Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
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 Palm Garden Of Gainesville during CMS and state inspections, most recent first.
A resident with multiple pressure ulcers did not have complete documentation of ordered wound care treatments and interventions, including dressing changes and use of heel protectors. The DON confirmed that audits focused on treatment completion but did not ensure that all treatments were properly documented in the medical record.
A resident with a Stage 4 pressure ulcer and urinary catheter was not provided with proper infection control measures during care. Two CNAs failed to perform hand hygiene and did not wear gowns while providing incontinence care, despite the resident being on Enhanced Barrier Precautions. The facility's policy and CDC guidelines were not followed, as confirmed by staff interviews.
The facility failed to maintain clean air conditioner vents, with black spots observed in several residents' rooms. The Environmental Director admitted the vents should be cleaned daily, but they were not. Residents expressed health concerns, including one with asthma. The Director of Clinical Services confirmed the vents' condition was unacceptable.
The facility failed to inform a resident's representative about Medicare coverage and financial liabilities, despite the resident's severe cognitive impairment and the representative being designated as the responsible party. Financial documents were delivered to the resident's room, and the representative was not properly notified, leading to significant outstanding balances.
Incomplete Documentation of Wound Care Treatments
Penalty
Summary
The facility failed to ensure that resident records were complete and accurate for a resident with multiple wounds, including a stage 3 pressure ulcer on the left buttock and stage 1 pressure ulcers on both heels. Physician orders specified detailed wound care regimens, including cleaning, application of honey to calcium alginate, covering with optifoam dressing on specific days, and the use of heel protectors while in bed. Additional orders included daily skin prep for both heels. A review of the treatment administration record for the month revealed missing documentation for several ordered treatments. Specifically, there was no documentation of the left buttock wound care on two ordered days, nor documentation of the left and right heel treatments and heel protector intervention on another day. During an interview, the DON confirmed that while audits had been conducted to verify wound treatments were completed, these audits did not focus on whether the treatments were properly documented as completed in the records.
Inadequate Infection Control Practices During Resident Care
Penalty
Summary
The facility failed to prevent the possible spread of infection by not adhering to proper hand hygiene and personal protective equipment (PPE) protocols while providing care to a resident on Enhanced Barrier Precautions. The resident, who was readmitted with a Stage 4 pressure ulcer, schizophrenia, major depressive disorder, difficulty in walking, and a urinary tract infection, required Enhanced Barrier Precautions due to the presence of a urinary catheter and a significant wound. Despite the clear signage on the resident's door indicating the need for PPE, staff members did not follow the required procedures. During an observation, two Certified Nursing Assistants (CNAs) entered the resident's room without performing hand hygiene and donned gloves without wearing gowns, contrary to the facility's policy and the CDC guidelines. They proceeded to provide incontinence care, which involved cleaning the resident's skin around the urinary catheter and changing the incontinence brief, without wearing the necessary gowns. Additionally, one CNA placed a soiled under pad on the floor and later picked it up without wearing gloves or performing hand hygiene. Interviews with the staff involved revealed an acknowledgment of the failure to adhere to the required infection control practices. The CNAs admitted to not wearing gowns and not performing hand hygiene at critical points during the care process. The facility's Administrator in Training and the Director of Clinical Services confirmed that the staff should have worn gowns and performed hand hygiene as per the Enhanced Barrier Precautions policy, which is designed to prevent the transmission of multidrug-resistant organisms.
Failure to Maintain Clean Air Conditioner Vents
Penalty
Summary
The facility failed to maintain a clean and homelike environment, as evidenced by the presence of multiple circular spots of a black substance on the air conditioner vents in the rooms of several residents. During an observation, it was noted that the vents in the rooms of six residents were affected. The Environmental Director acknowledged that the vents should be cleaned daily with a cloth and surface cleaner, and if the environmental staff cannot reach certain areas, they are supposed to notify maintenance. However, the vents were not adequately cleaned, as confirmed by both the Environmental Director and the Maintenance Director. Residents expressed concerns about the potential health risks posed by the unclean vents. One resident mentioned that the black substance could be dangerous to their health, while another resident, who has asthma, stated that the condition of the vents could exacerbate their condition. The Director of Clinical Services also confirmed that the state of the vents was unacceptable.
Failure to Provide Medicare Coverage and Liability Notice
Penalty
Summary
The facility failed to provide Medicare coverage and liability notice to the resident's representative. Resident #1, who had severe cognitive impairment and was unable to make informed medical decisions, had their daughter designated as the responsible party and health care surrogate. Despite this, the facility delivered financial documents directly to the resident's room, which the resident was unable to comprehend due to their cognitive condition. The Business Manager acknowledged the error, stating that the BIMS score indicating severe cognitive impairment was overlooked, and the daughter was not informed about the financial responsibility or past due amounts during their communication on February 16, 2024. The resident's financial records showed significant outstanding balances, and the facility's Admission Agreement stipulated that monthly statements and notices of rate changes would be provided. However, the Director of Nursing mentioned that the facility would have written off the outstanding amount if the daughter had contacted them, which she did not. This oversight led to the resident's representative not being properly informed about the financial liabilities, resulting in a deficiency in providing the required Medicare coverage and liability notice.
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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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Nursing homes near Gainesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aviata At North Florida | 1.2 mi | ★★★★★ | 23 | 3 |
| Gainesville Health And Rehabilitation | 1.5 mi | ★★★★★ | 4 | 0 |
| Plaza Health And Rehab | 2.3 mi | ★★★★★ | 19 | 0 |
| Terrace Healthcare & Rehabilitation Center | 2.7 mi | ★★★★★ | 7 | 0 |
| Park Meadows Healthcare & Rehabilitation Center | 2.9 mi | ★★★★★ | 30 | 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.