Below 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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Gardens Health And Rehab, The during CMS and state inspections, most recent first.
Unsafe shower rooms and persistent urine odors were observed throughout the facility. Surveyors found shower rooms with trash and contaminated items on the floor, an opened bodywash/shampoo bottle without a lid, a missing shower head wall hook, missing shower curtain hooks, and no handrail by one shower head. A resident said he/she needed rails and a wall-mounted shower head to shower safely and had been taking bed baths because the shower rooms felt unsafe. Surveyors also noted strong urine odors in a resident room and throughout the 700 and 800 halls, with food debris on the floor in one room.
A resident's PICC line was improperly removed by an RN using unsterile scissors, without a physician's order, in an LTC facility. The RN failed to notify the physician or assess the resident afterward. The facility lacked awareness of PICC line care policies, leading to a deficiency in sterile procedures and communication.
A resident's bank card was wrongfully used by a staff member at the facility. The resident, who was cognitively intact, discovered unauthorized transactions after entrusting the card to the Activities Director for a purchase. An investigation revealed that Housekeeper A used the card for personal purchases, despite being educated on abuse and misappropriation policies.
Unsafe shower rooms and persistent urine odors
Penalty
Summary
The facility failed to maintain shower rooms in a safe, clean, sanitary, and comfortable condition and failed to prevent persistent objectionable odors in resident areas. In shower room A-6, surveyors observed a facial tissue and plastic bag in the sink, an opened one-gallon bottle of bodywash/shampoo on the floor without a lid, a gauze pad with a brownish-red substance on the floor, an adhesive bandage with a reddish substance on the floor, and no handrail adjacent to the shower head. In shower room A-7, surveyors observed an opened one-gallon bottle of bodywash/shampoo on the floor without a lid, a shower head hanging downward because no wall hook was present to secure it, and a shower curtain missing two hooks. The Administrator stated she expected shower rooms to have curtains with no missing hooks, shower heads attached to the wall and not dangling, and shower rooms to be clean and free from dirty bandages or gauze on the floor. Resident #86 stated he/she needed to hold onto the rail while showering and needed the shower head on a wall hook so he/she could shower safely without having to hold the shower head. The resident reported taking bed baths because the shower rooms felt unsafe. Surveyors also observed a strong urine odor in Resident #68's room on multiple occasions, along with food debris scattered on the floor beside the bed, and a strong urine odor throughout the 700 and 800 halls on multiple occasions. The Maintenance Supervisor said the shower head hook had been broken for approximately one to one-and-a-half weeks and the handrail in front of the shower had been broken during shower room work and was planned for replacement, with parts not yet ordered. The Housekeeping Supervisor said rooms and shower rooms were cleaned every day and that odors or messes would be cleaned again if found.
Improper Removal of PICC Line Without Physician's Order
Penalty
Summary
The facility failed to provide care in a sterile manner for a resident with a peripherally inserted central catheter (PICC) line, which was cut and removed without a physician's order. The incident involved a resident who was admitted with several diagnoses, including chronic obstructive pulmonary disease, osteomyelitis, schizophrenia, and hypertensive heart disease with heart failure. The resident's medical record showed orders for PICC line care, but there was no monitoring sheet or care plan for the PICC line. During a dressing change, a registered nurse (RN) used unsterile scissors from their pocket, inadvertently cutting the PICC line and subsequently removing it without measuring or inspecting the line. The RN did not notify the physician or the Director of Nursing (DON) about the incident, nor did they assess the resident afterward. The assistant director of nursing (ADON) and the resident's physician were later informed, and the physician expressed concern about the potential complications from the improper removal of the PICC line. Interviews with staff revealed a lack of awareness regarding the facility's policy on PICC line care and the necessity of sterile procedures. The RN and a licensed practical nurse (LPN) involved in the incident did not perform an assessment or monitoring of the resident following the removal of the PICC line. The facility's administrator and DON acknowledged the failure to follow proper procedures and the need for immediate notification and assessment following such an incident.
Misappropriation of Resident's Bank Card by Staff
Penalty
Summary
The facility failed to protect a resident from the wrongful use of their bank card by a staff member. The resident, who was cognitively intact and had been admitted with diagnoses including Buerger's Disease and alcohol abuse with withdrawal, reported that their bank card had been compromised. The resident had entrusted the card to the Activities Director to purchase cigarettes, but later discovered unauthorized transactions totaling over $90.00. The facility's investigation revealed that the card had been used for multiple transactions, including vending machine purchases and a restaurant charge, without the resident's consent. The investigation identified Housekeeper A as the individual who used the resident's bank card. Housekeeper A admitted to using the card, claiming it was a mistake and that the card had come through the laundry in the resident's clothes. Despite having been educated on abuse, neglect, and misappropriation, Housekeeper A used the card for personal purchases. The facility's policy on Standards of Conduct, which includes discharge for stealing from a resident, was not initially followed, leading to the deficiency.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 105 citations issued within 25 miles in the last 12 months — 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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Potosi
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Potosi Manor | 0.7 mi | ★★★★★ | 10 | 0 |
| St Joe Manor | 11.8 mi | ★★★★★ | 17 | 0 |
| Nhc Healthcare, Desloge | 14 mi | ★★★★★ | 0 | 0 |
| Belleview Valley Nursing Home | 15 mi | ★★★★★ | 20 | 0 |
| Country Meadows | 15.4 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 October 2026) and official state health department websites.