Gardens Health and Rehab, The
Potosi, Missouri · CCN 265516
27 surveys since 2011. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 121
- Surveys
- 27
- Harm or worse
- 3
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Partnership
- Chain
- Independent
- County
- Washington · rural
- Medicare-certified since
- 1992
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 118 for-profit facilities of 100–127 beds in Missouri.
Last survey on record
Jul 9, 2026
123 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.46 | 3.32 |
| Registered-nurse hours per resident day | 0.35 | — |
| Annual nurse turnover | 67.1% | 57.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $8,021 across 1 penalty
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J12.9% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D3291.4% | E12.9% | F12.9% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5843×
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.
- F6412×
Ensure each resident receives an accurate assessment.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6582×
Ensure services provided by the nursing facility meet professional standards of quality.
- F8802×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Gardens Health and Rehab, The, in the surveyor’s own words.
- Immediate jeopardy, isolatedF684Dec 18, 2024
Based on observation, record review and interview, the facility failed to provide care in a sterile manner for one resident (Resident #4) of 11 sampled residents and did not assess or notify the physician when the peripherally inserted central catheter (PICC), (a long, flexible tube that is inserted into a vein in the arm and threaded into a large vein near the heart, used to deliver fluids, blood transfusions, medications, and nutrition intravenously, and to draw blood samples) line was cut during a dressing treatment and subsequently removed without a physician's order, placing the resident at risk for possible complication of a catheter-related bloodstream infection (CRBSI), which can occur when bacteria enter the bloodstream through the catheter site due to improper sterile technique,… […]
- No harm, potential for more than minimal, widespreadF868Mar 12, 2025
Based on interview and record review, the facility failed to ensure the required members attended Quality Assurance & Performance Improvement (QAPI) meetings at least quarterly. The facility's census was 87. The facility did not provide a policy. 1. Review of the monthly QAPI Meeting sign in sheets, dated August 2024, September 2024, October 2024, November 2024, December 2024, January 2025, and February 2025, provided by the Administrator, showed the following required members attended each meeting: - Administrator; - Director of Nursing; - Infection Preventionist; - At least two other staff members; - No record of the Medical Director attending any meetings. […]
- No harm, potential for more than minimal, patternF584Oct 27, 2023
Based on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 65. Review of the facility's policy titled, Quality of Life - Homelike Environment, undated, showed: - Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible; - The facility staff and management shall maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting, including a clean, sanitary and orderly environment. […]
- No harm, potential for more than minimal, patternF622Feb 23, 2023
Based on interview and record review, the facility failed to provide evidence for a facility- initiated discharge for four of four residents sampled (Residents #1, #5, #6 and #7) who were issued an immediate discharge notice and transferred to an acute care facility. The facility also failed to follow appropriate discharge practices when they discharged Resident #1 to the hospital and refused to allow the resident to return to the facility even after the appeal hearings unit gave a ruling to throw out the discharge notice. The facility census was 66. […]
- No harm, potential for more than minimal, patternF623Feb 23, 2023
Based on interview and record review, the facility failed to provide complete and accurate discharge notices with required information to residents and legal guardians for four residents (Resident #1, #5, #6, and #7) out of four sampled residents for discharge notices. Facility census was 66. Record review of the facility's Transfer or Discharge, Emergency policy, undated, showed residents will not be transferred unless: - The transfer or discharge is necessary for the resident's welfare and the resident's needs cannot be met in the facility; - The safety of individuals in the facility is endangered due to the clinical or behavioral status of the resident; - The health of individuals in the facility would otherwise be endangered; - If a resident exercises his or her right to appeal a… […]
Read 23 findings in full →The most serious and the most recent: 23 of 121 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 9, 2026Complaint1 finding
- Mar 12, 2025Standard and complaint19 findings
- Dec 18, 2024Complaint1 finding · 1 harm
- Aug 23, 2024Complaint1 finding
- Oct 27, 2023Standard5 findings
- Sep 12, 2023Complaint1 finding
- Feb 23, 2023Complaint4 findings
- Sep 13, 2022Complaint2 findings
Show the 19 earlier surveys
- Mar 2, 2022Complaint1 finding
- Nov 5, 2021Standard7 findings
- Aug 1, 2019Standard7 findings
- Sep 14, 2018Standard6 findings
- Mar 21, 2018Complaint1 finding
- Aug 7, 2017Complaint1 finding
- Jul 13, 2017Standard4 findings
- Feb 2, 2017Complaint3 findings
- Sep 9, 2016Standard7 findings
- Oct 16, 2015Standard and complaint12 findings · 1 harm
- Aug 21, 2015Complaint4 findings · 1 harm
- Apr 1, 2015Complaint1 finding
- Aug 8, 2014Standard8 findings
- Nov 20, 2013—6 findings
- Apr 18, 2013—2 findings
- Jan 3, 2013—2 findings
- Sep 7, 2012—6 findings
- Mar 6, 2012—1 finding
- Jul 22, 2011—8 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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