The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Nursing home report
Signature Healthcare of Gainesville
Registered name: Gainesville Health and Rehabilitation
GAINESVILLE, FL · Medicare-certified · 120 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall
Signature Healthcare of Gainesville has a 1-star overall rating, with 1-star staffing and 2-star health inspection ratings, while quality measures are 4 stars. It is flagged for the lowest overall rating, reported nurse staffing is below the federal benchmark (2.50 vs 4.1 hours per resident per day), and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.4977 hrs/resident/day
Quality measures
Last inspection: June 30, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.4977.
Staffing detail
- Registered nurses
- 0.26
- Licensed practical nurses
- 0.69
- Nurse aides
- 1.55
- Weekend nursing
- 2.33
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
17.5%3.1%Improving
Residents with a fall causing major injury
3.1%1%Improving
Residents with pressure ulcers (bedsores)
6.7%4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
9.8%5.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.3%6%Worsening
Residents whose ability to walk got worse
9.1%2.8%Improving
Long-stay residents on antianxiety or sleep medication
2.4%4.4%Worsening
Short-stay residents newly given an antipsychotic
2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.5%3.1%Improving
Residents with depressive symptoms
3.8%3.4%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
68.4%98%Improving
Short-stay residents given the seasonal flu vaccine
—98.6%—
Short-stay residents given the pneumonia vaccine
90.8%100%Improving
What the inspectors found
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited June 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited June 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited July 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $12,930 in total fines.
- $7,903
Federal fine
Feb 6, 2024
- $1,882
Federal fine
Jan 8, 2024
- $3,145
Federal fine
Dec 18, 2023
Operator & ownership
Recent ownership change · Apr 1, 2020
Now operated by Gainesville Health & Rehabilitation, previously Signature Healthcare of Gainesville.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SIMCHA HYMAN & NAFTALI ZANZIPER · 79 homes · 2.7 stars avg
- Occupancy
- 106.7 residents on an average day (89% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.