Barre Gardens Nursing and Rehab, LLC
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2025-11-13 — IMMEDIATE JEOPARDY (tag F0865, severity L)
Administration Deficiencies · correction not recorded in CMS data
Have a plan that describes the process for conducting QAPI and QAA activities.
2025-11-13 — IMMEDIATE JEOPARDY (tag F0880, severity L)
Infection Control Deficiencies · correction not recorded in CMS data
Provide and implement an infection prevention and control program.
2025-11-13 — IMMEDIATE JEOPARDY (tag F0841, severity L)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Staffing, from payroll records
Nursing hours / resident / day
3.28
state median 3.84
Weekend staffing gap
−4%
fewer nursing hours on weekends · state median −9%
RN hours / resident / day
0.34
registered nurses only
Contract (agency) staff
41%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Nursing staff turnover
79%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $142,045 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-11-13 | Fine | $97,585 |
| 2024-05-09 | Fine | $44,460 |
Ownership
Ownership type: For profit - Partnership. Part of the PRIORITY HEALTHCARE GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Westfield Rehabilitation and Health Center (WESTFIELD, MA) —
- Hamilton Nursing Home (Detroit, MI) —
- GARDENS AT CAMP HILL, THE (CAMP HILL, PA) —
- GARDENS AT WEST SHORE, THE (CAMP HILL, PA) —
- GARDENS AT GETTYSBURG, THE (GETTYSBURG, PA) —
- GARDENS AT YORK TERRACE, THE (POTTSVILLE, PA) —
- NURSING AND REHABILITATION AT THE MANSION (SUNBURY, PA) —
- GARDENS AT STEVENS, THE (STEVENS, PA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-20 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-11-13 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-11-13 | F0584 | Resident Rights Deficiencies | F | not recorded |
| 2025-11-13 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-11-13 | F0712 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-11-13 | F0744 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-11-13 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-11-13 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-11-13 | F0841 | Nursing and Physician Services Deficiencies | L | not recorded |
| 2025-11-13 | F0865 | Administration Deficiencies | L | not recorded |
| 2025-11-13 | F0880 | Infection Control Deficiencies | L | not recorded |
| 2025-11-13 | F0887 | Infection Control Deficiencies | F | not recorded |
| 2025-11-13 | F0947 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-06-25 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-06-25 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-25 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-25 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-06-25 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-06-25 | F0730 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-06-25 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-06-25 | F0801 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-06-25 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-04-17 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-04-17 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-05 | F0569 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-02 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-09 | F0550 | Resident Rights Deficiencies | F | not recorded |
| 2024-05-09 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-09 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-05-09 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-09 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-05-09 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-05-09 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-09 | F0711 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-05-09 | F0712 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-05-09 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-05-09 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-05-09 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-05-09 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-05-09 | F0804 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-05-09 | F0809 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-05-09 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-05-09 | F0837 | Administration Deficiencies | F | not recorded |
| 2024-05-09 | F0838 | Administration Deficiencies | F | not recorded |
| 2024-05-09 | F0841 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-05-09 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-05-09 | F0848 | Administration Deficiencies | B | not recorded |
| 2024-05-09 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2023-04-26 | F0623 | Resident Rights Deficiencies | B | not recorded |
| 2023-04-26 | F0625 | Resident Rights Deficiencies | B | not recorded |
| 2023-04-26 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-04-26 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2023-04-26 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |