Nursing HomeInspections

The Gardens Health and Rehab

Nursing home in Potosi, MO

Medicare & Medicaid certified1★ overall (CMS)

Call (573) 438-6261Send a messageMap ↗

Public-record details

Address
1 Georgian Gardens Drive, Potosi, MO 63664
Phone
(573) 438-6261
Listed under
For-profit
Medicare CCN
265516
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
1 of 5
Certified beds
120
Average residents per day
90
Ownership
For-profit, partnership
Legal business name
Legal Business Name Not Available
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 20, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265516. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 12, 2025. CMS lists 34 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 5, 2021 to Mar 12, 2025): 4 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 12, 2025Honor 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 12, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 12, 2025Notify 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 12, 2025Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 12, 2025Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 12, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 12, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 12, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 12, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 12, 2025Try 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…
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 12, 2025Ensure 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		D
Potential for more than minimal harm, isolated
Mar 12, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 34. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,021 and 1 denial of Medicare payment for new admissions in the last three years.

Dec 18, 2024Fine: $8,021
Dec 18, 2024Payment denial for 8 days from Jan 23, 2025

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.46 hours
Registered nurse (RN) time per resident per day
0.35 hours
Nurse aide time per resident per day
2.34 hours
Total nurse staffing on weekends
3.16 hours
Nursing staff turnover (yearly)
67%
RN turnover (yearly)
77%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Potosi

Potosi Manor307 South Highway 21 · Potosi, MO 63664 · (573) 438-3225 · For-profit25 health citations in 3 inspection cycles · last standard inspection Mar 13, 2026 · $13,627 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)

All 2 in Potosi →