Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555791

The Gardens Healthcare Center

81 federal citations on record .

Record summary

Federal record · Q1 2026
81
Total citations
70
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
3
Overall ★ rating

Most common violation categories here

Quality of Care19 Resident Rights17 Medication & Pharmacy13 Care Planning12 Infection Control10

Most common F-tags at this facility

F8809 F6566 F6895 F8424 F5503

Citation history

81 on record
SurveyF-TagViolationSeveritySource
Dec 16, 2025F760Ensure that residents are free from significant medication errors.DComplaint
May 11, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
May 11, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
May 11, 2025F761Ensure 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.DStandard
May 11, 2025F732Post nurse staffing information every day.EStandard
May 11, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 11, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
May 11, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
May 11, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
May 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 11, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 11, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 11, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 11, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
May 11, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 11, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jan 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 23, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.EComplaint
Sep 23, 2024F880Provide and implement an infection prevention and control program.DComplaint
Sep 23, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Sep 23, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Sep 23, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 5, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jun 5, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard
Jun 5, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 5, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 5, 2024F761Ensure 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.DStandard
Jun 5, 2024F760Ensure that residents are free from significant medication errors.EStandard
Jun 5, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Jun 5, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Jun 5, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Jun 5, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jun 5, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Jun 5, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Jun 5, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Jun 5, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jun 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 5, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 5, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jun 5, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jun 5, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Jun 5, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
May 1, 2024F880Provide and implement an infection prevention and control program.EComplaint
May 1, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Feb 27, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Feb 5, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Feb 5, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 16, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jan 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 16, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 16, 2024F583Keep residents' personal and medical records private and confidential.DComplaint
Dec 29, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 29, 2023F693Ensure 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.DComplaint
Dec 29, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 30, 2023F880Provide and implement an infection prevention and control program.EComplaint
Nov 16, 2023F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DComplaint
Nov 16, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 16, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 7, 2023F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Nov 7, 2023F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Nov 7, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Sep 28, 2023F880Provide and implement an infection prevention and control program.EComplaint
Sep 28, 2023F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FComplaint
Aug 28, 2023F880Provide and implement an infection prevention and control program.DComplaint
Aug 9, 2023F880Provide and implement an infection prevention and control program.EComplaint
Aug 9, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Aug 9, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Jun 15, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jun 15, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 21, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 5, 2021F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Nov 5, 2021F881Implement a program that monitors antibiotic use.DStandard
Nov 5, 2021F880Provide and implement an infection prevention and control program.DStandard
Nov 5, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Nov 5, 2021F761Ensure 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.DStandard
Nov 5, 2021F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Nov 5, 2021F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Nov 5, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Nov 5, 2021F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 5, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Nov 5, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
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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