All citations for Gardens Health and Rehab, the

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Gardens Health and Rehab, the

Last standard health inspection on record

March 12, 2025

Showing 1 to 25 of 35 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  2. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  3. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 8, 2023).

  4. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 23, 2026).

  5. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 12, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  6. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  7. No harm, with potential for more than minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  8. No harm, with potential for more than minimal harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  9. No harm, with potential for more than minimal harm

    Assess the resident when there is a significant change in condition

    Isolated (one or a few residents). CMS level D.

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  10. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  11. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  12. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  13. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  14. No harm, with potential for more than minimal harm

    Try 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  15. No harm, with potential for more than minimal harm

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  16. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  17. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  18. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  19. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  20. No harm, with potential for more than minimal harm

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0887, Infection Control Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  21. No harm, with potential for more than minimal harm

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0909, Environmental Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  22. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  23. No harm, with potential for more than minimal harm

    Protect each resident from the wrongful use of the resident's belongings or money.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 23, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (July 30, 2024).

  24. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 8, 2023).

  25. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 8, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.