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Country Gardens Health And Rehabilitation Center

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About Country Gardens Health And Rehabilitation Center

General Information

Legal Business NameCh - Country Gardens LLC
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 1, 1975 (42 years)
Capacity86
Residents76
Percent Occupied88%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Country Gardens Health And Rehabilitation Center

Country Gardens Health And Rehabilitation Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Massachusetts Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

June 18, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$21,938 fine
HSomeActual HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
HSomeActual HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
HSomeActual HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmComplaint1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

January 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionGive specialized rehabilitative services that are medically necessary by qualified personnel, when ordered by a doctor.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

November 6, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

September 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

April 17, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,300 fine
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Country Gardens Health And Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 55min
2hr 25min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
40min
55min
ReportedExpected
RN
3hr 10min
4hr
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

93.1%
87.5%
87.5%
96.7%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
22.2%
23.9%
17.4%
94.3%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
52.5%
Q1 2015Q2 2015Q3 2015MA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
31.4%
30.4%
29.9%
19.3%
Q1 2015Q2 2015Q3 2015MA
Received an Antipsychotic Medication
17.2%
22.8%
17.9%
15.0%
Q1 2015Q2 2015Q3 2015MA
Need for Help with ADLs has Increased
4.2%
2.2%
11.3%
5.7%
Q1 2015Q2 2015Q3 2015MA
Self Report Moderate to Severe Pain
4.2%
1.4%
4.5%
6.7%
Q1 2015Q2 2015Q3 2015MA
Lose Too Much Weight
1.8%
3.9%
6.2%
4.8%
Q1 2015Q2 2015Q3 2015MA
High Risk Residents With Pressure Ulcers
1.5%
0.0%
0.0%
3.5%
Q1 2015Q2 2015Q3 2015MA
Have Depressive Symptoms
5.6%
1.4%
1.5%
4.6%
Q1 2015Q2 2015Q3 2015MA
With a Urinary Tract Infection
2.8%
2.8%
4.3%
3.0%
Q1 2015Q2 2015Q3 2015MA
Experiencing One or More Falls with Major Injury
5.1%
5.9%
5.5%
2.6%
Q1 2015Q2 2015Q3 2015MA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015MA
Were Physically Restrained

Quality Measures for Short Stay Residents

29.1%
16.7%
17.8%
82.4%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Pneumococcal Vaccine
68.5%
67.3%
67.3%
85.2%
Q1 2015Q2 2015Q3 2015MA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
9.1%
21.1%
15.5%
17.5%
Q1 2015Q2 2015Q3 2015MA
Self Report Moderate to Severe Pain
0.0%
0.0%
2.9%
1.7%
Q1 2015Q2 2015Q3 2015MA
Newly Received an Antipsychotic Medication
0.0%
1.5%
1.4%
1.2%
Q1 2015Q2 2015Q3 2015MA
With Pressure Ulcers That Are New or Worsened