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Gainesville Health and Rehabilitation

Nursing Home Facility

4000 Sw 20th Avenue, Gainesville, FL 32607

📞 (352) 377-1981 Visit website ★★★★☆ 4/5 (1)
Nursing Home Care Senior Living
Gainesville Health and Rehabilitation

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.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

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

  • 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.

    Inspected June 2026, after a complaint.

  • 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.

    Inspected June 2026, after a complaint.

  • 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.

    Inspected June 2026, after a complaint.

  • 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.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Environmental

    Keep all essential equipment working safely.

    Inspected May 2026, after a complaint. Corrected by June 19, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected March 2026, after a complaint. Corrected by April 13, 2026.

  • 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.

    Inspected March 2026, after a complaint. Corrected by April 13, 2026.

  • 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.

    Inspected March 2026, after a complaint. Corrected by April 13, 2026.

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  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected April 2025. Corrected by April 25, 2025.

  • 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.

    Inspected April 2025. Corrected by April 25, 2025.

  • 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.

    Inspected April 2025. Corrected by April 25, 2025.

  • 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.

    Inspected April 2025. Corrected by April 25, 2025.

  • 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.

    Inspected April 2025. Corrected by April 25, 2025.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

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

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Resident & family reviews

Great Service

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

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