The facility did not notify the resident\u2019s doctor or family members, as required.<\/p>\n<p>When COVID was raging in long-term care facilities throughout Florida, AHCA filed administrative complaints in August 2020 against Villa Serena I and Villa Serena II, claiming the homes failed to follow state and federal infection control precautions. At Villa Serena I, 13 of 15 residents contracted the illness. At Villa Serena II, all 15 residents were hospitalized.<\/p>\n<p>Seven of Villa Serena III\u2019s 13 residents contracted COVID. A \u201chandwritten document,\u201d not signed by a doctor or lab, with purported test results seemed to have been falsified, as \u201cdates appeared to be changed and the numbers were written over,\u201d the complaint alleges.<\/p>\n<p>AHCA wrote that it intended to revoke the licenses of all three homes.<\/p>\n<p>Solano was fighting to keep five of her homes alive.<\/p>\n<p>Keeping the doors open<\/p>\n<p>Solano surrendered two of her homes to the state on March 12, 2021, signing a settlement agreement to sell Villa Serena I and II to an \u201cindependent\u201d party.<\/p>\n<p>The state also had forced her to sell Villa Serena VIII \u2014 the home where a resident disappeared and officials did not notify anyone.<\/p>\n<p>She agreed to pay fines of $23,500 for the violations at Villa Serena I, II, III and VII. The fines had originally totalled $47,000.<\/p>\n<p>Solano agreed to hire a professional management consultant to improve operations for two years. She was forbidden from opening any new facilities that received Medicaid dollars or were licensed by the state before June 2025.<\/p>\n<p>Solano insisted in an email to Homeless Trust leadership that \u201clitigation had a very high possibility of success according to my counsel, but it could jeopardize my other licenses, so I decided to settle.\u201d<\/p>\n<p>Solano\u2019s lawyers also said that, even after the settlement was inked, Solano was being singled out for financial ruin.<\/p>\n<p>In an April 27, 2021, letter to the health agency, Solano\u2019s lawyer wrote that inspections during that time \u201cin what may have been the worst weeks of the pandemic [did] not provide a fair picture of Villa Serena\u2019s operational capabilities.\u201d<\/p>\n<p>The lawyer argued that no one had died at a Villa Serena home, that some of the agency\u2019s findings were false or misleading, and that the state\u2019s proposed punishment far exceeded the chain\u2019s mistakes.<\/p>\n<p>\u201cWhen placed in context, the allegations against Villa Serena do not warrant the Draconian result of putting the company out of business,\u201d the letter said.<\/p>\n<p>Solano kept the doors open on her five remaining ALFs, and benefited from infusions of cash from Jackson Health System and the Homeless Trust.<\/p>\n<p>Jackson Health signed its first contract with Solano in 2016, for $819,060 \u2013 a three-year agreement with renewals. The hospital modified the contract two years later to add another $800,000, for a total of about $1.6 million. The contract was modified again in 2018, 2019, 2020 and 2021, increasing its value.<\/p>\n<p>ln 2022, Jackson Health System\u2019s then-CEO Carlos Migoya signed a new, four-year contract with Solano\u2019s company for $31.5 million. This was well after her troubles with state health regulators had been documented. The contract remains active.<\/p>\n<p>                                          <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2026\/08\/MIA_106JacksonCeo29NEWPPP.JPG\"   width=\"1200\" height=\"0\" title=\"MIA_106JacksonCeo29NEWPPP.JPG\" alt=\"In 2022, Jackson Health System\u2019s then-CEO Carlos Migoya signed a new four-year contract with Roxana Solano\u2019s company for $31.5 million, well after state health regulators raised multiple issues with her ALFs.\"\/>                                                                                    In 2022, Jackson Health System\u2019s then-CEO Carlos Migoya signed a new four-year contract with Roxana Solano\u2019s company for $31.5 million, well after state health regulators raised multiple issues with her ALFs.                                                                                            Pedro Portal                                                                            pportal@miamiherald.com                                                                                        <\/p>\n<p>Jackson\u2019s approval of Solano did sway the Trust\u2019s decision to partner with her, Book said.<\/p>\n<p>\u201cJackson signing with her mattered to us,\u201d he said. \u201cIf someone has a contract with Jackson you assume they\u2019ve been vetted. You still have to be astute enough to do your own check.\u201d<\/p>\n<p>Though Jackson discharged hundreds of largely incapacitated patients into homes chosen, and sometimes owned, by Solano, there is little evidence that the hospital engaged in any meaningful, routine oversight.<\/p>\n<p>\u201cWe maintain ongoing communication with the management teams of these assisted living facilities and conduct formal quarterly meetings with the vendor to review placement challenges, clinical quality measures and overall performance,\u201d Brenlla wrote.<\/p>\n<p>Solano\u2019s 2022 contract proposal, accepted by Jackson, in fact, left her in charge of all grievances, complaints or disputes over quality of care for Jackson patients she discharged. The contract made no provisions for residents of the homes she owned and operated herself.<\/p>\n<p>When the Herald asked Jackson administrators for records showing any and all contract monitoring activities, the hospital supplied quarterly vendor performance evaluations which each measured only three criteria, none of which assess resident care or the ALF\u2019s compliance with state standards. In every report, monitors said only that Solano \u201cmeets standard.\u201d<\/p>\n<p>Miami Herald staff writers Andres Viglucci, Shirsho Dasgupta, and Ana Claudia Chacin contributed to this report.<\/p>\n<p class=\"summary gray\">This story was originally published August 21, 2026 at 5:30 AM.<\/p>\n","protected":false},"excerpt":{"rendered":"Two prominent public institutions \u2014 Jackson Health System and the Miami-Dade Homeless Trust \u2014 placed seniors with nowhere&hellip;\n","protected":false},"author":2,"featured_media":823372,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[97,252,253],"class_list":["post-823371","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-health","tag-health-care","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/823371","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=823371"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/823371\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/823372"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=823371"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=823371"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=823371"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}