Deficiency timeline
The Gardens at Country
Dated inspection findings, penalties, and correction notes for this nursing home in Swansea, MA. Newest events first.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Oct 16, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Oct 16, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0805: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected Oct 16, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected Jul 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0655: Resident Assessment and Care Planning
Assessment & care planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Jul 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Jul 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jul 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Jul 21, 2025
- Class IIIPotential for more than minimal harm (F)cms
F0851: Administration
Administration
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected Jul 21, 2025
- Class IIIPotential for more than minimal harm (F)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Jul 21, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Jul 21, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0867: Administration
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected Jul 21, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0887: Infection Control
Infection control
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 Jul 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Jul 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0583: Resident Rights
Resident rights
Keep residents' personal and medical records private and confidential.
Corrected Jul 21, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0585: Resident Rights
Resident rights
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 Jul 21, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0557: Resident Rights
Resident rights
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected Apr 7, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0942: Resident Rights
Resident rights
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected Aug 9, 2024
- Fine $15,139cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (E)cms
F0946: Administration
Administration
Provide training in compliance and ethics.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0944: Administration
Administration
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0945: Infection Control
Infection control
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0949: Administration
Administration
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Sep 10, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0655: Resident Assessment and Care Planning
Assessment & care planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0661: Resident Assessment and Care Planning
Assessment & care planning
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0694: Quality of Life and Care
Quality of life & care
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0741: Quality of Life and Care
Quality of life & care
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0760: Pharmacy Service
Pharmacy services
Ensure that residents are free from significant medication errors.
Corrected Sep 10, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0943: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected Aug 9, 2024
- Class IVMinimal harm / potential for minimal harm (B)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0680: Quality of Life and Care
Quality of life & care
Ensure the activities program is directed by a qualified professional.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0868: Administration
Administration
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0565: Resident Rights
Resident rights
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0583: Resident Rights
Resident rights
Keep residents' personal and medical records private and confidential.
Corrected Sep 10, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Sep 10, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Sep 10, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0726: Nursing and Physician Services
Nursing & physician services
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.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0757: Pharmacy Service
Pharmacy services
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Sep 10, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0758: Pharmacy Service
Pharmacy services
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.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0761: Pharmacy Service
Pharmacy services
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 Sep 10, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Sep 10, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0940: Administration
Administration
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected Aug 9, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0941: Administration
Administration
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected Aug 9, 2024
- Fine $2,659cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $2,279cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $4,558cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (E)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected May 8, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected May 8, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 8, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0757: Pharmacy Service
Pharmacy services
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 8, 2023
- Class IVMinimal harm / potential for minimal harm (B)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected May 8, 2023
- Class IVMinimal harm / potential for minimal harm (B)cms
F0642: Resident Assessment and Care Planning
Assessment & care planning
Ensure a qualified health professional conducts resident assessments.
Corrected May 8, 2023
- Class IIIPotential for more than minimal harm (F)cms
F0886: Infection Control
Infection control
Perform COVID19 testing on residents and staff.
Corrected May 8, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 8, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 8, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0726: Nursing and Physician Services
Nursing & physician services
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.
Corrected May 8, 2023
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile