Alachua County

Gainesville Health and Rehabilitation

Medicare rating
1 out of 5
47%
less nursing care than its residents are expected to need, against a research benchmark
$12,930
in federal fines recorded since 2023

Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Florida homes, so a star here does not mean what it means in another state.

4000 SW 20th Ave, Gainesville, FL 32607 · (352) 377-1981
120 beds · about 107 residents on a typical day · for-profit limited liability company

Staffing

All nursing staff, per resident, per day
2 hours 30 minutes

Residents here are expected to need about 4 hours 40 minutes, given how sick they are. This home reports 47% less. The average Florida home reports 3 hours 49 minutes.

Registered nurses only
16 minutes

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 4 minutes of their time. This home reports 76% less.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

Medicare attached a note to this home’s staffing figure, numbered 24. Medicare does not publish what its staffing note numbers mean, so we cannot tell you why it is there, only that it is. Treat the hours above, and the gap we work out from them, with that in mind.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 38 findings on record going back to 2022, 12 of them after someone filed a complaint. Of the 38, 27 are from the last three years.

Everything on record

Immediate jeopardy 0 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 0 A resident was hurt
Potential for harm 38 Could have caused harm. No one was hurt. The most common kind.

No finding of actual harm or immediate jeopardy is on this home's record for the period shown.

What these levels mean

Medicare grades a finding by how many residents it reached and how badly. Nothing on this home’s record reached the two most serious grades, immediate jeopardy or actual harm.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 105664.

What these numbers do not say

Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.