4000 Sw 20th Ave, Gainesville, FL 32607 · Alachua County · (352) 377-1981
120 certified beds, about 107 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105664 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 3, 2025, inspectors cited 5 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 38 health citations since July 2022 was rated as actual harm or immediate jeopardy.
CMS lists 3 fines totaling $12,930 in the last three years; the largest was $7,903, and the latest is dated February 6, 2024.
Nurses and nurse aides worked 2.50 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.26 of those hours.
CMS links it to Simcha Hyman & Naftali Zanziper, an affiliated group of 79 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 38 health citations on file.
Inspectors wroteBased on interview, observation, and record review, the facility failed to have sufficient nursing staff to assure residents maintained the highest practicable physical, mental, and psychosocial well-being in 3 of 3 resident units reviewed for sufficient staffing.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a performance improvement plan upon identification of concerns related to staffing. Cross reference to F725:
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an effective pest control program in 3 of 3 units reviewed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a clean and homelike environment for 2 of 6 residents (Residents #3 and #4) and in 1 of 3 resident units (Unit 2) reviewed for homelike environment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure essential equipment and building components were maintained in a safe operating condition in the facility's kitchen dishwashing area.
Inspectors wroteBased on interview and record review the facility failed to ensure that acceptable parameters of nutritional status were maintained when dietician assessment and recommendations were not followed to maintain body weight for 2, Resident #1 and #2, of 3 residents reviewed for weight loss.
Inspectors wroteBased on observation, interview and record review the facility failed to promptly inform the resident representative when there was a change of condition and weight loss for 2, Resident #1 and #2, of 4 residents reviewed for changes in condition. Fiindings include: Review of Resident #1's admission record documented diagnosis that include dementia and other diseases classified elsewhere, mild, with mood disturbance, pain in left knee, pain in right knee, vitamin B deficiency unspecified, vitamin D deficiency unspecified, essential (primary) hypertension, anemia unspecified, type 2 diabetes mellitus without complications, hyperlipidemia unspecified, and hypothyroidism unspecified. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to provide housekeeping and maintenance services to provide a safe, clean, comfortable and homelike environment in 2 of 4 hallways reviewed for environment.
Inspectors wroteBased on interviews, and record reviews, the facility failed to ensure each resident was provided with an assessment which accurately reflects the resident's status for 4 (Resident #151, #76, #302, #74) of 8 resident assessments reviewed for respiratory care, skin conditions, and end stage renal disease care.
Inspectors wroteBased on observation, interview, and record reviews, the facility failed to promote a dignified and homelike dining experience while assisting dependent residents with breakfast when staff stood over residents during the meal for 2 (Resident #84 and #54) of 2 residents observed for eating assistance.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure respiratory care and services were provided consistent with professional standards of practice for 1 (Resident #151) of 4 residents reviewed for oxygen therapy.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that all drugs and biologicals used in the facility were labeled in accordance with currently accepted professional standards for 1 of 5 medication carts and failed to ensure that drugs and biologicals were stored in a secured manner for 2 of 3 units.
Inspectors wroteBased on interview and record review, the facility failed to ensure resident medical records were accurate and complete for 1 (Resident #22) of 2 residents reviewed for advanced directives.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure standards of professional practice were followed for administering tube feedings with the use of a tube feeding pump for 1 of 5 residents, Resident #7.
Inspectors wroteBased on observation, interview, and record review the facility failed to prevent the possible spread of infection when failing to perform hand hygiene or use appropriate personal protective equipment (PPE) when performing care for 2 of 11 residents, Residents #7 and #9 on Enhanced Barrier Precautions.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents were informed of the bed hold policy upon transfer to hospital for 3 of 3 residents reviewed for discharge to hospital, Residents #1, #2 and #3.
Inspectors wroteBased on interview and record review, the facility failed to ensure policies and procedures were implemented for the prevention of abuse, neglect, exploitation of residents and misappropriation of resident property related to training for 1 of 10 employees (the Chef) and reporting allegations immediately, but not later than 2 hours after the allegation was made, to the State Survey Agency and other officials as required for 1 (Resident #23) of 3 residents sampled.
Inspectors wroteBased on interview and record review the facility failed to ensure the resident assessment accurately reflected the resident's status for 1 resident (Resident #68) of 2 reviewed for dialysis services and 1 resident (Resident #81) of 1 reviewed for restraints.
Inspectors wroteBased on record review and interview the facility failed to ensure residents that were reviewed for Preadmission Screening and Resident Review (PASARR) with newly evident or possible serious mental disorders were referred to the appropriate state designated authority for review for 3 (#4, #69, #40) of 6 resident reviewed.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents received a PASARR (Pre-admission Screening and Resident Review) for possible serious mental disorders, intellectual disabilities, and related conditions prior to admission for 1 (#25) of 6 residents reviewed. Findings Include: Review of Resident #25's admission record documented a diagnosis of paranoid schizophrenia, onset date 4/25/23. Review of the psychiatry note dated 4/25/23 read, chief complaint depression, insomnia, and schizophrenia. Plan of Action: continue medication Abilify for schizophrenia, Divalproex for mood and Trazodone for depression. Review of the hospital note dated 9/04/23 read, discharge summary. discharge diagnosis: bi-polar disorder. Review of the clinical record revealed no documented PASARR screening. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to provide nutritional services with adequate nutritional interventions to maintain acceptable parameters of nutritional status for 1 (Resident #19) of 7 residents reviewed nutrition.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that residents received respiratory care services consistent with professional standards of practice for 1 (Resident #13) of 2 residents receiving respiratory services.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principle for 3 of 4 medication carts.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident records were complete and accurately documented for 2 of 4 residents reviewed for intravenous catheters (Residents #81, #40).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene during medication administration to help prevent the development and transmission of communicable diseases and infections.
Inspectors wroteBased on record review and interview, the facility failed to ensure the training program on abuse and neglect was completed for 1 of 10 employees, the Chef.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure appropriate treatment and services for enteral nutrition was provided for 1 of 3 residents (Resident #3).
Inspectors wroteBased on interview and record review, the facility failed to ensure the nurse staffing data was posted on a daily basis in a prominent place readily accessible to residents and visitors.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain infection control practice standards for performing hand hygiene during medication administration in 6 out of 8 observations of medication administration and failed to conduct monthly water supply monitoring.
Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to ensure the residents were informed and provided written information concerning their right to choose and to formulate an advance directive for 19 of 33 residents reviewed, with missing advanced directives (Residents #10, #15, #30, #82, #71 #77, #74, #75, #64, #249, #7, #24, #28, #37, #42, #49, #81, #248 and #56).
Inspectors wrote5. During an observation on 7/11/2022 at 10:27 AM, Resident #50 was resting in bed with a catheter drainage bag hanging on the right side of the bed. There was no privacy bag covering the clear plastic collection bag. The resident's door was open, and the catheter collection bag was visible from the hall. Review of the admission records for Resident #50 revealed the resident was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease, unspecified dementia without behavioral disturbance, neuromuscular bladder dysfunction, generalized anxiety disorder, essential primary hypertension, recurrent depressive disorder, renal and perinephric abscess, and coronary artery disease. During an observation on 7/11/2022 at 11:27 AM, Resident #50 was in bed with a catheter drainage bag hanging on the right side of the bed. [...]
Inspectors wroteBased on observation, interview, and policy and procedure review, the facility failed to maintain a clean environment for 2 of 4 residents requiring tube feeding equipment, Residents #29 and #64.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the residents received treatment and care in accordance with professional standards of practice for peripherally inserted central catheters for 2 of 3 reviewed residents, Residents #249 and #100, in a total sample of 51 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles and included the expiration date when applicable in 2 of 4 medication carts reviewed.
Inspectors wroteBased on record review and interview, the facility failed to report the results of all investigations to the officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the medication error rate was not 5% or greater for 2 of 4 residents observed during medication pass, Residents #1 and #5. Medication error rate was 20.8%.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store food items in accordance with professional standards for food service safety in the facility's nourishment room.
Inspectors wroteBased on record review and interview, the facility failed to provide therapy services for 1 of 3 residents reviewed for therapy services, Resident #17.
25 fire safety citations on file: 1 on June 30, 2026, 8 on April 3, 2025, 9 on December 22, 2023, 7 on July 14, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| February 6, 2024 | Fine | $7,903 |
| January 8, 2024 | Fine | $1,882 |
| December 18, 2023 | Fine | $3,145 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.50 | 3.82 | 3.86 |
| Registered nurses | 0.26 | 0.73 | 0.69 |
| All nursing staff on weekends | 2.33 | 3.49 | 3.42 |
| Nurse aides | 1.55 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | not reported | 41.4% | 45.8% |
| Registered nurse turnover | not reported | 46.0% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.57 on weekdays and 2.33 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 2.50 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.50 | 0.26 | 2.57 | 2.33 | 0.0% | 27 of 90 | 107 |
| Oct to Dec 2025 | 3.67 | 0.36 | 3.85 | 3.22 | 0.0% | 0 of 92 | 106 |
| Apr to Jun 2025 | 3.41 | 0.31 | 3.64 | 2.85 | 0.0% | 2 of 91 | 113 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.3 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.6 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.5 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.8 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.2 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.6 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Gainesville Health and Rehabilitation's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 23 eligible stays.
9.4% this home
No different from the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 64 eligible stays.
5.9% this home
No different from the national rate
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 29 eligible stays.
55.6% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 36 residents counted.
1.9% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 52 residents counted.
3.6% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 52 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: GAINESVILLE FL OPCO LLC. CMS links this home to Simcha Hyman & Naftali Zanziper, a group of 79 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gainesville Fl Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 11/01/2022 |
| Lilac SNF Holdco LLC | 5% or greater indirect ownership interest | Organization | 100% | 11/01/2022 |
| Ulysse, Jean-Marc | W-2 managing employee | Individual | 04/01/2020 | |
| Gorelick, Batya | Corporate officer | Individual | 04/01/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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