Parklands Care Center
Nursing Home, Skilled Nursing, Hospice Care & Respite Care · Gainesville, FL
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Parklands Care Center

Nursing Home, Skilled Nursing, Hospice Care & Respite Care · Gainesville, FL
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Parklands Care Center accepts Medicare, Medicaid, and private pay.

Overview of Parklands Care Center

Tucked in Gainesville, Florida, Parklands Care Center offers a range of private and semi-private suites, they provide not just accommodation, but a haven of premium comfort and rehabilitation. Their commitment to quality shines through in their top-tier skilled rehab and nursing services, ensuring residents receive the best care possible.

Situated near various hospitals and community amenities, it offers a truly convenient stay for its residents. Beyond medical care, they prioritize companionship, fostering genuine connections with their residents. Whether it’s hospice, palliative care, short-term, or long-term nursing home solutions, Parklands Care Center excels, understanding the unique challenges seniors face. Their community boasts a registered dietitian, a plethora of social activities, on-site transportation, and a private enclosed courtyard—making it an ideal choice for those seeking comprehensive, caring, and engaging nursing home facilities.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 26.0% Above FL avg. ▲ 26.0% Above FL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 42.3% Above FL avg. ▲ 42.3% Above FL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 40.9% Below FL avg. ▼ 40.9% Below FL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 1.4% Below FL avg. ▼ 1.4% Below FL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Florida state averages

Total nursing care / resident Info This home is ranked 174th out of 252 homes in Florida. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 41m per day
Rank #174 / 252Nurse hours — State benchmarkedThis home is ranked 174th out of 252 homes in Florida. Shows adjusted nurse hours per resident per day benchmarked to the Florida average, with a ranking across 252 Florida SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Florida avg (4h 2m per day)
vs Florida avg
-9%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +15% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 19m per day ▼ 57% State avg: 44m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 54m per day ▲ 15% State avg: 47m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 16m per day ▼ 3% State avg: 2h 20m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 10m per day ▼ 10% State avg: 3h 31m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 4m per day ▼ 20% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 10m per day ▼ 69% State avg: 32m per day · National avg: 29m per day

Types of Care at Parklands Care Center

Skilled Nursing Hospice Care Respite Care

Capacity and availability

This home usually has limited availability

Occupancy between 85% and 95% suggests balanced demand.

Higher occupancy than the Florida average: 84.3%
Occupancy rate 92.8% Rank #65 / 255Occupancy rate — State benchmarkedThis home is ranked 65th out of 255 homes in Florida. Shows this facility's occupancy rate versus the Florida average, with its Statewide rank out of 255. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay 144 days
Occupancy rate
92.8% Rank #65 / 255Occupancy rate — State benchmarkedThis home is ranked 65th out of 255 homes in Florida. Shows this facility's occupancy rate versus the Florida average, with its Statewide rank out of 255. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
144 days
Walk Score
Walk Score: 64 / 100 Rank #290 / 1486Walk Score — State benchmarkedThis home is ranked 290th out of 1486 homes in Florida. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Florida SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

1 service
Hospice & Palliative Care

Amenities & Lifestyle

Private And Semi-Private Rooms
Beauty Salon/Barber Shop
Chapel
Gift Shop
Flexible Visiting Hours
Climate Control In Each Room
Private
Enclosed Courtyard
Patio On The Second Floor
In-Room And Restaurant-Style Dining
Multidenominational Religious Services
Modern Rehabilitation Gym With Adl Suite
Pets Permitted For Visits
Transportation To Appointments And Community Functions
Wireless Internet
Family Conferencing
And Video Chats
Cable Service
Phone In Every Room
ActivitiesDiverse social and physical activities calendar designed to offer residents joy, connection, and engagement.
Religious ServicesMultidenominational religious services available.

Dining & Nutrition

Food DescriptionResidents enjoy freshly prepared meals in a welcoming dining room.

Contact Parklands Care Center

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 199
Employees 145
Contractors 54
Staff to resident ratio 1.73:1
18% better than Florida average
Florida average ratio: 1.47:1 Florida average ratio: 1.47:1See full Florida ranking
Avg staff/day 61
Average shift 7.6 hours
0% compared with Florida average
Florida average: 7.9 hours Florida average shift: 7.9 hoursSee full Florida ranking
Total staff hours (quarter) 42,646

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 74
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 85
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

This role is partially covered by contractors.

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

3.8%

1,627 contractor hours this quarter

Licensed Practical Nurse: 46 Registered Nurse: 5 Certified Nursing Assistant: 3

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant8238524,46392100%7.5
Licensed Practical Nurse2846748,46692100%8.4
Registered Nurse125172,57892100%7.2
Speech Language Pathologist4041,3806874%7.4
Physical Therapy Assistant2021,0206874%7.9
Mental Health Service Worker2029246571%7.8
Respiratory Therapy Technician2028006773%8
RN Director of Nursing1015516166%9
Administrator1015126470%8
Nurse Practitioner1015126571%7.9
Qualified Social Worker2025016773%7.1
Dietitian1014165358%7.8
Physical Therapy Aide2023224650%7
Clinical Nurse Specialist4041902932%5.4
Respiratory Therapist1011011%10.3
85 Certified Nursing Assistant
% of Days 100%
74 Licensed Practical Nurse
% of Days 100%
17 Registered Nurse
% of Days 100%
4 Speech Language Pathologist
% of Days 74%
2 Physical Therapy Assistant
% of Days 74%
2 Mental Health Service Worker
% of Days 71%
2 Respiratory Therapy Technician
% of Days 73%
1 RN Director of Nursing
% of Days 66%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 71%
2 Qualified Social Worker
% of Days 73%
1 Dietitian
% of Days 58%
2 Physical Therapy Aide
% of Days 50%
4 Clinical Nurse Specialist
% of Days 32%
1 Respiratory Therapist
% of Days 1%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 4.7
36% better than Florida average

Florida average: 7.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 4.3
65% better than Florida average

Florida average: 12.4

Long-stay resident measures
Significantly above average Florida avg: 4.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 3.0%
71% better than Florida average

Florida average: 10.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.1%
61% better than Florida average

Florida average: 12.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 4.9%
64% better than Florida average

Florida average: 13.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.3%
52% better than Florida average

Florida average: 2.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.5%
39% worse than Florida average

Florida average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Florida average

Florida average: 0.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.8%
13% worse than Florida average

Florida average: 6.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.6%
98% worse than Florida average

Florida average: 3.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 0.3%
96% better than Florida average

Florida average: 8.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Florida average

Florida average: 97.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Florida average

Florida average: 99.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.26
55% worse than Florida average

Florida average: 2.10

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.26
7% worse than Florida average

Florida average: 1.18

Short-stay resident measures
Average Florida avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
6% better than Florida average

Florida average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.1%
30% better than Florida average

Florida average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than Florida average

Florida average: 94.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.1%
In line with Florida average

Florida average: 26.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.3%
11% better than Florida average

Florida average: 9.3%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.0%
34% worse than Florida average

Florida average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 60.8%
13% better than Florida average

Florida average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 33.9%
33% worse than Florida average

Florida average: 50.6%

Breakdown by payment type

Medicare

20% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

50% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

30% of new residents, often for long-term daily care.

Typical stay 12 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 115
Medicare
14
12.2% of residents
Medicaid
94
81.7% of residents
Private pay or other
7
6.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Privately-owned community
Home revenue
$11.5M
Operating loss
-$24.1K
Privately-owned community
Home revenue
$11.5M Rank #210 / 256Revenue — State benchmarkedThis home is ranked 210th out of 256 homes in Florida. Shows this facility's annual revenue compared to the Florida SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$24.1K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #243 / 256Payroll — State benchmarkedThis home is ranked 243rd out of 256 homes in Florida. Shows total annual staff payroll benchmarked to the Florida average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.0M
26.1% of revenue Rank #245 / 256Payroll % — State benchmarkedThis home is ranked 245th out of 256 homes in Florida. Shows payroll as a percentage of revenue versus the Florida average. Well-run Florida SNFs typically land around 49–56% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.5M
Total costs $11.5M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Places of interest near Parklands Care Center

Address 1.7 miles from city center Info Estimated distance in miles from Gainesville's city center to Parklands Care Center's address, calculated via Google Maps. — 0.39 miles to nearest hospital (UF Health Shands Cancer Hospital)

Calculate Travel Distance to Parklands Care Center

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Address

Financial Assistance for
Nursing Home in Florida

Parklands Care Center is located in Gainesville, Florida.
Here are the financial assistance programs available to residents in Florida.

Get Financial aid guidance

Long-Term Care Waiver

Florida Medicaid LTC Waiver

Age 65+ or 21+ disabled
General Florida resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
FL

High demand; waitlists common.

Benefits
In-home care (6-8 hours/day) Assisted living Respite (240 hours/year) Case management

Community Care for the Elderly (CCE)

Florida CCE

Age 60+
General Florida resident, at risk of nursing home.
Income Limits ~$2,000/month varies
Asset Limits $5,000 individual
FL

Limited funding; regional variation.

Benefits
Homemaker services (3-5 hours/week) Adult day care (~$60/day) Respite (up to 10 days/year)

Home Care for the Elderly (HCE)

Florida Home Care for the Elderly

Age 60+
General Florida resident, at risk of nursing home placement; caregiver must be approved.
Income Limits (2025) ~$2,829/month individual, aligned with Medicaid thresholds
Asset Limits ~$2,000 (individual); varies by case manager discretion.
FL

Limited funding (~3,500 served annually); prioritizes low-income frail seniors.

Benefits
Basic subsidy (~$160/month) for housing/medical costs; special subsidies for supplies/services (e.g., incontinence supplies, ~$50-$200/month)

Program of All-Inclusive Care for the Elderly (PACE)

Florida Medicaid PACE

Age 55+
General Florida resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
FL

Limited to specific counties (e.g., Hillsborough, Miami-Dade); ~10 sites statewide.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy

Optional State Supplementation (OSS)

Florida Optional State Supplementation

Age 65+ or disabled
General Florida resident, living in approved facility, receiving SSI or low-income.
Income Limits (2025) ~$1,004/month individual, including SSI
Asset Limits $2,000 (individual), $3,000 (couple).
FL

Limited to specific facility types; ~$78.40/month max supplement.

Benefits
Cash payment (~$78.40/month) for room/board or personal needs in facilities

Compare Nursing Home around Gainesville

The information below is reported by the Florida Agency for Health Care Administration (AHCA).

5 facilities compared · CMS & FL Dept. of Health data

Filter by care type
Terrace Health & Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Gainesville138 86.1% +2%3.94 -54%-2%$13.7k163.2-130 39 Terrace Snf Holdco LLC$21.7M$7.9M36.5%106046
Parklands Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Gainesville (University Heights)120 92.8% +10%3.68 -30%-9%$0112.2-115 64 Parklands Nursing Snf Holdco LLC$11.5M$3.0M26.1%105638
Signature HealthCARE of Gainesville
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Gainesville120 89.4% +6%3.96 -55%-2%$12.9k314.4-113 38 Gainesville Fl Holdco LLC$11.5M$6.2M53.7%105664
Palm Garden of Gainesville
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Gainesville150 89.9% +7%4.12 -69%+2%$0292.9-137 37 Kala Fuhrmann$24.5M$8.6M35.1%105571
Park Meadows Health and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Gainesville (Oak Glade Apartments)148 93.1% +10%3.99 -7%-1%$184.3k306.08140 51 Park Meadows Snf Holdco LLC$18.5M$8.7M47.4%105193

Frequently Asked Questions about Parklands Care Center

What neighborhood is Parklands Care Center in?

Parklands Care Center is in the University Heights neighborhood.

Is Parklands Care Center in a walkable area?

Parklands Care Center has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Parklands Care Center?

Parklands Care Center's occupancy is 92.8%.

Are there photos of Parklands Care Center?

Yes — there are 6 photos of Parklands Care Center in the photo gallery on this page.

What is the phone number of Parklands Care Center?

(352) 376-2461 will put you in contact with the team at Parklands Care Center.

Is Parklands Care Center Medicare or Medicaid certified?

Yes — Parklands Care Center is a CMS-certified provider of Medicare and Medicaid.

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