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 Renaissance Care Center during CMS and state inspections, most recent first.
A facility failed to provide adequate care for residents with incontinence and catheter needs, risking urinary tract infections. A resident's catheter bag was improperly positioned during a transfer, and two residents did not receive timely or thorough perineal care, leading to potential skin breakdown and infection. Staffing challenges and assumptions about care responsibilities contributed to these deficiencies.
The facility failed to provide adequate pharmaceutical services, resulting in expired insulin pens and missed doses of seizure medication for residents. Insulin pens lacked proper date tracking, and Phenobarbital was not administered due to refill failures. Staff interviews revealed communication and documentation lapses, risking residents' therapeutic benefits.
The facility failed to maintain the walk-in freezer, leading to significant ice accumulation, and did not ensure proper hand hygiene during food preparation. The freezer's maintenance status was unclear, with staff unaware of the issue. Additionally, a dietary staff member was observed handling food without washing hands before donning gloves, contrary to policy and FDA guidelines.
The facility failed to maintain an effective Infection Prevention and Control Program, with staff not adhering to PPE and hand hygiene protocols. A resident on enhanced barrier precautions due to a venous access device was assisted without proper PPE, and two residents with Foley catheters were transferred without gowns. Additionally, staff did not change gloves or perform hand hygiene during incontinence care, increasing the risk of cross-contamination.
The facility failed to maintain essential kitchen equipment, including a walk-in freezer with significant ice accumulation, a leaking 3-compartment sink, and a steam table missing knobs. Staff were aware of these issues, but there was no recent service documentation or maintenance log entries. The new Administrator was not informed of these problems, and the facility lacked a maintenance policy.
A resident with dementia was verbally abused by an LVN who made a derogatory comment about the resident's bleeding toe in front of staff. The incident was witnessed by the Speech Language Pathologist and reported immediately. The resident, who was non-verbal and on hospice care, showed no signs of distress following the incident.
A CNA failed to use a gait belt while transferring a resident identified as a fall risk, despite facility policy requiring its use for safe transfers. The resident, who had limited mobility and was receiving therapy, was assisted without the gait belt, placing her at risk for falls and injuries. Interviews confirmed that staff were trained and provided with gait belts, but the policy was not followed in this instance.
Inadequate Incontinence and Catheter Care in LTC Facility
Penalty
Summary
The facility failed to provide appropriate care for residents with incontinence and catheter needs, leading to potential risks of urinary tract infections. For Resident #2, the staff did not maintain the foley catheter drainage bag below the bladder during a mechanical lift transfer, causing urine to flow up and down the tube. Despite being aware of the correct procedure, the CNAs involved were unsure of how to position the drainage bag during the transfer, indicating a gap in training or understanding of the facility's protocols. Resident #4 did not receive timely and adequate perineal care after an incontinent episode. The resident was left in wet clothing for an extended period, and when care was finally provided, it was incomplete, as the CNA failed to clean the resident's genital area thoroughly. This lapse in care was attributed to staffing challenges, as the CNA mentioned the difficulty of managing care with limited staff. The DON confirmed the expectation for regular checks and changes, highlighting the risk of infection and skin breakdown due to inadequate care. Resident #8 also experienced a delay in incontinence care, as the CNA assumed that the hospice nurse had already attended to the resident. Upon inspection, the resident was found to be saturated with urine, and the skin showed signs of redness. The facility's policy requires regular checks and changes, but this was not adhered to, leading to potential risks of skin breakdown and infection. The DON emphasized the importance of timely care and the availability of staff to assist when needed, but the incident revealed a failure to meet these standards.
Pharmaceutical Service Deficiencies in Medication Management
Penalty
Summary
The facility failed to provide adequate pharmaceutical services for three residents, as observed in the handling of insulin pens and the administration of seizure medication. Specifically, the insulin pen for one resident had an expired open date, and another resident's insulin pen had no open date, indicating a lack of proper tracking for medication effectiveness. The Licensed Vocational Nurse (LVN) involved admitted to not checking the open dates, which is crucial as insulin is only effective for 28 days after opening. Additionally, the facility did not administer Phenobarbital, a seizure medication, to a resident as per the doctor's orders on multiple occasions. The medication was not available due to a failure in timely refilling, and it was not found in the emergency kit. The LVN and other staff members acknowledged the oversight but could not recall specific actions taken to rectify the situation. The Interim Director of Nursing and other staff were unaware of the missed doses, which could have led to breakthrough seizures, although the resident did not experience any negative effects. The facility's medication reordering policy was not followed, as medications should be reordered when a certain supply threshold is reached. The staff interviews revealed a lack of communication and documentation regarding the missed doses and the steps taken to address the shortage. The facility's policy requires timely notification to the pharmacy and physician when medications are unavailable, which was not adhered to in this case.
Deficiencies in Freezer Maintenance and Hand Hygiene in Food Service
Penalty
Summary
The facility failed to maintain the walk-in freezer in accordance with professional standards, resulting in significant ice accumulation. Observations revealed ice covering the ceiling, floor, and door, making it difficult to open from the inside. Interviews with the Dietary Consultant, Maintenance Supervisor, and dietary staff indicated a lack of awareness and unclear communication regarding the freezer's maintenance status. The Maintenance Supervisor was unaware of the issue, and the Dietary Consultant could not recall when the freezer was last serviced. The Administrator, new to the position, was also unaware of the problem and found no recent service documentation. Additionally, the facility did not ensure proper hand hygiene practices during food preparation and service. Dietary staff member [NAME] O was observed handling food without washing hands before donning gloves, contrary to the facility's policy and FDA Food Code requirements. Interviews confirmed that the staff member acknowledged the importance of handwashing but failed to adhere to the procedure. The Administrator and Dietitian both emphasized the expectation for proper hand hygiene to prevent cross-contamination, but the facility lacked a specific policy on kitchen maintenance.
Infection Control Deficiencies in PPE and Hand Hygiene
Penalty
Summary
The facility failed to maintain an effective Infection Prevention and Control Program, as evidenced by multiple instances of staff not adhering to required protocols for personal protective equipment (PPE) and hand hygiene. For Resident #1, who was on enhanced barrier precautions due to a venous access device, CNA A did not wear a gown and failed to perform hand hygiene before and after assisting the resident with toileting. This oversight occurred despite clear signage indicating the need for enhanced precautions. Similarly, for Resident #2, who was on enhanced barrier precautions due to a Foley catheter, CNA A and CNA B did not wear gowns during a mechanical lift transfer. CNA A also failed to perform hand hygiene before donning gloves. The urinary drainage bag was improperly handled, being placed above the resident's bladder during the transfer, which could lead to contamination. Both CNAs misunderstood the requirements for PPE, believing gowns were only necessary for certain types of care. Further deficiencies were observed with Resident #4 and Resident #8, where CNA C and CNA I did not change gloves or perform hand hygiene appropriately during incontinence care. CNA C failed to perform hand hygiene after handling soiled linens and before handling clean supplies. Both CNAs did not change gloves between dirty and clean tasks, increasing the risk of cross-contamination. These actions were contrary to the facility's policies on hand hygiene and perineal care, which emphasize the importance of hand washing and changing gloves to prevent infection spread.
Facility Fails to Maintain Safe Kitchen Equipment
Penalty
Summary
The facility failed to maintain essential kitchen equipment in safe operating condition, leading to several deficiencies. The walk-in freezer was observed with significant ice accumulation, including icicles and ice patches on the ceiling, floor, and near the door, making it difficult to open from the inside. Interviews revealed that the Dietary Consultant was aware of the issue but could not recall when the freezer was last serviced. The Maintenance Supervisor was unaware of the problem, and there was no recent service documentation for the freezer. Additionally, the Dietary staff acknowledged ongoing ice issues, which posed a fall hazard for staff. Further deficiencies were noted with the 3-compartment sink, which was leaking water into a container, and the steam table, which was missing three of its five knobs. The Dietary Consultant confirmed the sink had been leaking for about a week, and the Maintenance Supervisor was aware of it. However, the Maintenance Supervisor was not aware of the steam table's missing knobs. The new Administrator, on his second day, was not informed of these issues and found no maintenance log entries for the kitchen equipment. The facility lacked a policy on kitchen or general maintenance, contributing to the oversight of these deficiencies.
Verbal Abuse Incident by LVN
Penalty
Summary
The facility failed to protect a resident from verbal abuse by an LVN. The incident occurred when the LVN made a derogatory comment about the resident's condition in the presence of the resident and other staff members. The LVN expressed indifference to the resident's bleeding toe, which was brought to her attention by the Staffing Coordinator. This comment was witnessed by the Speech Language Pathologist, who was passing by at the time. The resident involved was an elderly female with a history of stroke and dementia, requiring extensive assistance with daily activities and receiving hospice services. On the day of the incident, the resident was found with a bleeding toe, which was attributed to her method of ambulating in her wheelchair. Despite the physical condition of the resident, the LVN's response was dismissive and inappropriate, constituting verbal abuse. The incident was reported immediately, and the resident was assessed for any signs of distress or harm. The facility's records indicate that the resident did not exhibit any psychosocial or behavioral changes following the incident. The facility's policy on abuse and neglect clearly defines verbal abuse and emphasizes the residents' right to be free from such treatment, highlighting the deficiency in the LVN's conduct.
Failure to Use Gait Belt During Resident Transfer
Penalty
Summary
The facility failed to ensure adequate supervision and use of assistance devices to prevent accidents for a resident reviewed for quality of care. Specifically, a CNA did not use a gait belt when transferring a resident from her wheelchair to the toilet and back, despite the resident being identified as a fall risk. The resident, who was cognitively intact and had limited range of motion on one side of her lower extremities, was dependent on assistance for toileting and transfers. The resident was receiving physical and occupational therapy and had diagnoses including osteomyelitis, diabetes, and morbid obesity. During an observation, the CNA was seen assisting the resident without using a gait belt, even though the gait belt was in her pocket. The CNA admitted to not being sure if the resident was a fall risk but acknowledged that a gait belt should be used for transfers to prevent falls and injuries. Interviews with the PTA and Interim DON confirmed that the facility's policy required the use of gait belts for safe transfers, and that staff had been trained and provided with gait belts. Despite this, the CNA did not adhere to the policy, placing the resident at risk for falls and injuries.
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Illustrative
What surveyors actually found near you
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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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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) |
|---|---|---|---|---|
| Pecan Tree Rehab And Healthcare Center | 0.2 mi | ★★★★★ | 13 | 2 |
| Gainesville Convalescent Center | 1 mi | ★★★★★ | 18 | 0 |
| Avir At River Valley | 2.3 mi | ★★★★★ | 1 | 0 |
| Whitesboro Health And Rehabilitation Center | 13.4 mi | ★★★★★ | 5 | 1 |
| Cedar Ridge Rehabilitation And Healthcare Center | 17.7 mi | ★★★★★ | 11 | 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.