Daytona Beach, FL

Gardens Healthcare & Rehabilitation Center

5-star overall rating with 4-star inspections with $8,512 in total fines with 1 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

1704 Huntington Village Circle, Daytona Beach, FL

(386) 255-6571

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

108

Certified beds

Average residents

102

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Gold Fl Trust Ii

Operator or chain grouping

Approved since

1993-07-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing

LPN hours / resident day

1.01

Licensed practical nurse staffing

Aide hours / resident day

2.32

Nurse aide staffing

Weekend hours

3.38

Weekend nurse staffing

RN turnover

53%

Annual RN turnover

Total nurse turnover

52%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
2.1
0.7 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
1.2
0.3 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.8%
2.2 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
99.2%
0.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.7%
2.6%
1.9 pts better
3.3%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 14.0%
3.7%
10.3 pts worse
11.4%
2.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.4%
5.9%
4.5 pts better
5.4%
4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.3%
15.7%
5.6 pts worse
19.6%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 7.8%
9.8%
2 pts better
16.7%
8.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 9.0%
11.7%
2.7 pts better
16.3%
7.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 7.0%
9.8%
2.8 pts better
14.9%
7.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.4%
0.4 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 4.3%
12.5%
8.2 pts better
19.8%
15.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.6%
5.1%
2.5 pts better
5.1%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
94.3%
5.2 pts better
81.7%
17.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 6.9%
9.3%
2.4 pts better
12.0%
5.1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.5%
0.9 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.7%
94.7%
5 pts better
79.7%
20 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.5%
26.2%
4.7 pts better
23.9%
2.4 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-10 · Fire 2025-12-10

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

14 fire-safety deficiencies

Top issue: Emergency Preparedness (7 deficiencies)

Cycle 2 Health 2024-01-25 · Fire 2024-01-25

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-02-24 · Fire 2022-02-24

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-12-10

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

E42 · Emergency Preparedness Deficiencies

Fire Safety

Meet the requirements of an integrated health system.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-12-10

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2026-01-10

D · Potential for more than minimal harm 2024-01-25

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-02-25

D · Potential for more than minimal harm 2024-01-25

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-02-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-10

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2026-01-10

G · Actual harm 2024-12-10

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-01-09

G · Actual harm 2024-12-10

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2025-01-09

F · Potential for more than minimal harm 2024-01-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-02-25

D · Potential for more than minimal harm 2024-01-25

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-02-25

D · Potential for more than minimal harm 2024-01-25

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-02-25

D · Potential for more than minimal harm 2022-02-24

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2022-03-20

D · Potential for more than minimal harm 2022-02-24

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-03-20

Penalties and ownership

What sits behind the stars

$4,256 2024-12-10

Fine

Fine · fine $4,256

Fine

$4,256 2024-12-10

Fine

Fine · fine $4,256

Fine

Ownership

Gardens SNF Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2022-03-23
Copper Fl Trust Ii

5% Or Greater Indirect Ownership Interest · Organization

0% 30 facilities 2022-07-27
Fl Master Opco Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 31 facilities 2022-07-27
Gold Fl Trust Ii

5% Or Greater Indirect Ownership Interest · Organization

0% 29 facilities 2022-07-27
Hager, Joe

W-2 Managing Employee · Individual

0% 1 facilities 2004-07-27
Shelby, Jack

Corporate Officer · Individual

0% 33 facilities 2022-07-27
Silver Fl Trust Ii

5% Or Greater Indirect Ownership Interest · Organization

0% 29 facilities 2022-07-27

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Health
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Staffing
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Fines
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Staffing
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Fines
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