Average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 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 include key needs in several residents’ care plans, including contractures, ADL assistance, antianxiety medication, and dementia care. One resident with CVA and hemiplegia had a left-hand contracture not care planned, another had a right-hand contracture and unclear splint responsibility, a cognitively intact resident lacked ADL and anxiety-medication care planning, a resident with MS and paraplegia had bilateral hand and elbow contractures with refusals not care planned, and a resident with dementia had no measurable dementia-related goals or interventions documented.
Two residents with CVA-related hemiplegia and hand/arm contractures did not receive ongoing ROM support or splint management after therapy discharge. One resident was observed with a contracted left hand and no splint in use, while the other was seen with her right hand drawn into a fist and unable to open it, despite prior OT documentation that both had benefited from elbow/wrist splints. Interviews showed the facility had no restorative program in place, staff were not trained on splint placement, and nursing and therapy communication about ongoing splint needs was poor.
Food Storage and Hair Restraint Deficiencies: The facility failed to store, prepare, and serve food according to professional standards in its only kitchen. Refrigerated cabbage and carrots were observed without receive dates, hamburger patties in the freezer were not sealed, and the Dietary Manager and an employee were observed preparing breakfast with hair restraints that did not fully cover their hair. The Dietary Manager stated the produce should have had a receive date and the hamburger patties should have been sealed, and both staff members acknowledged the hair restraint issue.
Failure to document ordered wound care on the MAR/TAR for a resident with a stage 4 pressure ulcer. The resident had severe cognitive impairment, MS, and total ADL dependence, and the wound order required daily cleansing, collagen powder, and a dry dressing. Record review showed multiple missed documentation entries, and the Treatment Nurse stated he had provided the care on those days but failed to chart it; the DON stated treatments were expected to be documented when provided.
Failure to maintain resident fingernail grooming and hygiene: Two residents who needed staff help with ADLs had untrimmed nails, and one had visible debris under the nails. One resident had severe cognitive impairment, CVA, hemiplegia, and diabetes; the other was cognitively intact with COPD, HTN, and diabetes. Staff stated CNAs cleaned nails during showers but did not consistently check for trimming needs, and diabetic residents required nurse nail care.
A resident with Type 2 DM received Humalog insulin by syringe after a blood sugar reading of 389, but an RN removed the needle immediately instead of keeping it in the skin for at least 5 seconds as directed by the manufacturer. The RN said she was unaware of the 5-second requirement for syringe use, and the DON stated she was also unaware of the guideline and was unsure whether the facility had an insulin administration policy.
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.
Incomplete Care Plans for Contractures, ADLs, Medication, and Dementia
Penalty
Summary
The facility failed to ensure comprehensive care plans included services needed to meet residents’ assessed needs for five residents reviewed. The deficiency involved missing or incomplete care planning for contractures, ADL assistance, antianxiety medication, and dementia-related care. The report states the comprehensive care plan did not describe the services to be furnished to attain or maintain each resident’s highest practicable physical, mental, and psychosocial well-being, and that measurable goals and interventions were not documented for the identified needs. Resident #58 was a male with severe cognitive impairment, diabetes, CVA, and hemiplegia. His annual MDS showed functional limitation in ROM of both upper and lower extremities on one side, and he required partial to moderate assistance for personal hygiene. His care plan addressed CVA, contractures, activity as tolerated, and out of bed in chair if tolerated, but did not include his left-hand contracture or interventions to prevent further decline. During observation, his left hand was contracted with his thumb pushed toward his palm, no splint was in use, and two splints were seen on his chest of drawers. He stated he could not open his left hand and believed the splint had been borrowed for someone else. Resident #62 was a moderately cognitively impaired female with diabetes, CVA, and hemiplegia. Her care plan noted ADL self-care deficit related to hemiplegia and that she had a splint to her right arm but would refuse it at times, but it did not address the contracture to her right hand or interventions to reduce worsening of the contracture or identify who was responsible for splint placement. She was observed with her right hand drawn into a fist and unable to open it, with two splints on a chair by her bed. Resident #51 had COPD, hypertension, and diabetes, required partial to moderate assistance with most ADLs, and had a physician order for buspirone for anxiety, but no care plan was found for ADL assistance needs or the antianxiety medication. Resident #8 had multiple sclerosis, paraplegia, CHF, was dependent with ADLs, and had contractures in both hands and a left elbow contracture; staff and therapy stated she refused therapy and splints, yet no care plan addressed the contractures, ROM limitations, or her refusals. Resident #4 had severe cognitive impairment and diagnoses including dementia and Alzheimer’s disease, but her comprehensive care plan did not include measurable goals or interventions for her dementia diagnosis.
Failure to Provide Ongoing ROM and Splint Support for Two Residents with Contractures
Penalty
Summary
The facility failed to ensure two residents with limited range of motion received appropriate treatment and services to maintain or improve ROM and prevent further decline in contractures. Resident #58 was a male with a history of diabetes, CVA, and hemiplegia, and his annual MDS reflected functional limitation in ROM in both upper and lower extremities on one side. His care plan addressed CVA and contractures only in general terms, with interventions such as activity as tolerated and out of bed in chair if tolerated, but it did not include specific interventions to reduce worsening of the contracture in his left hand and arm. His physician orders did not include splint orders for the left hand and arm, and the OT discharge summary documented that he had tolerated a left elbow extension and wrist extension splint for up to 4 hours with no adverse skin reactions and improved tone management. During observation, Resident #58 was seen lying in bed with his left hand contracted and his thumb pushed down toward his palm, and no splint was in use. Two splints were observed on his chest of drawers beside the bed. The resident stated staff used to put a splint on his left hand but he thought it had been borrowed for someone else, and he said he was not able to open his left hand. Later, he was observed in his wheelchair in the dining room without a splint on his left hand or arm. Resident #62 was a female with diabetes, CVA, and hemiplegia, and her annual MDS also reflected functional limitation in ROM in both upper and lower extremities on one side. Her care plan noted that she had a splint to her right arm but would refuse to wear it at times, yet it did not address the contracture to her hand or identify interventions to reduce worsening of the contracture or who was responsible for splint placement. Her physician orders did not include splint orders for the right hand and arm, and the OT discharge summary documented less flexor tone and discharge back to the facility for continued nursing supervision and care. During observation, Resident #62 was seen sitting in her wheelchair preparing to brush her teeth with her right hand drawn into a fist and unable to open her hand. Two splints were observed on a chair by her bed. She stated she had been asking for a splint for her arm and therapy for over 5 months and wanted to get as much movement back as she could. Interviews with the DON, LVNs, CNAs, PTA, OT, and regional leadership reflected that the facility did not have a restorative program in place, staff were not instructed on splint placement, and there was poor communication between therapy and nursing regarding ongoing splint needs after therapy discharge.
Food Storage and Hair Restraint Deficiencies
Penalty
Summary
The facility failed to store, prepare, and serve food in accordance with professional standards in its only kitchen. During observation of the walk-in refrigerator on 06/02/26, two packages of cabbage and two packages of carrots were found without a receive date. During observation of the walk-in freezer, hamburger patties were found in an open box and not sealed in the bag. In interview, the Dietary Manager stated the cabbage and carrots had likely been taken out of the original box the night before and should have had a receive date, and stated the hamburger patties should have been sealed but dietary staff had forgotten to seal them when they were last used. The facility also failed to ensure effective hair restraints were worn during breakfast meal preparation. On 06/04/26, the Dietary Manager was observed taking hot food temperatures and later covering breakfast meal plates while wearing a hair restraint that left about 0.5 inches of hair uncovered above both ears. At another observation, Dietary [NAME] K was seen plating breakfast food for resident meal trays with a hair restraint that did not cover about 0.5 inches near both ears and about 0.5 inches of hair at the back of the head. Dietary [NAME] K stated he was not aware his hair restraint was not covering all of his hair, and the Dietary Manager stated he thought all of his hair was covered.
Failure to Document Ordered Wound Care
Penalty
Summary
The facility failed to maintain complete and timely medical record documentation for Resident #61’s wound care. Resident #61 was a severely cognitively impaired female with multiple sclerosis, a urinary catheter, and dependence for all ADLs. Her care plan identified a stage 4 pressure ulcer to the right buttock/right ischium, and the latest wound physician order dated 05/29/26 directed staff to clean the wound with normal saline, apply collagen powder mixed with a few drops of saline, cover with a dry dressing, and change the dressing daily and as needed. Record review showed no evidence that the ordered wound care was documented as provided or declined on multiple dates in May and June 2026. During observation and interview, the resident stated she was receiving daily wound care and believed her wounds were improving. On 06/03/26, the Treatment Nurse was observed performing the wound care and later stated that the missing MAR/TAR documentation corresponded to the days he had provided the treatments, admitting he had failed to complete the documentation even though he knew it was important to show the care had been completed. The DON stated it was the expectation that all treatments be documented at the time they were provided, and that the record was the only proof care had been given and the means of communication about what care had been provided or still needed.
Failure to Maintain Resident Fingernail Grooming and Hygiene
Penalty
Summary
The facility failed to provide necessary ADL services to maintain good grooming and personal hygiene for two residents who were dependent on staff for care. One resident, a male with severe cognitive impairment, diabetes, CVA, and hemiplegia, required partial to moderate assistance with personal hygiene and had no OT or restorative nursing services in the 7 days before his MDS assessment. During observation, his right-hand fingernails had a black/brown substance under all nails and were not trimmed, while his left-hand nails were clean but about 1/4 inch long. He stated he was not sure when his nails were last cut, and the same dirty, untrimmed nails were still observed the next day while he was eating lunch in the dining room. A second resident, who was cognitively intact and had COPD, HTN, and diabetes, also required partial to moderate assistance with personal hygiene and had no ADL care plan. During observation, his fingernails were about 1/2 inch long on the left hand and on a couple of fingers on the right hand, and he said he wanted them trimmed and was not sure how long it had been since they were cut. A CNA stated she cleaned fingernails during showers but did not check whether they needed trimming, and an RN later trimmed the resident's fingernails after the issue was brought to her attention. The DON stated CNAs should check residents' nails for cleanliness daily and that diabetic residents required nurses to trim their nails.
Insulin Not Held in Skin Long Enough During Administration
Penalty
Summary
The facility failed to provide pharmaceutical services to ensure accurate administration of Humalog insulin for one resident with Type 2 diabetes. The resident’s physician’s order for June 2026 directed Humalog injection solution 100 units/mL to be given subcutaneously before meals and at bedtime using a sliding scale, including 10 units for a blood sugar reading of 350 to 399. During observation, an RN checked the resident’s continuous glucose monitor, found a blood sugar reading of 389, reviewed the order, and prepared 10 units of Humalog in a U-100 insulin syringe. The RN then entered the resident’s room, cleaned the lower left abdomen, inserted the needle, pushed the plunger, and immediately removed the needle without waiting 5 seconds. During interview, the RN stated she was not aware the needle had to remain in the skin for 5 seconds when using an insulin syringe. The DON also stated she was not aware of the guideline requiring the needle to remain in the skin for 5 seconds for syringe administration and said she was not sure if the facility had a policy on insulin administration. The manufacturer’s instructions for Humalog stated the needle should stay in the skin for at least 5 seconds to ensure the full dose is injected.
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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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) |
|---|---|---|---|---|
| Pecan Tree Rehab And Healthcare Center | 0.2 mi | ★★★★★ | 13 | 2 |
| Avir At Gainesville | 1 mi | ★★★★★ | 19 | 0 |
| Avir At River Valley | 2.3 mi | ★★★★★ | 17 | 0 |
| Whitesboro Health And Rehabilitation Center | 13.4 mi | ★★★★★ | 2 | 1 |
| Cedar Ridge Rehabilitation And Healthcare Center | 17.7 mi | ★★★★★ | 11 | 0 |
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