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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.
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.
Signature Healthcare of Gainesville is a cherished healthcare haven in Florida. Rooted in family values, this organization seamlessly delivers resident-centered care, making it a true gem among skilled nursing facilities. Boasting a capacity of 120 beds, its strategic location offers convenient access to hospitals, ensuring prompt medical attention when needed.
At this facility, quality is not just a promise—it’s a guarantee. With round-the-clock nursing care of the highest standard, Signature Healthcare of Gainesville goes above and beyond. Their comprehensive approach covers short-term and long-term needs, providing top-notch therapies including physical, occupational, and speech therapies. What sets them apart is their unwavering commitment to resident well-being. From closely monitoring diabetes patients’ insulin levels to offering a range of engaging nursing home activities, they prioritize healthy lifestyles.
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.
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.
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.
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.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Offers a balance of services and community atmosphere.
Occupancy is moderate, suggesting balanced demand.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
20% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.
2 visits/inspections triggered by complaints
2 routine inspections
6 with issues
0 without issues
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Florida average: 19 deficiencies
Florida average: 5 fines
Florida average: $11,623.53
Florida average: 3 legal actions
Florida average 4.3
Last Health inspection on Apr 2025
Florida average 19.7
Florida average 4.48
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 31 citations resulted from standard inspections; and 5 of 31 resulted from complaint investigations.
0
100% better than Florida average
Florida average: 0.8
0
100% better than Florida average
Florida average: 0.4
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 03, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 03, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 03, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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).
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.
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.
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).
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.
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).
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).
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.
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).
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.
5.2 miles from city center — 0.6 miles to nearest hospital (UF Health Orthopaedics and Sports Medicine Institute)
4000 SW 20th Ave, Gainesville, FL 32607
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
22% better than Florida average
Florida average ratio: 1.52:1
0% compared with Florida average
Florida average: 7.9 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
No contractors work on this role.
Total hours from contractors
2,088 contractor hours this quarter
| Certified Nursing Assistant | 104 | 0 | 104 | 21,550 | 91 | 100% | 8 |
| Licensed Practical Nurse | 28 | 0 | 28 | 9,470 | 91 | 100% | 9 |
| Physical Therapist | 14 | 0 | 14 | 4,015 | 77 | 85% | 7.3 |
| Registered Nurse | 11 | 0 | 11 | 2,306 | 89 | 98% | 9.6 |
| Administrator | 5 | 0 | 5 | 1,768 | 65 | 71% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,048 | 89 | 98% | 7.8 |
| RN Director of Nursing | 4 | 0 | 4 | 975 | 65 | 71% | 7.9 |
| Speech Language Pathologist | 0 | 4 | 4 | 668 | 69 | 76% | 6.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 571 | 68 | 75% | 5.9 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 3 | 0 | 3 | 487 | 66 | 73% | 7.2 |
| Dietitian | 1 | 0 | 1 | 476 | 61 | 67% | 7.8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 399 | 62 | 68% | 6.3 |
| Dental Services Staff | 1 | 0 | 1 | 354 | 46 | 51% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 349 | 45 | 49% | 7.7 |
| Physical Therapy Assistant | 0 | 5 | 5 | 258 | 61 | 67% | 3.9 |
| Qualified Social Worker | 0 | 3 | 3 | 193 | 52 | 57% | 3.7 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.8
46% worse than Florida average
Florida average: 7.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.1
62% worse than Florida average
Florida average: 12.4
Percent of long-stay residents whose need for help with daily activities has increased
16.9%
61% worse than Florida average
Florida average: 10.5%
Percent of long-stay residents whose ability to move independently worsened
21.0%
62% worse than Florida average
Florida average: 12.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.4%
66% worse than Florida average
Florida average: 13.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
23% better than Florida average
Florida average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
6.4%
19% worse than Florida average
Florida average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.5%
41% better than Florida average
Florida average: 0.9%
Percent of long-stay residents who lose too much weight
7.8%
30% worse than Florida average
Florida average: 6.0%
Percent of long-stay residents who have depressive symptoms
1.2%
64% better than Florida average
Florida average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
14.5%
81% worse than Florida average
Florida average: 8.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
67.1%
31% worse than Florida average
Florida average: 97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Florida average
Florida average: 99.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
46.7%
50% worse than Florida average
Florida average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
21% better than Florida average
Florida average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
In line with Florida average
Florida average: 94.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
82% lower than Florida average
Florida average: $72K
14% more fines than Florida average
Florida average: 2.6
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Florida average
Florida average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 6, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 18, 2023
Last updated: Jan 2026
Historical financial and operational data for Signature HealthCARE of Gainesville based on CMS SNF Cost Reports.
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