Facility profile · CCN 105765
Gardens Nursing And Rehab Center
60 federal citations on record , including 4 at the Immediate Jeopardy level, and 7 federal enforcement actions totaling $277,745.
Record summary
Federal record · Q1 202660
Total citations
50
Last 3 years
5
Actual harm+
7
Federal penalties
$277,745
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
60 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 27, 2025 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Complaint |
| Jun 27, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Jun 27, 2025 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint |
| Jun 27, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Mar 27, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint |
| Mar 27, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 27, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Aug 30, 2024 | F924 | Put firmly secured handrails on each side of hallways. | D | Complaint |
| Aug 30, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Aug 30, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint |
| Aug 30, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Aug 30, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | K | Complaint |
| Aug 30, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
| Aug 30, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Complaint |
| Aug 30, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | D | Complaint |
| Aug 30, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Aug 30, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Complaint |
| Aug 30, 2024 | F917 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | D | Standard |
| Aug 30, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Aug 30, 2024 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Aug 30, 2024 | F880 | Provide and implement an infection prevention and control program. | K | Standard |
| Aug 30, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Aug 30, 2024 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Aug 30, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 30, 2024 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard |
| Aug 30, 2024 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard |
| Aug 30, 2024 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Aug 30, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Aug 30, 2024 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard |
| Aug 30, 2024 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard |
| Aug 30, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Aug 30, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Aug 30, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Aug 30, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Aug 30, 2024 | F732 | Post nurse staffing information every day. | E | Standard |
| Aug 30, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | G | Standard |
| Aug 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 30, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Aug 30, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Aug 30, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 30, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard |
| Aug 30, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Aug 1, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Oct 3, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint |
| Oct 3, 2023 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| May 19, 2023 | F839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Complaint |
| May 19, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| May 19, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| May 19, 2023 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| May 19, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Mar 10, 2022 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Standard |
| Mar 10, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Mar 10, 2022 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| Mar 10, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 10, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Mar 10, 2022 | F639 | Maintain 15 months of resident assessments in the resident's active clinical record. | E | Standard |
| Mar 10, 2022 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Mar 10, 2022 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Mar 10, 2022 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Mar 10, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 7 enforcement actions against this facility, including 6 civil money penalties totaling $277,745 and 1 payment-denial actions spanning 75 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 1, 2024 | Fine | $252,723 | — |
| Aug 1, 2024 | Payment Denial | — | Nov 1, 2024 · 75 days |
| Oct 3, 2023 | Fine | $5,897 | — |
| Oct 3, 2023 | Fine | $5,897 | — |
| May 19, 2023 | Fine | $4,409 | — |
| May 19, 2023 | Fine | $4,410 | — |
| May 19, 2023 | Fine | $4,409 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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