Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Oak Hammock At The University Of Florida Inc during CMS and state inspections, most recent first.
The facility failed to meet food safety standards, as observed in the Main Dining Room where food items were improperly labeled and stored. The Culinary Services Manager and Morning Cook did not adhere to hygiene practices, such as sanitizing temperature probes and changing gloves, leading to potential cross-contamination. The facility's policies on food safety and labeling were not followed, as confirmed by the Culinary Service Manager.
The facility failed to provide timely Advance Beneficiary Notices (ABN) of non-coverage to two residents, as required by regulations. The ABNs were not given two days before the last day of Medicare Part A coverage, as per the facility's policy. The Quality Improvement Manager acknowledged the oversight, highlighting a lapse in adherence to the facility's policy on timely Medicare coverage notifications.
The facility failed to ensure accurate MDS assessments for two residents, resulting in discrepancies between physician orders, MARs, and MDS documentation. One resident's MDS incorrectly showed no medication use, while another's did not reflect high-risk medication administration. Additionally, a third resident's hearing status was inaccurately documented. The MDS Coordinator acknowledged data entry errors and the lack of a facility policy for MDS completion.
A facility failed to document required pre and post evaluations for a resident as per physician's orders. The assessments were to be conducted on specific days, but documentation was missing on several occasions. The DON confirmed that staff were expected to follow the order, but they did not complete the necessary evaluations.
The facility failed to properly store and label medications, as observed with two residents who had unattended medication cups without self-administration orders. Additionally, a resident's IV fluids and tubing were not labeled with the date and time of administration, contrary to facility policy. Interviews with staff confirmed these lapses in compliance with professional standards.
A facility failed to obtain laboratory services for a resident as per the physician's order for a Basic Metabolic Panel (BMP) every other week. The Director of Nursing confirmed the BMP was not drawn as ordered, and the medical doctor expected the lab to be drawn as instructed. The facility's policy mandates providing or obtaining timely laboratory services to meet residents' needs.
A facility failed to follow enhanced barrier precautions for a resident requiring such measures. An LPN entered the resident's room, which had a posted enhanced barrier sign, without donning a gown. The LPN performed high-contact activities, including stopping the feeding pump and emptying the drainage bag, without wearing a gown, contrary to the facility's policy and the resident's physician order. Interviews confirmed the requirement for gown and glove use during these activities.
Food Safety and Hygiene Deficiencies in Culinary Services
Penalty
Summary
The facility failed to adhere to professional standards for food storage, preparation, and service, leading to potential food safety issues. During an observation in the Main Dining Room, it was noted that two packages of food items in the freezer were not in their original packaging and lacked identifying labels. Additionally, a bag containing a white liquid in the refrigerator was also unlabeled and undated. The Culinary Services Manager identified these items as yogurt and pureed beef molds, acknowledging that they should have been labeled and dated. Further observations revealed that an opened pack of unsalted butter and two packs of ready-to-eat turkey sandwiches were not in their original packaging and lacked open dates. The Morning Cook confirmed that these items needed to be labeled. During food preparation, the Morning Cook failed to sanitize the temperature probe between checking the temperature of different food items, which could lead to cross-contamination. The Morning Cook also demonstrated poor hygiene practices by not changing gloves or performing hand hygiene after handling food and touching various surfaces. This included moving food with gloved hands, using the microwave, and disposing of food items without changing gloves or washing hands. The Culinary Service Manager confirmed these observations and stated that touching food items with gloves and not changing them after certain tasks was not the facility's practice. The facility's policies on date labeling and food safety were reviewed, highlighting the need for adherence to safe food handling practices to prevent contamination and foodborne illness.
Failure to Provide Timely Advance Beneficiary Notices
Penalty
Summary
The facility failed to provide timely Advance Beneficiary Notices (ABN) of non-coverage to two residents, identified as Resident #36 and Resident #172, which is a requirement under the Medicaid/Medicare Coverage/Liability Notice regulations. The deficiency was identified during a review of records and interviews, where it was found that the ABNs were not given two calendar days before the last day of Medicare Part A coverage, as required by the facility's policy. Specifically, Resident #36 and Resident #172 received their ABNs after their last covered day of Part A services, which is a violation of the facility's policy and federal regulations. During an interview, the Quality Improvement Manager acknowledged the oversight, stating that the ABNs should have been provided before the last covered day of Part A services. The facility's policy, titled "Advanced Beneficiary Notice (ABN) and Notice of Non-Coverage (NOMNC)," mandates timely notices regarding Medicare eligibility and coverage, which was not adhered to in these cases. This failure to provide timely notification could potentially impact the residents' understanding of their coverage and financial responsibilities.
Inaccurate MDS Assessments for Residents
Penalty
Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for two residents, leading to discrepancies in their documented medical status. For one resident, there was a mismatch between the physician's order for a daily oral tablet and the MDS, which incorrectly indicated that the resident was not on medication. This error was acknowledged by the MDS Coordinator as a data entry mistake. Similarly, another resident's MDS did not reflect the administration of a high-risk medication, despite the Medication Administration Record (MAR) showing that the medication was given prior to the MDS assessment. The MDS Coordinator admitted this was also a data entry error and noted the absence of a facility policy for MDS completion, relying instead on the Resident Assessment Instrument (RAI) manual. Additionally, a third resident's MDS inaccurately documented adequate hearing without devices, conflicting with the care plan that identified the resident as hard of hearing and requiring a hearing aid. The MDS Coordinator explained that the resident was not wearing the hearing aid during the assessment, leading to the inaccurate documentation. These findings highlight the facility's failure to accurately reflect residents' statuses in their assessments, as required by the regulations.
Failure to Document Required Assessments
Penalty
Summary
The facility failed to provide services consistent with professional standards of practice for a resident who required specific assessments. The deficiency involved the lack of documentation for pre and post evaluations as ordered by the physician for a resident. The physician's orders specified that pre and post evaluations should be conducted after the resident returns from certain activities, and these assessments were to be performed every day shift on Mondays, Wednesdays, and Fridays. However, the resident's assessments lacked documentation of these evaluations on multiple specified dates. During an interview, the Director of Nursing acknowledged that the order was intended to guide staff in performing the necessary assessments, but the staff did not follow through with the required evaluations.
Deficiencies in Medication Storage and Labeling
Penalty
Summary
The facility failed to ensure proper storage and labeling of drugs and biologicals, as evidenced by observations and interviews. In one instance, a resident found an unattended medication cup with a white circular pill on their bedside table, without any documentation of self-administration orders. The resident expressed confusion and concern about the medication being left unattended. Similarly, another resident's room was found with a medication cup containing a white powdered substance, again without any self-administration orders documented. The Director of Nursing confirmed that neither resident had been assessed for self-administration, and the facility's policy required medications to be stored securely and only accessible to authorized personnel. Additionally, the facility did not adhere to labeling protocols for intravenous fluids and tubing. A resident receiving 0.9% saline solution had their IV bag and tubing unlabeled with the date and time of administration, contrary to the facility's policy. Interviews with staff, including an LPN and the Director of Nursing, confirmed that the fluids and tubing should have been labeled with the date and time they were hung. The lack of proper labeling and storage practices indicates a failure to comply with professional standards and facility policies, leading to deficiencies in medication management.
Failure to Obtain Timely Laboratory Services
Penalty
Summary
The facility failed to obtain laboratory services to meet the needs of a resident, specifically in relation to medication administration. The resident had a physician's order to have a Basic Metabolic Panel (BMP) drawn every other week. However, a review of the resident's laboratory results and Treatment Administration Record (TAR) revealed that the BMP was not drawn as ordered by the physician. During an interview, the Director of Nursing confirmed that the BMP was not drawn according to the physician's order. Additionally, the medical doctor expressed that her expectation was for the facility to draw the lab as ordered. The facility's policy on laboratory services, which was last reviewed recently, states that the facility must provide or obtain laboratory services to meet the needs of its residents and is responsible for the quality and timeliness of these services.
Failure to Follow Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to infection prevention and control standards, specifically regarding the use of enhanced barrier precautions for a resident requiring such measures. During an observation, a Licensed Practical Nurse (LPN) entered the room of a resident who had a posted enhanced barrier sign, indicating the need for specific precautions. The LPN did not don a gown, although they performed hand hygiene and wore gloves. The LPN proceeded to stop the resident's feeding pump, disconnect the J-tube, flush it with water, and empty the drainage bag, all without wearing a gown. The resident had a physician's order for enhanced barrier precautions during high-contact activities, which included medical device care. The facility's policy required staff to wear gowns and gloves during such activities to prevent the transmission of multidrug-resistant organisms. Interviews with the LPN, the Director of Nursing (DON), and the Infection Preventionist confirmed that the staff should have worn a gown and gloves during these procedures. The LPN acknowledged the oversight, citing the absence of gowns in the room as the reason for not following the protocol.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
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What surveyors actually found near you
We read the 110 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Gainesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Park Meadows Healthcare & Rehabilitation Center | 1.1 mi | ★★★★★ | 30 | 0 |
| Plaza Health And Rehab | 2.3 mi | ★★★★★ | 19 | 0 |
| Gainesville Health And Rehabilitation | 2.5 mi | ★★★★★ | 4 | 0 |
| Parklands Care Center And Rehab | 2.6 mi | ★★★★★ | 19 | 0 |
| Palm Garden Of Gainesville | 4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.