Nursing home · Potosi, MO
The Gardens Health and Rehab
1 Georgian Gardens Drive, Potosi, MO 63664 · 120 certified beds · for profit ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jul 9, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Mar 12, 2025) it had 20 citations, compared with an average of 8.3 for De Soto-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.46 hours per resident per day here, about the same as the Missouri average (3.43) and 10% less than the U.S. average (3.86). Registered nurses account for 0.35 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 67% over the past year, 11 points higher than Missouri (56%) and 21 points higher than the U.S. (46%).
How The Gardens Health and Rehab compares
This home's latest CMS figures next to the averages for De Soto-area homes (11), Missouri (487) and the U.S. (14,680).
| This home | De Soto area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.46 | 3.26 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.35 | 0.40 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.16 | 2.90 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 67% | 60% | 56% | 46% |
| Registered nurse turnover (past year) | 77% | 53% | 48% | 43% |
| Citations at the most recent standard inspection | 20 | 8.3 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 35 of 35 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jul 9, 2026 | 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 · complaint | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | 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 | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | 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 | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | 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 | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | F | Deficient, Provider has date of correction |
| Mar 12, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | 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 | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | 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 | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | Create 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 | Deficient, Provider has date of correction |
| Mar 12, 2025 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | 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 · complaint | D | Deficient, Provider has date of correction |
| Mar 12, 2025 | Develop 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 | Deficient, Provider has date of correction |
| Dec 18, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Aug 23, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | D | Past Non-Compliance |
| Oct 27, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Oct 27, 2023 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| Oct 27, 2023 | Develop 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 | Deficient, Provider has date of correction |
| Oct 27, 2023 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Oct 27, 2023 | 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 | E | Deficient, Provider has date of correction |
| Sep 12, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | D | Past Non-Compliance |
| Nov 5, 2021 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Nov 5, 2021 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Nov 5, 2021 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 5, 2021 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 5, 2021 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 5, 2021 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 5, 2021 | 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. Pharmacy service | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Dec 18, 2024 | Fine | $8,021 |
| Dec 18, 2024 | Payment Denial | 8 days |
Location
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Reviews
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Questions about The Gardens Health and Rehab
Answers computed from CMS data for this facility.
What is The Gardens Health and Rehab's Medicare rating?
Medicare rates The Gardens Health and Rehab 1 out of 5 stars overall (much below average). The average for De Soto-area nursing homes is 3.1, for Missouri 2.51 and for the U.S. 2.99.
How did The Gardens Health and Rehab do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jul 9, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Mar 12, 2025) it had 20 citations, compared with an average of 8.3 for De Soto-area homes, 11.4 in Missouri and 9.2 nationally.
Has The Gardens Health and Rehab been fined?
Yes. CMS reports 1 fine totaling $8,021 in the past three years.
Does The Gardens Health and Rehab accept Medicaid?
The Gardens Health and Rehab is certified for both Medicare and Medicaid. Call (573) 438-6261 to ask whether a Medicaid bed is open.
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.