3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
This home is ranked 106th out of 225 homes in Florida for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
|
22m per day | ▼ 50% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
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.
|
1h 3m per day | ▲ 35% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
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 15m per day | ▼ 3% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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 13m per day | ▼ 8% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
|
0m per day | ▼ 100% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
|
11m per day | ▼ 67% State avg: 32m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
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.
Inspection score unavailable
Not enough inspection history to generate a score.
Average score for Florida nursing homes: B 83/100
Formal stipulations and orders filed by Florida regulators against this facility, including fines and total monetary penalties.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Florida state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
|
This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
|
29 | 33 | This facility has 12% fewer total citations than a typical Florida nursing home (29 vs. FL avg 33).↓ 12% better |
|
Citations per year
Average citations per year since 2022.
|
7.3 | 8.3 | This facility has 12% fewer citations per year than a typical Florida nursing home (7.3 vs. FL avg 8.3).↓ 12% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
100% better than Florida average
Florida average: 0.8
100% better than Florida average
Florida average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
8% more staff per resident than Florida average
0% compared with Florida average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Assists with medical care and medications.
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Helps with daily care and mobility.
All 89 CNA Staff are full-time employees. No contractors work on this role.
89
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 89 | 0 | 89 | 22,063 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 26 | 0 | 26 | 8,382 | 92 | 100% | 8.9 |
| Physical Therapist | 21 | 0 | 21 | 5,399 | 92 | 100% | 7.3 |
| Registered Nurse | 9 | 0 | 9 | 2,244 | 92 | 100% | 8.4 |
| RN Director of Nursing | 5 | 0 | 5 | 1,926 | 72 | 78% | 8.1 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,317 | 91 | 99% | 7.7 |
| Administrator | 2 | 0 | 2 | 872 | 67 | 73% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 780 | 66 | 72% | 7.2 |
| Mental Health Service Worker | 4 | 0 | 4 | 671 | 63 | 68% | 7.6 |
| Dietitian | 2 | 0 | 2 | 530 | 67 | 73% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 67 | 73% | 7.9 |
Includes penalties issued in 2023-2024
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.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Number of hospitalizations per 1,000 long-stay resident days.
2.47
18% worse than Florida average
Florida average: 2.10
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.25
6% worse than Florida average
Florida average: 1.18
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.2%
19% worse than Florida average
Florida average: 26.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.8%
48% worse than Florida average
Florida average: 9.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Florida average
Florida average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
46.2%
14% worse than Florida average
Florida average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
105
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.
Historical financial and operational data for Signature HealthCARE of Gainesville from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #179 / 229Payroll — State benchmarkedThis home is ranked 179th out of 229 homes in Florida for Payroll. 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.Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #42 / 229Payroll % — State benchmarkedThis home is ranked 42nd out of 229 homes in Florida for Payroll %. Shows payroll as a percentage of revenue versus the Florida average. Well-run Florida facilities typically land around 48–57% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.7 miles from city center
Estimated distance in miles from Gainesville's city center to Signature HealthCARE of Gainesville's address, calculated via Google Maps.
Add your location
The information below is reported by the Florida Agency for Health Care Administration (AHCA).
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| Oak Hammock at the University of Florida |
NH
AL
MC
SNF
|
Gainesville | 80 | - | - |
5.85
Facility
5.85
FL AVG
4.04
Rank
#12 / 225
| -31% | +45% |
$0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 230
| 92 |
13
Facility
13
FL AVG
19.7
Rank
#66 / 225
|
4.3
Facility
4.3
FL AVG
4.5
Rank
#113 / 225
| - | 71 | - | 6 | Donna Brown |
$13.2MFiscal year ending 12/2023
Facility
$13.2MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#20 / 229
|
$17.1MFiscal year ending 12/2023
Facility
$17.1MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#12 / 229
|
129.6%Fiscal year ending 12/2023
Facility
129.6%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#113 / 229
| 106066 | ||||
| Terrace Health & Rehabilitation Center |
NH
RC
SNF
|
Gainesville | 138 |
92.2%
Facility
92.2%
FL AVG
84.8
Rank
#57 / 145
| +9% |
3.94
Facility
3.94
FL AVG
4.04
Rank
#122 / 225
| -54% | -2% |
$13.7k
Facility
$13.7k
FL AVG
$78.9k
Rank
#162 / 230
| - |
16
Facility
16
FL AVG
19.7
Rank
#95 / 225
|
3.2
Facility
3.2
FL AVG
4.5
Rank
#58 / 225
| - | 127 | - | 39 | Terrace Snf Holdco LLC |
$16.6MFiscal year ending 04/2024
Facility
$16.6MFiscal year ending 04/2024
FL AVG
$15.7M
Rank
#92 / 229
|
$7.4MFiscal year ending 04/2024
Facility
$7.4MFiscal year ending 04/2024
FL AVG
$6.1M
Rank
#128 / 229
|
44.5%Fiscal year ending 04/2024
Facility
44.5%Fiscal year ending 04/2024
FL AVG
39.8%
Rank
#179 / 229
| 106046 | ||||
| Parklands Care Center |
NH
HOS
PC
RC
SNF
|
Gainesville (University Heights) | 120 |
93.6%
Facility
93.6%
FL AVG
84.8
Rank
#40 / 145
| +10% |
3.68
Facility
3.68
FL AVG
4.04
Rank
#162 / 225
| -30% | -9% |
$0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 230
| - |
11
Facility
11
FL AVG
19.7
Rank
#48 / 225
|
2.2
Facility
2.2
FL AVG
4.5
Rank
#25 / 225
| - | 112 | - | 64 | Parklands Nursing Snf Holdco LLC |
$13.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$13.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
FL AVG
$15.7M
Rank
#56 / 229
|
$5.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
FL AVG
$6.1M
Rank
#180 / 229
|
40.2%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
40.2%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
FL AVG
39.8%
Rank
#225 / 229
| 105638 | ||||
| Palm Garden of Gainesville |
NH
PC
RC
SNF
|
Gainesville | 150 |
92.8%
Facility
92.8%
FL AVG
84.8
Rank
#50 / 145
| +9% |
4.12
Facility
4.12
FL AVG
4.04
Rank
#87 / 225
| -69% | +2% |
$0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 230
| - |
29
Facility
29
FL AVG
19.7
Rank
#184 / 225
|
2.9
Facility
2.9
FL AVG
4.5
Rank
#45 / 225
| - | 139 | - | 37 | Kala Fuhrmann |
$17.5MFiscal year ending 10/2023
Facility
$17.5MFiscal year ending 10/2023
FL AVG
$15.7M
Rank
#71 / 229
|
$7.4MFiscal year ending 10/2023
Facility
$7.4MFiscal year ending 10/2023
FL AVG
$6.1M
Rank
#112 / 229
|
42.1%Fiscal year ending 10/2023
Facility
42.1%Fiscal year ending 10/2023
FL AVG
39.8%
Rank
#184 / 229
| 105571 | ||||
| Signature HealthCARE of Gainesville |
NH
|
Gainesville | 120 |
88.6%
Facility
88.6%
FL AVG
84.8
Rank
#86 / 145
| +5% |
3.96
Facility
3.96
FL AVG
4.04
Rank
#106 / 225
| -55% | -2% |
$12.9k
Facility
$12.9k
FL AVG
$78.9k
Rank
#161 / 230
| - |
31
Facility
31
FL AVG
19.7
Rank
#193 / 225
|
4.4
Facility
4.4
FL AVG
4.5
Rank
#119 / 225
| - | 106 | - | 38 | Gainesville Fl Holdco LLC |
$11.3MFiscal year ending 12/2023
Facility
$11.3MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#196 / 229
|
$4.0MFiscal year ending 12/2023
Facility
$4.0MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#179 / 229
|
35.2%Fiscal year ending 12/2023
Facility
35.2%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#42 / 229
| 105664 |
Signature HealthCARE of Gainesville is located in Gainesville, Florida.
Here are the financial assistance programs available to residents in Florida.
Signature HealthCARE of Gainesville has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Signature HealthCARE of Gainesville's occupancy is 89.4%.
Signature HealthCARE of Gainesville is registered as a for-profit in FL.
Yes — there are 5 photos of Signature HealthCARE of Gainesville in the photo gallery on this page.
Signature HealthCARE of Gainesville is located at 4000 Sw 20Th Ave, Gainesville, FL 32607.
(352) 377-1981 will put you in contact with the team at Signature HealthCARE of Gainesville.
Yes — Signature HealthCARE of Gainesville is a CMS-certified provider of Medicare and Medicaid.
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