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Nursing homeFAID #2088

Gainesville Health and Rehabilitation

4000 SW 20TH AVE, GAINESVILLE, FL, 32607

(352) 377-1981

gainesvillehrc.com

120 licensed beds

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of Gainesville Health and Rehabilitation

Photo via Google · Orchid Cove at Gainesville

Address

4000 Sw 20th Ave

Gainesville, FL 32607

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Public record summary

What we can show you for free.

Bed capacity

120

CMS facility ID

105664

Care type

Nursing home

County

Alachua

Facility name

Gainesville Health and Rehabilitation

Street address

4000 SW 20TH AVE

City / state / ZIP

Gainesville, FL 32607

Phone

(352) 377-1981

Website

gainesvillehrc.com

About this facility — Gainesville Health and Rehabilitation

Gainesville Health and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Gainesville, Florida. It is licensed for 120 beds — close to the median for skilled nursing facilities in Florida (120 beds).

It is one of 30 senior care facilities in Gainesville and 694 skilled nursing facilities across Florida. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Gainesville Health and Rehabilitation 63 times across 13 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $12,930 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Simcha Hyman & Naftali Zanziper

Ownership type

For profit - Limited Liability company

Registered owners & officers

Gainesville Fl Holdco Llc

Direct owner — 100% stake — since 2022

Lilac Snf Holdco Llc

Indirect owner — 100% stake — since 2022

Gorelick, Batya

Officer — since 2020

Ulysse, Jean-marc

Managing employee — since 2020

Regulatory standing

Licensed / certified since

1989-07-01

CMS overall rating

1 of 5 stars

Health deficiencies

13 at the last standard inspection

Federal fines

$12,930 total

Last standard inspection

2025-04-03

Nurse staffing

2.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$311 per day (≈ $9,450/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

75% Medicaid · 7% Medicare · 19% private/other

Occupancy

89% (fiscal year 2023)

Vs. state median

24% below the FL median of $408/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Monday: 8:00 AM – 8:00 PM · Tuesday: 8:00 AM – 8:00 PM · Wednesday: 8:00 AM – 8:00 PM · Thursday: 8:00 AM – 8:00 PM · Friday: 8:00 AM – 8:00 PM · Saturday: 9:00 AM – 5:00 PM · Sunday: 9:00 AM – 5:00 PM

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-06-30Health inspectionComplaint-triggered4 citations

F-0584

D · No harm foundFrom a 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.

F-0725

F · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F-0867

F · No harm foundFrom a complaint

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F-0925

F · No harm foundFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

2026-05-13Health inspectionComplaint-triggered1 citation

F-0908

D · No harm foundFrom a complaint

Keep all essential equipment working safely.

Corrected 2026-06-19

11 earlier / fire-safety inspections (58 citations)

2026-03-12Health inspectionComplaint-triggered3 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-04-13

F-0584

D · No harm foundFrom a 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 2026-04-13

F-0692

E · No harm foundFrom a complaint

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

Corrected 2026-04-13

2025-04-03Health inspection5 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-25

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-04-25

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-25

F-0761

D · No harm found

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.

Corrected 2025-04-25

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-25

2024-11-19Health inspectionComplaint-triggered2 citations

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-26

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-12-26

2024-10-01Health inspectionComplaint-triggered1 citation

F-0625

E · No harm foundFrom a complaint

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 2024-10-30

2023-12-22Health inspection10 citations

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-02-05

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-02-05

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-02-05

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-02-05

F-0692

D · No harm found

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

Corrected 2024-02-05

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-05

F-0761

D · No harm found

Corrected 2024-02-05

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-02-05

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-02-05

F-0943

D · No harm found

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2024-02-05

2023-09-06Health inspectionComplaint-triggered1 citation

F-0693

D · No harm foundFrom a complaint

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-10-19

2022-07-14Health inspection11 citations

F-0578

E · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-07-19

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2022-08-15

F-0584

E · No harm found

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 2022-07-19

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-07-19

F-0684

E · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-07-19

F-0732

F · No harm found

Post nurse staffing information every day.

Corrected 2022-10-03

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-10-03

F-0761

E · No harm found

Corrected 2022-08-15

F-0812

D · No harm foundFood safety

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

Corrected 2022-07-19

F-0825

D · No harm found

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2022-08-15

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-08-15

2026-06-30Fire-safety inspectionComplaint-triggered1 citation

K-0222

E · No harm foundFrom a complaint

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-07-31

2025-04-03Fire-safety inspection8 citations

E-0004

E · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-25

E-0013

E · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2025-04-25

E-0030

E · No harm found

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

Corrected 2025-04-25

K-0281

E · No harm found

Install proper backup exit lighting.

Corrected 2025-04-25

K-0345

E · No harm found

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

Corrected 2025-04-25

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-25

K-0761

D · No harm found

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

Corrected 2025-04-25

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-04-25

2023-12-22Fire-safety inspection9 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-02-05

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-02-05

K-0345

E · No harm found

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

Corrected 2024-02-05

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-02-05

K-0372

E · No harm found

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

Corrected 2024-02-05

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-02-05

K-0761

E · No harm found

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

Corrected 2024-02-05

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-05

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-05

2022-07-14Fire-safety inspection7 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-08-09

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-01

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2022-08-01

K-0761

D · No harm found

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

Corrected 2022-08-01

K-0911

E · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-08-01

K-0912

D · No harm found

Have power receptacles that are properly grounded.

Corrected 2022-08-01

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2022-08-05

Federal penalties

2024-02-06Fine$7,903

2024-01-08Fine$1,882

2023-12-18Fine$3,145

Total fines$12,930

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 105664.

Visitor reviews

What people say on Google.

3.263 ratings on Google

★Gwen Williams · 2026-06-08 · via Google
“Visited a friend today and couldn't believe how awful this place is. I’ve visited plenty of nursing homes and this is the worst. The smell of urine hit me as I went in the door. The floors were sticky. I killed 4 roaches in my friends room during a 30 minute visit. Staff stood outside his room talking so loudly about their weekend we could hardly talk. The room was awful. Chipped paint, outdated a…”

★lori thornton · 2026-07-12 · via Google
“My brother is here for rehab after dtroke then amputation of leg. He gets no rehabilitation ' they have loss his clothes six times i have had to but him new ones. He was put in a room where he could not use bathroom because wrong type of bars in it and position of toilet. He was told to use his pants. The phone system for patients or administration does not work receptionist lady is very rude. Pho…”

★Jason B · 2026-02-19 · via Google
“New owner is arrogant and only cares about money not the patient needs. The new administration is clueless of how to do his job. The place should be shut down.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 63 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered