Gardens Health and Rehab, the
1 Georgian Gardens Drive · Potosi, MO · 63664 · 5734386261
120 certified beds For profit - Partnership Chain: Prime Healthcare Management
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 1 · $8,021 |
Inspection citations (34 in the current record)
-
Potential for harm · D March 12, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 26, 2025 · Resident Rights
-
Potential for harm · D March 12, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected April 26, 2025 · Resident Rights
-
Potential for harm · D March 12, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected April 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 12, 2025
Assess the resident when there is a significant change in condition
Corrected April 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 12, 2025
Ensure each resident receives an accurate assessment.
Corrected April 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 12, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 12, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 26, 2025 · Quality of Life and Care
-
Potential for harm · D March 12, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected April 26, 2025 · Quality of Life and Care
-
Potential for harm · D March 12, 2025
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected April 26, 2025 · Nursing and Physician Services
-
Potential for harm · D March 12, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 26, 2025 · Pharmacy Service
-
Potential for harm · D March 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 26, 2025 · Nutrition and Dietary
-
Potential for harm · F March 12, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected April 26, 2025 · Administration
-
Potential for harm · D March 12, 2025
Provide and implement an infection prevention and control program.
Corrected April 26, 2025 · Infection Control
-
Potential for harm · D March 12, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 26, 2025 · Infection Control
-
Potential for harm · D March 12, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected April 26, 2025 · Infection Control
-
Potential for harm · D March 12, 2025
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected April 26, 2025 · Environmental
-
Potential for harm · D March 12, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected April 26, 2025 · Nursing and Physician Services
-
Potential for harm · D March 12, 2025 · found via complaint
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.
Corrected April 26, 2025 · Resident Rights
-
Immediate jeopardy · J December 18, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 31, 2025 · Quality of Life and Care
-
Potential for harm · D August 23, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E October 27, 2023
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.
Corrected December 8, 2023 · Resident Rights
-
Potential for harm · D October 27, 2023
Ensure each resident receives an accurate assessment.
Corrected December 8, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D October 27, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 8, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D October 27, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 8, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 18, 2024 | Fine | $8,021 |
| December 18, 2024 | Payment Denial | 8 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265516 · certified since November 20, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.