SNF
Gainesville Health and Rehabilitation
CCN: 105664 · GAINESVILLE, FL 32607 · Alachua County
Overview
- Address
- 4000 SW 20TH AVE, GAINESVILLE, FL 32607
- Phone
- 3523771981
- Certified beds
- 120
- Avg daily residents
- 106 (89% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1989-07-01
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-04-03 | 5 | 5 | 0 | 24 | 1 | 24 |
| Cycle 2/3 (prior) | 2023-12-22 | 14 | 10 | 4 | 60 | 1 | 60 |
Total weighted health score
33.0
lower is better
Deficiencies (30)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
30 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-04-03 | 2025-04-25 |
| 0641 | Ensure each resident receives an accurate assessment. | E | 2025-04-03 | 2025-04-25 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-04-03 | 2025-04-25 |
| 0761 | 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. | D | 2025-04-03 | 2025-04-25 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-04-03 | 2025-04-25 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-11-19 | 2024-12-26 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-11-19 | 2024-12-26 |
| 0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2024-10-01 | 2024-10-30 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-12-22 | 2024-02-05 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-12-22 | 2024-02-05 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-12-22 | 2024-02-05 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-12-22 | 2024-02-05 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-12-22 | 2024-02-05 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-12-22 | 2024-02-05 |
| 0761 | 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. | D | 2023-12-22 | 2024-02-05 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-12-22 | 2024-02-05 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-12-22 | 2024-02-05 |
| 0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2023-12-22 | 2024-02-05 |
| 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-09-06 | 2023-10-19 |
| 0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2022-07-14 | 2022-07-19 |
| 0583 | Keep residents' personal and medical records private and confidential. | E | 2022-07-14 | 2022-08-15 |
| 0584 | 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. | E | 2022-07-14 | 2022-07-19 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-07-14 | 2022-07-19 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2022-07-14 | 2022-07-19 |
| 0732 | Post nurse staffing information every day. | F | 2022-07-14 | 2022-10-03 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-07-14 | 2022-10-03 |
| 0761 | 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. | E | 2022-07-14 | 2022-08-15 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-07-14 | 2022-07-19 |
| 0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2022-07-14 | 2022-08-15 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2022-07-14 | 2022-08-15 |
Penalties (3)
Fines issued
3
last 3 years
Total fines
$12,930
| Date | Type | Fine amount |
|---|---|---|
| 2024-01-08 | Fine | $1,882 |
| 2023-12-18 | Fine | $3,145 |
| 2024-02-06 | Fine | $7,903 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 6.5% Medicaid 74.6% Other 18.9%
Operating performance
Operating Margin
-6.9%
Total Margin
-14.0%
Occupancy Rate
89.4%
Cost per Resident Day
$26
Revenue & costs
Net Patient Revenue
$11.3M
Total Costs
$1.0M
Net Income
-$1.5M
Balance sheet
Total Assets
-$2.2M
Total Liabilities
$5.7M
Fund Balance
-$7.9M
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: SIMCHA HYMAN & NAFTALI ZANZIPER
- Chain ID
580- Facilities in chain
- 94
- Legal business name
- GAINESVILLE FL OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.3
Health
2.5
Staffing
2.3
QM
3.0
Owner / manager organizations (4)
| Organization | Role | Association |
|---|---|---|
| GAINESVILLE FL HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 11/01/2022 |
| HC FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2022 |
| LILAC SNF HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2022 |
| ZANZIPER FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2022 |
Owner / manager individuals (2)
| Name | Role | Association |
|---|---|---|
| GORELICK, BATYA | CORPORATE OFFICER | since 04/01/2020 |
| ULYSSE, JEAN-MARC | W-2 MANAGING EMPLOYEE | since 04/01/2020 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $26 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 74.6% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 6.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,489,872 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $11,322,347 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 89.4% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -6.9% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $-2,225,431 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,028,698 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-7,894,599 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $5,669,168 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -14.0% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | — | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | — | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | — | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | — | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | — | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 26 | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 106.2 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | — | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | — | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | — | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | — | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | — | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.5 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.3 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.0 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 580 | Chain ID |
| Provider Information | Chain Name | SIMCHA HYMAN & NAFTALI ZANZIPER | Chain Name |
| Provider Information | City/Town | GAINESVILLE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 105664 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Alachua | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1989-07-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 29.6341 | Latitude |
| Provider Information | Legal Business Name | GAINESVILLE FL OPCO LLC | Legal Business Name |
| Provider Information | Location | 4000 SW 20TH AVE,GAINESVILLE,FL,32607 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -82.383 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 120 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 94 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 3 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | — | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | — | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | 23 | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 4000 SW 20TH AVE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Gainesville Health and Rehabilitation | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 000 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 24 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 5 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-04-03 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 24 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 5 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 10 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-12-22 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 60 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 4 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 60 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 14 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | — | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 26 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | — | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | — | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | — | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | — | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | — | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | 23 | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | — | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 1 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | 23 | Staffing Rating Footnote |
| Provider Information | State | FL | State |
| Provider Information | Telephone Number | 3523771981 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 12930.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | — | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 3 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | — | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | 26 | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 33.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 32607 | ZIP Code |