The Gardens and Guardian
Strong Medicare quality ratings; families often praise modern, clean, and home-like facility aesthetics. Still worth an in-person visit.
based on 40 Google reviews
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What this means for your family
This facility offers a modern, clean environment and a highly regarded rehab therapy team, making it a strong contender for short-term recovery. However, families should be vigilant regarding oversight; please ask management specifically about their current nurse-to-patient ratios and their protocol for communicating changes in a resident's status to family members.
Google Reviews
Google Reviews
40 reviews on Google“The Gardens and Guardian receives highly polarized feedback, with many families praising the modern facility, private rooms, and attentive rehab staff. However, a recurring pattern of negative reviews highlights serious concerns regarding patient neglect, understaffing, and poor communication during transitions or emergencies. Families should weigh the positive experiences of rehab patients against the significant reports of inconsistent care quality.”
Quality Themes
Tap a score for detailsStrengths
- Modern, clean, and home-like facility aesthetics
- Professional and helpful admissions and nursing leadership
- Effective and attentive physical therapy team
- Spacious private rooms
Concerns
- Reports of patient neglect and lack of supervision (mentioned by 4 reviewers)
- Inconsistent staffing levels leading to slow response times (mentioned by 3 reviewers)
- Poor communication regarding patient discharge or transfer status (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 70 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1The facility looks so modern and clean; how do you ensure that the home-like atmosphere is maintained throughout the day?
- 2I noticed the admissions and nursing leadership are very responsive to feedback; how do you ensure that same level of communication continues between the staff and our family regarding daily care updates?
- 3Since we want to make sure our loved one is always supervised, what specific protocols are in place to ensure staff are frequently checking on residents in their private rooms?
- 4How does the physical therapy team work with residents to ensure they are meeting their mobility goals during their stay?
- 5In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?
- 6What kind of daily activities or social outings are planned to help residents stay engaged with one another in such a spacious environment?
Personalized based on this facility's data
Key Review Excerpts
“The facility aesthetics are modern and bright creating a home-like environment, which we truly believe has helped her recovery.”
“He fell and was not checked on for hours. He needed emergency care and treatment.”
“The physical therapist were professional and caring. Everyone from nursing to dietary exceeded our expectations.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
8
measures
6
measures
2
measures
Residents who got a urinary tract infection
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
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
Families have filed complaints leading to 6 deficiencies, indicating ongoing concerns about care quality at this facility. The most recurring problems involve medication management and resident care planning, with additional issues in food safety and infection control. While all deficiencies show correction dates, the pattern of complaints suggests families should carefully evaluate current care standards during visits.
Mar 5, 2025Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jul 10, 2024Routine2
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
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Jan 23, 2024Complaint5
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Jun 21, 2023Routine2
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 29, 2022Routine4
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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.
Federal Penalties
Payment Denial
Mar 5, 2025
1-day denial
Ownership & Operations
Who Operates This Facility
The Gardens and Guardian
for profit
Ownership & Management
Owners
Joubert, James
Owner
Joubert, Kimberly
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
40 reviews from families & visitors
Official Website
Visit gandgcare.com
Medicare data downloads
Original nursing home datasets
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