Country Gardens Health and Rehabilitation

2045 Grand Army Highway, Swansea, MA 02777

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Country Gardens Health and Rehabilitation is a nursing home in Swansea, Massachusetts. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

CMS overall star rating1 of 5
Last standard health inspectionJune 23, 2025 (1 year ago)
Health citations since March 28, 202358 (Massachusetts average 28)
Fines in the past three years4, $24,635 in total
CMS flagsSpecial Focus Facility candidate

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

Special Focus Facility candidate
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

CMS update of October 28, 2026
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of October 8, 2026
- Special Focus Facility
  CMS now lists this home as a Special Focus Facility candidate.
- Name
  CMS lists a new name for this home. It was The Gardens at Country.
- Name
  CMS lists a new legal business name for this home.
- Ownership
  CMS no longer lists a chain for this home.
CMS update of July 29, 2026
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
- Name
  CMS lists a new name for this home. It was COUNTRY GARDENS HEALTH AND REHABILITATION CENTER.
- Ownership
  CMS lists this home under a new chain.
CMS update of April 29, 2026
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of March 25, 2026
- Ownership
  CMS ownership records list new owners for this home.
CMS update of February 25, 2026
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of November 20, 2025
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Health inspection on September 10, 2025
3 citations
CMS lists this as a complaint inspection.
Show the 3 citations
- Citation F0580. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  CMS lists it as corrected on October 16, 2025.
  CMS has cited this home for F0580 2 times since 2024.
- Citation F0805. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  CMS lists it as corrected on October 16, 2025.
- Citation F0842. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  CMS lists it as corrected on October 16, 2025.
  CMS has cited this home for F0842 3 times since 2024.
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CMS update of July 30, 2025
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 1 of 5.
- Health citation
  CMS removed citation F0661 from the health inspection on July 1, 2024.
- Health citation
  CMS removed citation F0758 from the health inspection on July 1, 2024.
Health inspection on June 23, 2025
13 citations
CMS lists this as a standard inspection.
Show the 13 citations
- Citation F0851. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  CMS lists it as corrected on July 21, 2025.
- Citation F0880. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on July 21, 2025.
  CMS has cited this home for F0880 3 times since 2023.
- Citation F0842. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  CMS lists it as corrected on July 21, 2025.
- Citation F0867. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  CMS lists it as corrected on July 21, 2025.
- Citation F0887. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on July 21, 2025.
- Citation F0550. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  CMS lists it as corrected on July 21, 2025.
- Citation F0583. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Keep residents' personal and medical records private and confidential.
  CMS lists it as corrected on July 21, 2025.
  CMS has cited this home for F0583 2 times since 2024.
- Citation F0585. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on July 21, 2025.
- Citation F0655. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  CMS lists it as corrected on July 21, 2025.
  CMS has cited this home for F0655 2 times since 2024.
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on July 21, 2025.
  CMS has cited this home for F0656 2 times since 2024.
- Citation F0686. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  CMS lists it as corrected on July 21, 2025.
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on July 21, 2025.
- Citation F0759. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure medication error rates are not 5 percent or greater.
  CMS lists it as corrected on July 21, 2025.
  CMS has cited this home for F0759 2 times since 2023.
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Fire safety inspection on June 23, 2025
2 citations
CMS lists this as a standard inspection.
Show the 2 citations
- Citation K0321. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  CMS lists it as corrected on July 9, 2025.
- Citation K0754. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Provide properly sized and located linen or trash receptacles.
  CMS lists it as corrected on July 9, 2025.
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CMS update of April 30, 2025
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on April 22, 2025
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0557. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  CMS lists it as corrected on April 7, 2025.
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CMS update of February 26, 2025
- Star rating
  The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS quality measures star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
- Fine
  CMS changed the fine from July 1, 2024 from $14,957 to $15,139.
CMS update of December 20, 2024
- Changed ownership in the last 12 months
  CMS no longer shows a change of ownership in the past 12 months.
CMS update of October 30, 2024
- Star rating
  The CMS overall star rating changed from 4 of 5 to 2 of 5.
- Star rating
  The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of September 26, 2024
- Fine
  CMS changed the fine from January 22, 2024 from $4,516 to $4,558.
- Fine
  CMS changed the fine from February 12, 2024 from $2,258 to $2,279.
- Fine
  CMS changed the fine from February 20, 2024 from $2,634 to $2,659.
CMS update of July 31, 2024
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on July 1, 2024
31 citations
CMS lists this as a standard inspection.
CMS fine of $15,139 on July 1, 2024.
Show the 31 citations
- Citation F0680. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure the activities program is directed by a qualified professional.
  CMS lists it as corrected on August 9, 2024.
- Citation F0812. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on August 9, 2024.
- Citation F0868. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  CMS lists it as corrected on August 9, 2024.
- Citation F0565. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.
  CMS lists it as corrected on August 9, 2024.
- Citation F0583. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Keep residents' personal and medical records private and confidential.
  CMS lists it as corrected on September 10, 2024.
- Citation F0656. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on September 10, 2024.
- Citation F0658. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.
  CMS lists it as corrected on September 10, 2024.
  CMS has cited this home for F0658 2 times since 2023.
- Citation F0679. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide activities to meet all resident's needs.
  CMS lists it as corrected on August 9, 2024.
- Citation F0726. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  CMS lists it as corrected on August 9, 2024.
  CMS has cited this home for F0726 2 times since 2023.
- Citation F0757. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.
  CMS lists it as corrected on September 10, 2024.
  CMS has cited this home for F0757 2 times since 2023.
- Citation F0758. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Implement 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.
  CMS lists it as corrected on August 9, 2024.
- Citation F0761. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on September 10, 2024.
- Citation F0842. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  CMS lists it as corrected on September 10, 2024.
- Citation F0880. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on August 9, 2024.
- Citation F0940. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop, implement, and/or maintain an effective training program for all new and existing staff members.
  CMS lists it as corrected on August 9, 2024.
- Citation F0941. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
  CMS lists it as corrected on August 9, 2024.
- Citation F0942. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
  CMS lists it as corrected on August 9, 2024.
- Citation F0944. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
  CMS lists it as corrected on August 9, 2024.
- Citation F0945. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
  CMS lists it as corrected on August 9, 2024.
- Citation F0946. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide training in compliance and ethics.
  CMS lists it as corrected on August 9, 2024.
- Citation F0949. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide behavior health training consistent with the requirements and as determined by a facility assessment.
  CMS lists it as corrected on August 9, 2024.
- Citation F0580. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  CMS lists it as corrected on September 10, 2024.
- Citation F0655. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  CMS lists it as corrected on August 9, 2024.
- Citation F0661. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
  CMS lists it as corrected on August 9, 2024.
- Citation F0684. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  CMS lists it as corrected on August 9, 2024.
  CMS has cited this home for F0684 2 times since 2023.
- Citation F0694. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  CMS lists it as corrected on August 9, 2024.
- Citation F0695. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on August 9, 2024.
  CMS has cited this home for F0695 2 times since 2023.
- Citation F0741. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
  CMS lists it as corrected on August 9, 2024.
- Citation F0760. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that residents are free from significant medication errors.
  CMS lists it as corrected on September 10, 2024.
- Citation F0943. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
  CMS lists it as corrected on August 9, 2024.
- Citation F0641. Severity B: potential for minimal harm, pattern.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on August 9, 2024.
  CMS has cited this home for F0641 2 times since 2023.
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CMS update of June 26, 2024
- Ownership
  CMS lists this home under a new chain.
CMS update of April 25, 2024
- Changed ownership in the last 12 months
  CMS records show a change of ownership in the past 12 months.
- Name
  CMS lists a new legal business name for this home.
CMS update of February 29, 2024
- Name
  CMS lists a new legal business name for this home.
February 20, 2024
Fine
CMS fine of $2,659 on February 20, 2024.
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February 12, 2024
Fine
CMS fine of $2,279 on February 12, 2024.
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CMS update of January 31, 2024
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 3 of 5.
- Ownership
  CMS no longer lists a chain for this home.
January 22, 2024
Fine
CMS fine of $4,558 on January 22, 2024.
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CMS update of December 21, 2023
- Star rating
  The CMS overall star rating changed from 3 of 5 to 4 of 5.
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Health inspection on March 28, 2023
10 citations
CMS lists this as a standard inspection.
Show the 10 citations
- Citation F0886. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Perform COVID19 testing on residents and staff.
  CMS lists it as corrected on May 8, 2023.
- Citation F0658. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.
  CMS lists it as corrected on May 8, 2023.
- Citation F0695. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on May 8, 2023.
- Citation F0726. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  CMS lists it as corrected on May 8, 2023.
- Citation F0759. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure medication error rates are not 5 percent or greater.
  CMS lists it as corrected on May 8, 2023.
- Citation F0880. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on May 8, 2023.
- Citation F0684. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  CMS lists it as corrected on May 8, 2023.
- Citation F0757. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.
  CMS lists it as corrected on May 8, 2023.
- Citation F0641. Severity B: potential for minimal harm, pattern.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on May 8, 2023.
- Citation F0642. Severity B: potential for minimal harm, pattern.
  The rule CMS cited: Ensure a qualified health professional conducts resident assessments.
  CMS lists it as corrected on May 8, 2023.
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Fire safety inspection on March 28, 2023
1 citation
CMS lists this as a standard inspection.
Show the 1 citation
- Citation K0911. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Meet requirements for the installation and maintenance of electrical systems.
  CMS lists it as corrected on June 15, 2023.
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CMS star ratings

1 of 5CMS overall star rating
1 of 5CMS health inspection star rating
2 of 5CMS staffing star rating
1 of 5CMS quality measures star rating

Facts from CMS

Phone: (508) 379-9700
Last standard health inspection: June 23, 2025 (1 year ago)
Certified beds: 86
Residents per day, on average: 68.5
Ownership type: For profit - Limited Liability company
Legal business name: Legal Business Name Not Available
Chain: Not listed by CMS
Takes part in: Medicare and Medicaid

More health citations than the Massachusetts average (58 vs 28).

Questions

When was Country Gardens Health and Rehabilitation last inspected?

CMS lists June 23, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Country Gardens Health and Rehabilitation have?

CMS lists 58 health citations since March 28, 2023. CMS also calls these deficiencies.

Has Country Gardens Health and Rehabilitation been fined?

CMS lists 4 fines in the past three years, $24,635 in total.

What is the CMS star rating of Country Gardens Health and Rehabilitation?

Its CMS overall star rating is 1 of 5.

Is Country Gardens Health and Rehabilitation a Special Focus Facility?

Yes. CMS lists it as a Special Focus Facility candidate.

At a glance

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CMS flags

Inspections, fines and changes

CMS update of October 28, 2026

CMS update of October 8, 2026

CMS update of July 29, 2026

CMS update of April 29, 2026

CMS update of March 25, 2026

CMS update of February 25, 2026

CMS update of November 20, 2025

Health inspection on September 10, 2025

CMS update of July 30, 2025

Health inspection on June 23, 2025

Fire safety inspection on June 23, 2025

CMS update of April 30, 2025

Health inspection on April 22, 2025

CMS update of February 26, 2025

CMS update of December 20, 2024

CMS update of October 30, 2024

CMS update of September 26, 2024

CMS update of July 31, 2024

Health inspection on July 1, 2024

CMS update of June 26, 2024

CMS update of April 25, 2024

CMS update of February 29, 2024

February 20, 2024

February 12, 2024

CMS update of January 31, 2024

January 22, 2024

CMS update of December 21, 2023

Health inspection on March 28, 2023

Fire safety inspection on March 28, 2023

CMS star ratings

Facts from CMS

Questions