Gainesville Health and Rehabilitation Center

    4000 SW 20th Ave, Gainesville, FL, 32607
    3.2 · 57 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Chronic unresponsiveness and unsafe care

    I encountered pockets of genuinely caring staff, a responsive administrator and good rehab outcomes for some residents, but my overall experience was marred by chronic unresponsiveness, unprofessional/agency staff, and poor communication. I saw-or heard reports of-medication errors, delayed/incorrect antibiotic treatment, residents left in soiled bedpans, theft/lost belongings, filthy conditions (roaches), abuse complaints with police involvement, and many residents transferring out. I'd only recommend this place with extreme caution: verify current staffing, cleanliness, and that management has actually fixed these systemic issues.

    Pricing

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    Amenities

    3.18 · 57 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.0
    • Staff

      2.9
    • Meals

      1.2
    • Amenities

      1.0
    • Value

      3.2

    Pros

    • Some compassionate, attentive caregivers
    • Attentive, empathetic administrator reported
    • Strong, helpful admissions team (Isabel/Isabella/Isabelle praised)
    • Several specific nurses/CNAs named positively (e.g., Nurse Tiffany, Moe)
    • Positive rehab outcomes reported by some (quick rehab and return home)
    • Engaging activities department and recreational opportunities
    • Warm, welcoming, family-like atmosphere reported by some residents
    • Instances of diligent staff oversight and clinical follow‑through
    • Staff dedication and resident happiness noted by some reviewers
    • Occasional award-winning or highly recommended customer service

    Cons

    • Extremely poor staff responsiveness and long wait times
    • Heavy reliance on temporary/agency staff and staffing shortages
    • Delayed treatment for serious infections and antibiotic delays
    • Medication errors and delayed pain medication
    • Residents left in soiled bedpans or diapers and poor hygiene care
    • Allegations of abuse, police involvement, and safety incidents
    • Multiple residents transferred out due to care concerns
    • Dirty facilities, roach and lice infestations, and foul odors
    • Unprofessional, rude, or hostile staff and front desk personnel
    • Laundry losses and missing personal belongings/theft
    • Falls and residents dropped during transfers; safety concerns
    • Supply shortages (e.g., bedpans, buckets, basic supplies)
    • Poor dementia care and inconsistent clinical competence
    • Inadequate communication from administration and social services
    • Inconsistent or poor dining (diabetes meal issues, bad food reports)
    • Inconsistent or ineffective PT/rehab for some residents
    • Long staff shifts without breaks and possible staff burnout
    • Claims of review manipulation, bribery, and regulatory noncompliance
    • Reported lack of night nurse coverage or clinical oversight at times
    • Overall inconsistent quality of care across shifts and units

    Summary review

    Overall impression: The reviews for Gainesville Health and Rehabilitation Center present a highly mixed and sharply polarized picture. A notable portion of reviewers describe compassionate staff members, a strong admissions team (Isabel/Isabella/Isabelle repeatedly singled out), an attentive administrator, and positive rehab experiences where residents recovered and returned home quickly. However, a large volume of reviews document serious and recurring problems—ranging from basic hygiene and cleanliness failures to clinical neglect and safety incidents—resulting in an overall sentiment that skews toward concern and dissatisfaction for many families.

    Care quality and clinical concerns: Frequent, specific clinical complaints recur throughout the reviews. There are allegations of delayed or missing medications (including delayed pain medication and medications not ordered or given promptly after hospital discharges), medication errors, and delays in treating infections—one review cites no antibiotics for four days and improper antibiotic administration. Urinary tract infections and other post-hospital diagnoses are mentioned. Several reviewers report that residents were left in soiled bedpans or diapers for hours, or were not provided showers or basic hygiene care. Safety incidents are repeatedly described: residents dropped during transfers, falls, and other unsafe handling; one review alleges a death due to neglect. These are not isolated mentions but recurring themes that point to systemic clinical and supervision problems when staffing is inadequate or training is inconsistent.

    Staffing, behavior, and management: Staffing inconsistency and use of temporary/agency staff are commonly cited as drivers of poor care. Reviewers describe long staff shifts (reports of 16‑hour shifts without breaks), understaffing, nights with no nurse visible, and frequent reliance on agency CNAs. This correlates with many reports of slow responsiveness to call lights, long waits for assistance, and supply shortages (missing bedpans, potty chairs without buckets, lack of drinking straws). Behaviorally, multiple reviewers report rude, unprofessional, or hostile staff interactions, including cursing at patients, privacy invasions, and favoritism or racism. At the same time, some reviews praise specific leaders and staff: an administrator described as attentive and empathetic, Nurse Tiffany and others named for going the extra mile, and admissions staff repeatedly praised for being welcoming and helpful. There are therefore two distinct narratives: pockets of committed, caring employees and leadership contrasted against pervasive reports of unprofessionalism and poor oversight by others.

    Facility conditions, cleanliness, and security: Cleanliness and infection control concerns are prominent. Numerous reviews claim the facility is dirty, smells of feces, and has pest issues (roaches and lice). Rooms allegedly were not cleaned prior to move‑in; food spilled on blinds and disgusting tray tables are cited. Laundry mishaps, missing clothing items, and stolen jewelry or money raise serious security and property‑control concerns. Several reviewers explicitly call out theft and missing valuables, and other reviewers recount lost or unreturned personal items after laundry. These environmental and security complaints compound the clinical safety concerns and contribute significantly to family distress.

    Rehabilitation, activities, and dining: Reports about therapy and recovery are mixed. Multiple families and residents describe rapid, successful rehab experiences and praise therapists and specific staff (one mention of Michelle Goldstein), while other reviewers describe PT as ineffective or “a joke.” The activities department receives positive mentions for being engaging and offering opportunities for residents to participate and make memories. Dining reviews vary widely: some say food is acceptable, others report disgusting meals, diabetes meal problems, and denied paid‑for meals. The inconsistency in both therapy and dining mirrors the broader pattern of highly variable experiences depending on shift, team, or unit.

    Communication, administration, and regulatory concerns: Communication problems are frequent—families describe unresponsive administration, long hold times, social services being unaware of residents’ statuses, and denials or dismissive attitudes from clinicians. Conversely, some reviewers note positive changes with a new administrator or leadership, praising improved responsiveness. Several reviewers mentioned filing complaints with the state, police involvement, and alleged manipulation of reviews, bribery, or influence—statements that suggest possible regulatory and compliance issues or at least perceptions of such. These allegations, plus the reports of abuse, theft, and neglect, indicate that prospective residents and families should consult state inspection reports and recent enforcement actions when evaluating the facility.

    Patterns and practical implications: The strongest pattern is inconsistency: the same facility is described alternately as “a wonderful, family‑like place” and as “the worst, should be shut down.” This suggests high variability in care that may depend on staffing levels, particular shifts, agency staff presence, or which team is on duty. Positive experiences cluster around admissions, certain named staff, an activities program, and occasional strong rehab outcomes. Negative experiences cluster around nights or understaffed periods, agency workers, hygiene and cleanliness failures, medication and infection control lapses, and safety/security incidents.

    What this means for families: Based on the reviews, families considering or monitoring placement at this facility should be vigilant. Recommended actions include: review the facility’s recent state inspection and complaint records; ask specifically about agency vs. permanent staffing ratios, night nurse coverage, infection‑control protocols, and how the facility handles post‑hospital medication orders; visit unannounced across different shifts; keep an inventory and documentation of valuables; insist on a clear, written care plan with points of contact; and follow up immediately on any missed meds, hygiene issues, or safety incidents. At the same time, be aware there are staff members and teams within the facility who receive strong praise and who may deliver very good care.

    Summary judgment: The reviews collectively identify serious, recurring issues that indicate systemic problems in staffing, cleanliness, medication/infection control, and resident safety, balanced against credible reports of compassionate staff, strong admissions support, engaging activities, and successful rehab outcomes for some residents. The variability of experiences is the most salient take‑away: some families have had excellent or improving experiences—sometimes tied to specific staff or new leadership—while many others report neglect, safety failures, and unacceptable conditions. Prospective residents and families should exercise caution, conduct thorough due diligence, and monitor care closely if choosing this facility.

    Location

    Map showing location of Gainesville Health and Rehabilitation Center

    About Gainesville Health and Rehabilitation Center

    Gainesville Health and Rehabilitation Center sits in Gainesville, FL, and offers both short-term rehabilitation and long-term skilled nursing care for seniors and adults, and the place can serve up to 120 residents with an average of about 105 people staying each day, and, while the center hasn't put out much public information about itself, you'll find a calming and welcoming atmosphere where the staff try to make life better for each resident with a strong team approach and a focus on compassionate caregiving, which everyone seems to say leads to a wholesome sense of community. The center takes both Medicare and Medicaid, which helps a lot of folks with payment, and the facility has a certified skilled rehabilitation program aimed at helping patients get stronger, meet goals, and sometimes return home a bit quicker, with care built around their personal needs. Employees follow certain rules about facial coverings, usually wearing masks except in some cases like hazardous work or when around people on isolation, while residents and visitors can opt-out of wearing masks if they get proper education about the risks and benefits, and hand washing is always recommended-plus, there are clear protocols when someone has symptoms of infection, so the infection control policy is taken pretty seriously around here.

    The ownership and management have some indirect pieces held by HC Family Trust, Lilac Snf Holdco LLC, and Zanziper Family Trust, with Gainesville Fl Holdco LLC owning the whole facility (100%), plus, folks named Simcha Hyman and Naftali Zanziper have had some connection through ownership or management, though there's no publicly available detail about the day-to-day person in charge or direct staff managers. The center runs as a for-profit limited liability company. When looking at inspections, Gainesville Health and Rehabilitation Center has had 32 total deficiencies in its reports, with three related to infection control, and others about safe respiratory care (F0695), upholding the dignity and self-determination of residents (F0550), and making sure each person gets correct assessments and care plans (F0641), so it's good to note that these reports mean the place has had things to fix and still works under federal guidelines to address them. Nurse staffing averages about 4.38 nurse hours per resident each day, which is higher than the Florida average of 3.9, so, on paper, residents may get a bit more attention from nursing staff. All told, while Gainesville Health and Rehabilitation Center does have areas that needed improvement according to past surveys, the facility stays focused on providing a calm, supportive, and community-centered place for both short-term and long-term care.

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