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Gardens Health and Rehab, TheCMS ratings, inspections and fines

Address
1 Georgian Gardens Drive, Potosi, MO 63664
CCN
265516
Ownership type
For-profit, partnership
Certified beds
120
Chain
None in the CMS record
Residents per day
90
CMS flags
None in the CMS record
CMS star ratings
Overall rating1 of 5
Health inspection rating3 of 5
Staffing rating1 of 5
Quality measure rating1 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Gardens Health and Rehab, The an overall rating of 1 of 5 stars. The last standard survey was on 12 Mar 2025. The latest survey cycle has 19 health citations. The median for nursing homes in Missouri is 9. CMS lists 1 fine of $8,021 for this home in its penalties file. CMS also lists 1 payment denial.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Gardens Health and Rehab, The, with medians
Rating (1 to 5 stars)This homeWashington County medianMissouri medianUS average (CMS)
Overall rating14.02.03.0
Health inspection rating34.03.02.8
Staffing rating12.02.02.9
Quality measure rating12.03.03.6

A median is the middle value of the homes in the group: 2 homes in the county, 487 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Gardens Health and Rehab, The in the last three survey cycles
Survey cycleStandard surveyCitationsMissouri median
Cycle 1 (latest)12 Mar 2025199
Cycle 227 Oct 2023710
Cycle 3No date89

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 34 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 19 citations

Standard survey of this cycle: .

Health citations of Gardens Health and Rehab, The in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 Mar 2025F0584Honor 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.DComplaint investigation26 Apr 2025
12 Mar 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey26 Apr 2025
12 Mar 2025F0625Notify 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.DStandard survey26 Apr 2025
12 Mar 2025F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey26 Apr 2025
12 Mar 2025F0637Assess the resident when there is a significant change in conditionDStandard survey26 Apr 2025
12 Mar 2025F0641Ensure each resident receives an accurate assessment.DStandard survey26 Apr 2025
12 Mar 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey26 Apr 2025
12 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey26 Apr 2025
12 Mar 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey26 Apr 2025
12 Mar 2025F0700Try 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 survey26 Apr 2025
12 Mar 2025F0728Ensure 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.DStandard survey26 Apr 2025
12 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey26 Apr 2025
12 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey26 Apr 2025
12 Mar 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey26 Apr 2025
12 Mar 2025F0880Provide and implement an infection prevention and control program.DStandard survey26 Apr 2025
12 Mar 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey26 Apr 2025
12 Mar 2025F0887Educate 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.DStandard survey26 Apr 2025
12 Mar 2025F0909Regularly 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.DStandard survey26 Apr 2025
12 Mar 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey26 Apr 2025

Survey cycle 2: 7 citations

Standard survey of this cycle: .

Health citations of Gardens Health and Rehab, The in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
18 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation31 Jan 2025
23 Aug 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation30 Jul 2024
27 Oct 2023F0584Honor 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.EStandard survey8 Dec 2023
27 Oct 2023F0641Ensure each resident receives an accurate assessment.DStandard survey8 Dec 2023
27 Oct 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 Dec 2023
27 Oct 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey8 Dec 2023
27 Oct 2023F0880Provide and implement an infection prevention and control program.DStandard survey8 Dec 2023

Survey cycle 3: 8 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Gardens Health and Rehab, The in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 Sep 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation6 Sep 2023
5 Nov 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey10 Dec 2021
5 Nov 2021F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey10 Dec 2021
5 Nov 2021F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey10 Dec 2021
5 Nov 2021F0692Provide enough food/fluids to maintain a resident's health.DStandard survey10 Dec 2021
5 Nov 2021F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey10 Dec 2021
5 Nov 2021F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey10 Dec 2021
5 Nov 2021F0761Ensure 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 survey10 Dec 2021

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Gardens Health and Rehab, The in the CMS penalties file
DateTypeFineDays without payment
18 Dec 2024Fine$8,021
18 Dec 2024Payment denial8

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Gardens Health and Rehab, The
StaffThis homeMissouri medianMissouri average (CMS)
All nurse staff3.463.403.43
Registered nurses (RN)0.350.400.46
Licensed practical nurses (LPN)0.780.68
Nurse aides2.342.29
All nurse staff, weekends3.162.903.02
Nurse staff turnover in a year
67.1%
Nurse staff turnover, Missouri median
56.1%
RN turnover in a year
76.9%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Gardens Health and Rehab, The, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay28.7%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.8%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.5%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.4%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.9%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay30.2%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.2%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay43.4%21.0%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, partnership
Legal business name
Legal Business Name Not Available

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons.

Other homes in Washington County

The other nursing home in Washington County, Missouri
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Potosi ManorPotosi4 of 57$13,62713 Mar 2026

All 2 nursing homes in Washington County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Gardens Health and Rehab, The (CCN 265516). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/gardens-health-and-rehab-the-potosi-mo-265516/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Gardens Health and Rehab, The last inspected?
The latest inspection with a citation in the CMS record was on 12 Mar 2025. It was a standard survey and a complaint investigation. It gave 19 citations. The standard survey before the last one was on 27 Oct 2023.
Who operates Gardens Health and Rehab, The?
The CMS record gives the ownership type as for-profit, partnership. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
Is Gardens Health and Rehab, The a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.