The Toppel Center is a skilled nursing facility that replaced some of the original beds at the Miami Jewish Home & Hospital campus.  It forms part of an interconnected quadrangle of buildings that provides protected outdoor open space and circulation for the elderly.

Nursing substations allow a flexibly sized nursing unit which can vary from ten to forty beds.  This organization of the service spaces allows for maximum versatility as the needs of the resident population change over time. 

The complex is three stories and is built of concrete and stucco.  A three-story atrium divides the chassis of the main nursing home from the physical therapy rehab center, and frames a “rehabilitation garden”.  Residents seeking to improve their walking skills can wonder through a garden which offers varying walking surfaces and slopes.