Starfile / Massachusetts

COUNTRY GARDENS HEALTH AND REHABILITATION CENTER

2045 GRAND ARMY HIGHWAY, SWANSEA, MA 02777 · CCN 225185

Inspection history vs Massachusetts & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$24,635

Number of fines

4

Number of penalties

4

Payment denials

0

Chain

Chain

ALPHA SNF MA

Facilities in chain

5

Chain avg overall

1.60 / 5

Inspection citations (59)

1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-09-10 · Health · corrected 2025-10-16

   Potential for more than minimal harm

2. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-09-10 · Health · corrected 2025-10-16

   Potential for more than minimal harm

3. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-10 · Health · corrected 2025-10-16

   Potential for more than minimal harm

4. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-23 · Health · corrected 2025-07-21

   Potential for more than minimal harm

5. DF0583Keep residents' personal and medical records private and confidential.2025-06-23 · Health · corrected 2025-07-21

   Potential for more than minimal harm

6. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-06-23 · Health · corrected 2025-07-21

   Potential for more than minimal harm

7. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-06-23 · Health · corrected 2025-07-21

   Potential for more than minimal harm

8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-23 · Health · corrected 2025-07-21

   Potential for more than minimal harm

9. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-23 · Health · corrected 2025-07-21

   Potential for more than minimal harm

10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-23 · Health · corrected 2025-07-21

    Potential for more than minimal harm

11. DF0759Ensure medication error rates are not 5 percent or greater.2025-06-23 · Health · corrected 2025-07-21

    Potential for more than minimal harm

12. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-23 · Health · corrected 2025-07-21

    Potential for more than minimal harm

13. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-06-23 · Health · corrected 2025-07-21

    Potential for more than minimal harm

14. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-06-23 · Health · corrected 2025-07-21

    Potential for more than minimal harm

15. FF0880Provide and implement an infection prevention and control program.2025-06-23 · Health · corrected 2025-07-21

    Potential for more than minimal harm

16. EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-06-23 · Health · corrected 2025-07-21

    Potential for more than minimal harm

17. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-04-22 · Health · corrected 2025-04-07

    Potential for more than minimal harm

18. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

19. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-07-01 · Health · corrected 2024-09-10

    Potential for more than minimal harm

20. EF0583Keep residents' personal and medical records private and confidential.2024-07-01 · Health · corrected 2024-09-10

    Potential for more than minimal harm

21. BF0641Ensure each resident receives an accurate assessment.2024-07-01 · Health · corrected 2024-08-09

    Potential for minimal harm

22. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

23. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-01 · Health · corrected 2024-09-10

    Potential for more than minimal harm

24. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-01 · Health · corrected 2024-09-10

    Potential for more than minimal harm

25. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

26. EF0679Provide activities to meet all resident's needs.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

27. FF0680Ensure the activities program is directed by a qualified professional.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

28. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

29. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

31. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

32. DF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

33. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-07-01 · Health · corrected 2024-09-10

    Potential for more than minimal harm

34. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

35. DF0760Ensure that residents are free from significant medication errors.2024-07-01 · Health · corrected 2024-09-10

    Potential for more than minimal harm

36. EF0761Ensure 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.2024-07-01 · Health · corrected 2024-09-10

    Potential for more than minimal harm

37. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

38. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-01 · Health · corrected 2024-09-10

    Potential for more than minimal harm

39. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

40. EF0880Provide and implement an infection prevention and control program.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

41. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

42. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

43. EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

44. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

45. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

46. EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

47. EF0946Provide training in compliance and ethics.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

48. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-07-01 · Health · corrected 2024-08-09

    Potential for more than minimal harm

49. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-06-22 · Health · corrected 2023-07-26

    Potential for more than minimal harm

50. BF0641Ensure each resident receives an accurate assessment.2023-03-28 · Health · corrected 2023-05-08

    Potential for minimal harm

51. BF0642Ensure a qualified health professional conducts resident assessments.2023-03-28 · Health · corrected 2023-05-08

    Potential for minimal harm

52. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-28 · Health · corrected 2023-05-08

    Potential for more than minimal harm

53. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-28 · Health · corrected 2023-05-08

    Potential for more than minimal harm

54. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-28 · Health · corrected 2023-05-08

    Potential for more than minimal harm

55. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-03-28 · Health · corrected 2023-05-08

    Potential for more than minimal harm

56. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-03-28 · Health · corrected 2023-05-08

    Potential for more than minimal harm

57. EF0759Ensure medication error rates are not 5 percent or greater.2023-03-28 · Health · corrected 2023-05-08

    Potential for more than minimal harm

58. EF0880Provide and implement an infection prevention and control program.2023-03-28 · Health · corrected 2023-05-08

    Potential for more than minimal harm

59. FF0886Perform COVID19 testing on residents and staff.2023-03-28 · Health · corrected 2023-05-08

    Potential for more than minimal harm

Ownership

Other facilities in SWANSEA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.