Gainesville Health and Rehabilitation
Nursing Home Facility
4000 Sw 20th Avenue, Gainesville, FL 32607

Signature HealthCARE of Gainesville is a 120-bed skilled nursing facility located in Gainesville, Florida. The facility is conveniently located within 5 miles of all hospitals, and offers 24-hour nursing care and a wide array of services and programs that are appropriate for individuals who need around-the-clock care.
Operated by Signature Healthcare, which runs 91 communities in our directory.
With 120 beds, Gainesville Health and Rehabilitation is one of the larger communities in the area, senior care communities in Gainesville average about 90 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 89% of its licensed beds.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Gainesville average about 3.4 stars. Its most recent standard health inspection was in April 2025 and recorded 13 deficiencies.
Residents receive about 2.5 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Communities in Gainesville average about 3.7 hours.
The community is located in Alachua County, FL.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 38 problems at Gainesville Health and Rehabilitation. None of them caused harm to a resident. 12 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 3 times, a total of $12,930.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, widespread
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Could cause more than minimal harm, widespread
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Environmental
Keep all essential equipment working safely.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Gainesville Health and Rehabilitation offers nursing home care and senior living.
Facility details
- Organization type for-profit limited liability corporation
- Beds / units 120
- Occupancy 89%
- Nursing hours per resident/day 2.5
- Last health inspection April 2025
Resident & family reviews
My mother went to Signature after a hospital stay. She was there for 45 days and had such a great result. The therapy team was very friendly. The nursing staff made mom and myself feel like they cared. We will consider Signature for future therapy needs if mom needs it again.
by Verified visitor, Jan 2012