Capital City Gardens Rehabilitation and Nursing Ce
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 69 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (10 vs median 8.0)
- High staff turnover (62%)
- High RN turnover (100%)
Bottom 25% in OH · Critically understaffed (RN) · Worst in GARDEN HEALTHCARE GROUP chain · $205,182 in fines
What this means for your family
While recent reviews highlight a specific staff member who is highly regarded for her advocacy, the facility has a long-standing history of severe complaints regarding patient neglect and communication failures. Families should exercise extreme caution and perform an in-person, unannounced visit to verify the current standard of care before considering this facility.
Google Reviews
Google Reviews
69 reviews on Google“Capital City Gardens Rehabilitation and Nursing Center faces severe and consistent criticism regarding patient neglect, poor communication, and unprofessional staff behavior. While a few recent reviews praise a specific staff member, Farrah Saunders-Brown, for her assistance, the overwhelming majority of feedback describes a facility with dangerous lapses in medication management, hygiene, and basic responsiveness to patient needs.”
Quality Themes
Tap a score for detailsStrengths
- Helpful and compassionate administrative support (specifically Farrah Saunders-Brown)
- Occasional positive experiences with individual nursing aides
Concerns
- Severe patient neglect, including failure to feed, medicate, or assist with hygiene (mentioned by 18 reviewers)
- Unresponsive staff and failure to answer call lights for extended periods (mentioned by 12 reviewers)
- Poor communication and inability to reach staff via phone (mentioned by 9 reviewers)
- Unprofessional, rude, or abusive staff behavior (mentioned by 8 reviewers)
- Unsanitary, outdated, or poorly maintained facility conditions (mentioned by 6 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 74 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the current staffing ratings, what specific protocols are in place to ensure that call lights are answered promptly and that residents receive timely assistance with hygiene and meals?
- 2I noticed that communication can sometimes be a challenge; what is the best way for family members to stay updated on their loved one’s daily care and medical progress?
- 3How does the facility ensure that residents receive their medications consistently and on schedule?
- 4Could you walk me through the steps you take to maintain a clean and sanitary environment for residents throughout the day?
- 5I appreciate that your administrative team, like Farrah Saunders-Brown, is known for being helpful; how does that supportive culture translate to the care provided by the nursing aides on the floor?
- 6What does a typical day look like for a resident here, and how do you encourage social engagement given the current facility environment?
Personalized based on this facility's data
Key Review Excerpts
“My brother who was 39 was literally there for only 1 and a half days when he died at this hell house! He was completely neglected not given medications or even being fed. Call light on for over 3 hours, while on the phone he screamed as loud as he possibly could with no response.”
“There’s no limit or hesitation to what she will do to advocate on behave of any patient and their families. Her innate character is to champion for anyone in her care. She is truly a non comparable asset.”
“The nurses are always high on illegal substances, they never answer any of the calls so that I can get in contact with my family, and my aunt’s health declined miserably due to not being properly cared for.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
4
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Capital City Gardens has significant concern patterns with families filing 35 complaints triggering federal investigations, resulting in 79 total deficiencies. The most recurring problems involve fire safety systems (sprinklers, alarms, smoke barriers), medication management, and infection control. Recent complaints in 2024 included serious issues like resident protection from abuse and accident prevention, though the facility reports correcting all identified problems.
Feb 4, 2026Complaint2
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Mar 6, 2025Routine14
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Mar 6, 2025Complaint2
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
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.
Jan 13, 2025Complaint3
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Dec 12, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Nov 21, 2024Complaint2
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal Penalties
Fine
Oct 29, 2024
$196,256
Payment Denial
Oct 29, 2024
49-day denial
Ownership & Operations
Who Operates This Facility
Capital City Gardens Rehabilitation and Nursing Ce
for profit
Chain Affiliation
Garden Healthcare Group
6 facilities nationwide
Chain avg rating: 2.2/5 · Rank 6 of 6 (Worst)
Ownership & Management
Owners
Chickiestrong Victorian Village LLC
Owner · Organization
Gamzeh, David
Owner
Glatzer, Akiva
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
69 reviews from families & visitors
Official Website
Visit capitalcityghc.com
Medicare data downloads
Original nursing home datasets
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