Mineola Gardens Wellness & Rehabilitation

Penalties

• Apr 17, 2025 — Fine ($16,381)
• Jan 21, 2025 — Fine ($17,345)
• Jun 26, 2024 — Fine ($16,801)

Inspection findings

1. Apr 14, 2026 Health · 6 findings
   • Not serious Scope/severity D Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Apr 15, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Apr 15, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Apr 15, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 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.

     Corrected Apr 15, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Apr 15, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 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.

     Corrected Apr 15, 2026 · CMS health inspection

2. Jul 9, 2025 Health · 3 findings
   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 22, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0300 Egress Deficiencies

     Meet other general requirements that are deficient.

     Corrected Aug 22, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

3. Apr 17, 2025 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Apr 8, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Apr 8, 2025 · CMS health inspection

4. Jan 21, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Jan 11, 2025 · CMS health inspection

5. Jun 26, 2024 Health · 8 findings
   • Not serious Scope/severity D Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Jun 27, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Jun 27, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jun 27, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Jun 27, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jun 27, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Jun 27, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jul 31, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

6. Apr 19, 2023 Health · 8 findings
   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected May 19, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected May 19, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 19, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected May 19, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected May 19, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 19, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jul 15, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

Owners and managers (as published by CMS)

• CHUMLEY, RICHARD — corporate officer, NOT APPLICABLE, since 06/01/2022
• DAVIDOVICH, NIV — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/17/2026
• GARETZ, DAVID — operational/managerial control, NOT APPLICABLE, since 11/01/2025
• HAGINS, ELIZABETH — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/17/2026
• KAPLAN, ESTHER — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/17/2026
• MINDLE, ADAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/17/2026
• MOFFITT, TINISHA — adp of the snf, NOT APPLICABLE, since 02/12/2024
• MORRIS, JAMES — adp of the snf, NOT APPLICABLE, since 04/01/2023
• STERNSHEIN, JENNIFER — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/17/2026
• 716 MIMOSA STREET TX LLC — adp of the snf, NOT APPLICABLE, since 11/01/2025
• ESDOV INVESTMENTS LLC — adp of the snf, NOT APPLICABLE, since 11/01/2025
• FIRST SWEETZER HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 11/01/2021
• LINZ TRUST — adp of the snf, NOT APPLICABLE, since 11/01/2025
• MINEOLA GARDENS WELLNESS & REHABILITATION LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2025
• PIMENTO PROPERTY HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 11/01/2025
• RED STONE ADVISORS LLC — adp of the snf, NOT APPLICABLE, since 11/01/2025
• ROJO RE TRUST — adp of the snf, NOT APPLICABLE, since 11/01/2025
• STRATFORD HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 06/01/2022