Nursing home
The Gardens Health and Rehab
1 Georgian Gardens Drive, Potosi, MO 63664 · Map
For profit - Partnership · Part of Prime Healthcare Management (11 facilities) · 120 certified beds
The Gardens Health and Rehab is a Medicare-certified nursing home in Potosi, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 2.73 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Mar 12, 2025 cited 19 deficiencies.
- 1 fine totaling $8,021In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Gardens Health and Rehab compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.73 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.39 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.04 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 67.2% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 19.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $8,021, 2 total penalties, 1 Medicare payment denial.
What inspectors found at The Gardens Health and Rehab
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Mar 12, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Mar 12, 2025 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Mar 12, 2025 · Full report (PDF) - Potential for harm
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.
Environmental Deficiencies · Mar 12, 2025 · Full report (PDF) - Potential for harm
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.
Infection Control Deficiencies · Mar 12, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Mar 12, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 12, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 12, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Mar 12, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Mar 12, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Mar 12, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Mar 12, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1 Georgian Gardens Drive
Potosi, MO 63664 - CMS certification #
- 265516
- Ownership
- For profit - Partnership
- Certified beds
- 120
- Avg residents/day
- 100.5
- Provider type
- Medicare and Medicaid
- First certified
- 1992-11-20
- Chain
- Prime Healthcare Management (11 facilities)
- Setting
- Rural
Part of Prime Healthcare Management
Prime Healthcare Management operates 11 nursing facilities across the United States. View all Prime Healthcare Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Gardens Health and Rehab using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2021
- Workplace safety 1 OSHA workplace safety inspection since 2024, 6 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Sep 26, 2021 to Jan 28, 2023. Violations found: Overtime. Back wages: $10,164 owed to 18 employees. Employer as DOL recorded it: Georgian Gardens Center for Rehab & Healthcar (Georgian Gardens Healthcare LLC). Case 1970558.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jul 22, 2024: referral inspection, partial (safety). Case closed Aug 10, 2026. 6 violations cited (5 serious, 1 other). Penalties: $35,490 proposed, $17,746 now. OSHA record. OSHA recorded the employer as Georgian Gardens Healthcare LLC.
Details
- Serious: Fall protection (1910.28(b)(1)(i)). Penalty $11,292 proposed, $5,646 now. To be fixed by Nov 6, 2024.
- Serious: Cited rule 1910.30(a)(1). Penalty $0 proposed, $0 now. To be fixed by Nov 6, 2024.
- Serious: Personal protective equipment (general) (1910.132(a)). Penalty $11,292 proposed, $5,646 now. To be fixed by Nov 6, 2024.
- Serious: Personal protective equipment (general) (1910.132(f)(1)). Penalty $0 proposed, $0 now. To be fixed by Nov 6, 2024.
- Serious: Personal protective equipment (general) (1910.132(d)(1)). Penalty $4,839 proposed, $2,420 now. To be fixed by Nov 6, 2024.
- Other than serious: Reporting a death, hospitalization, amputation or eye loss to OSHA (1904.39(a)(1)). Penalty $8,067 proposed, $4,034 now.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Washington County Memorial Hospital, Potosi. 0.1 miles away, straight line.
- Nearest Medicare nursing home
- Potosi Manor, Potosi. 0.7 miles away, straight line.
- Nearest home health agency office
- Elara Caring, Farmington. 20.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharm-x. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63664 as metropolitan (metropolitan low commuting).
- Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 63664.
Serenity Hospicecare, office in Park Hills, 14.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
Preferred Hospice Of Missouri, office in Farmington, 20.6 miles away, straight line (CMS family survey rating 3 of 5 stars)
Heart & Soul Hospice, office in Farmington, 21.3 miles away, straight line - Nearest geriatric medicine practice
- Generation Clinical Partners LLC, Waterloo. 45.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave very high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is The Gardens Health and Rehab a good nursing home?
CMS gives The Gardens Health and Rehab an overall rating of 1 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Gardens Health and Rehab staffed?
The Gardens Health and Rehab reports 2.73 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has The Gardens Health and Rehab had inspection problems?
Its most recent CMS inspection cited 19 deficiencies.
How many beds does The Gardens Health and Rehab have?
The Gardens Health and Rehab is certified for 120 beds.