Country Gardens Health and Rehabilitation Center

2045 Grand Army Highway · Swansea, MA · 02777 · 5083799700

86 certified beds For profit - Limited Liability company Chain: Alpha SNF Ma

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 30
Serious harm & abuse 20% 100
Staffing 20% 61
Federal penalties 15% 38
Trend 10% 86
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.283.48 min · 4.1 strong
RN hours / resident-day0.520.55–0.75
Weekend hours / resident-day3.09≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)4 · $24,635

Inspection citations (59 in the current record)

  • Potential for harm · D September 10, 2025 · found via complaint

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

    Corrected October 16, 2025 · Resident Rights

  • Potential for harm · D September 10, 2025 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected October 16, 2025 · Nutrition and Dietary

  • Potential for harm · D September 10, 2025 · found via complaint

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

    Corrected October 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 23, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 21, 2025 · Resident Rights

  • Potential for harm · D June 23, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected July 21, 2025 · Resident Rights

  • Potential for harm · D June 23, 2025

    Honor 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.

    Corrected July 21, 2025 · Resident Rights

  • Potential for harm · D June 23, 2025

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

    Corrected July 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 23, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 23, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 21, 2025 · Quality of Life and Care

  • Potential for harm · D June 23, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 21, 2025 · Quality of Life and Care

  • Potential for harm · D June 23, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 21, 2025 · Pharmacy Service

  • Potential for harm · E June 23, 2025

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

    Corrected July 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F June 23, 2025

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected July 21, 2025 · Administration

  • Potential for harm · E June 23, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected July 21, 2025 · Administration

  • Potential for harm · F June 23, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 21, 2025 · Infection Control

  • Potential for harm · E June 23, 2025

    Educate 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.

    Corrected July 21, 2025 · Infection Control

  • Potential for harm · D April 22, 2025 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected April 7, 2025 · Resident Rights

  • Potential for harm · E July 1, 2024

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected August 9, 2024 · Resident Rights

  • Potential for harm · D July 1, 2024

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

    Corrected September 10, 2024 · Resident Rights

  • Potential for harm · E July 1, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected September 10, 2024 · Resident Rights

  • Potential for harm · D July 1, 2024

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

    Corrected August 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E July 1, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E July 1, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected September 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 1, 2024

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected August 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E July 1, 2024

    Provide activities to meet all resident's needs.

    Corrected August 9, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 1, 2024Fine$15,139
February 20, 2024Fine$2,659
February 12, 2024Fine$2,279
January 22, 2024Fine$4,558

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225185 · certified since February 1, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.