Home / Florida / Daytona Beach
Gardens Healthcare & Rehabilitation Center
1704 Huntington Village Circle, Daytona Beach, FL 32114 · Volusia County · (386) 255-6571
108 certified beds, about 102 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105822 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 10, 2025, inspectors cited 1 health deficiency (the Florida average is 7.1, the national average 9.2).
Of 8 health citations since February 2022, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $8,512 in the last three years; the largest was $4,256, and the latest is dated December 10, 2024.
Nurses and nurse aides worked 3.75 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.
45.5% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Gold Fl Trust II, an affiliated group of 36 nursing homes.
Health inspections
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.
Where its citations fall on CMS's grid
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 8 health citations on file.
December 10, 2025Standard inspection · 1 citation
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on interviews and record reviews, the facility failed to obtain food preferences for two of three residents (#63 and #119) reviewed for food in a total of 39 sampled residents. Failure obtain food preferences placed residents at risk of inadequate nutritional interventions and non-compliance. During the initial tour of the facility on 12/07/2025 at 12:30 PM, Resident 119 stated food is always cold and at times does not taste good. He explained that he was not aware if the facility had a substitution menu. On 12/08/2025 at 12:40 PM, Resident 119 was observed in his room with the food tray on the bedside table and the rice serving was untouched. He ate green beans and fish. He stated that the fish was warm. He added that he did not touch the rice because he hated rice. He added that he also hated carrots and squash, and dietary keeps serving these items to him. [...]
December 10, 2024Complaint inspection · 2 citations
- G Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review, interviews, and facility Transfer and Discharge policy review, the facility failed to provide a 30-day notice of discharge for one (Resident #1) of 2 residents reviewed for facility-initiated discharges, from a total of 4 residents sampled. As a result of the swift discharge from what had become Resident #1's home, he experienced sadness, loss and regret, and had insufficient time to plan for discharge to another location that would meet his physical, emotional and psychosocial needs.
- G Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Inspectors wroteBased on record review, interviews, and facility Resident Return to Facility document review, the facility failed to permit one resident who was admitted for long-term care (Resident #1) to return to the facility following a [NAME] Act transfer to the hospital from a total of two residents reviewed for transfer/discharge. The abrupt discharge for Resident #1 caused him to experience sadness, loss and regret, and gave insufficient time to plan for discharge to another location of his choice that would meet his physical, emotional and psychosocial needs.
January 25, 2024Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews with staff, and a review of the 2022 Food Code, the facility failed to store and distribute ice in accordance with professional standards for food service safety in two of three ice machines inspected. This had the potential to affect all 103 residents who ate and drank by mouth from a total of 104 residents in the facility. Failure to ensure ice machines are clean and draining properly poses a risk of contamination with mold or bacteria, which could lead to waterborne illness.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, resident and facility record reviews, and interviews with staff, the facility failed to provide appropriate assistance with nail care for one (Resident #60) of four residents (Resident #60) reviewed for activities of daily living (ADLs), from a total of 29 residents in the sample.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on observations and interviews with staff, the facility failed to ensure waste and refuse were disposed of properly into one of two dumpsters inspected. Failure to ensure refuse is contained presents unsanitary conditions and the risk of harboring and feeding pests.
February 24, 2022Standard inspection · 2 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations and staff interviews, the facility failed to ensure that two (Residents #85 and #5) of three residents observed during medication administration, from a total sample of 27 residents, were provided privacy during medical treatment.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, record reviews, and staff interviews, the facility failed to ensure a medication error rate of less than 5%, based on 2 errors with 35 opportunities for error, resulting in an error rate of 5.714%.
Fire safety inspections
16 fire safety citations on file: 14 on December 10, 2025, 2 on January 25, 2024.
Every fire safety citation16 citations
- D Develop and maintain an Emergency Preparedness Program (EP).
- D Conduct risk assessment and an All-Hazards approach.
- D Create arrangements with other facilities to receive patients.
- D List the names and contact information of those in the facility.
- D Establish emergency prep training and testing.
- D Establish staff and initial training requirements.
- D Meet the requirements of an integrated health system.
- D Have exits that are accessible at all times.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 10, 2024 | Fine | $4,256 |
| December 10, 2024 | Fine | $4,256 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
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) | 3.75 | 3.82 | 3.86 |
| Registered nurses | 0.43 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.40 | 3.49 | 3.42 |
| Nurse aides | 2.31 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | 45.5% | 41.4% | 45.8% |
| Registered nurse turnover | 45.5% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.10 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 3.89 on weekdays and 3.40 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.65 in April to June 2025 to 3.75 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 | 3.75 | 0.43 | 3.89 | 3.40 | 6.3% | 0 of 90 | 102 |
| Oct to Dec 2025 | 3.68 | 0.39 | 3.80 | 3.38 | 5.4% | 0 of 92 | 104 |
| Jul to Sep 2025 | 3.73 | 0.40 | 3.87 | 3.38 | 2.8% | 0 of 92 | 102 |
| Apr to Jun 2025 | 3.65 | 0.39 | 3.79 | 3.30 | 6.5% | 0 of 91 | 103 |
| 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
Staff pay at this home
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.
Official wage estimates for Florida
| 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.
Quality measures
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 | 5.7 | 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 | 1.2 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.1 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.6 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.0 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.6 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.1 | 1.8 |
Owners and operators
Legal business name: GARDENS HEALTHCARE & REHABILITATION CENTER, LLC. CMS links this home to Gold Fl Trust II, a group of 36 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gardens SNF Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 03/23/2022 |
| Fl Master Opco Holdco LLC | 5% or greater indirect ownership interest | Organization | 100% | 07/27/2022 |
| Hager, Joe | W-2 managing employee | Individual | 07/27/2004 | |
| Shelby, Jack | Corporate officer | Individual | 07/27/2022 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on December 10, 2025: "Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on December 10, 2024: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 25, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on February 24, 2022: "Ensure medication error rates are not 5 percent or greater."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.40 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Solaris Healthcare Daytona Daytona Beach, 0.3 mi · 5 of 5 stars · 3 citations
- Coastal Health and Rehabilitation Center Daytona Beach, 0.9 mi · 4 of 5 stars · 15 citations
- Emory L Bennett Memorial Veterans Nursing Home Daytona Beach, 1.4 mi · 4 of 5 stars · 15 citations
- Indigo Manor Daytona Beach, 1.4 mi · 2 of 5 stars · 28 citations
- Daytona Beach Health and Rehabilitation Center Daytona Beach, 1.7 mi · 5 of 5 stars · 7 citations
- Carlton Shores Healthcare and Rehabilitation Cente Daytona Beach, 2.6 mi · 5 of 5 stars · 5 citations
- Blue Palms Health and Rehabilitation Center of Day Daytona Beach, 2.6 mi · 4 of 5 stars · 8 citations
- Terrace at Bishop's Glen, the Holly Hill, 2.7 mi · 3 of 5 stars · 12 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Gardens Healthcare & Rehabilitation Center's Medicare star rating?
- CMS rates Gardens Healthcare & Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Gardens Healthcare & Rehabilitation Center get at its last inspection?
- 1 health deficiency at the standard inspection on December 10, 2025. The Florida average is 7.1.
- Has Gardens Healthcare & Rehabilitation Center been fined?
- Yes. CMS lists 2 fines totaling $8,512 in the last three years.
- Does Gardens Healthcare & Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Gardens Healthcare & Rehabilitation Center?
- CMS lists 4 owners and managers, and links the home to Gold Fl Trust II. Legal business name: GARDENS HEALTHCARE & REHABILITATION CENTER, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.