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Country Gardens Skilled Nrsg & Rehabilitation Ctr

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About Country Gardens Skilled Nrsg & Rehabilitation Ctr

General Information

Legal Business NameNsl Country Gardens LLC
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareFebruary 1, 1975 (43 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 Skilled Nrsg & Rehabilitation Ctr

Country Gardens Skilled Nrsg & Rehabilitation Ctr
was reviewed by 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

Note that this facility has changed ownership within the past 12 months.

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

April 13, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for 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.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintMake sure that doctors visit residents regularly, as required.

January 7, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionMaintain comfortable and safe temperature levels.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

June 18, 2015 - 2 years 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 - 3 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%.

April 17, 2014 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,300 fine

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 Skilled Nrsg & Rehabilitation Ctr 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
30min
35min
ReportedExpected
LPN
1hr 5min
60min
ReportedExpected
RN
3hr 30min
3hr 60min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

87.5%
62.5%
62.5%
62.5%
95.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
10.8%
8.6%
12.9%
11.3%
93.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
57.1%
55.0%
-
54.2%
53.6%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
13.2%
17.5%
17.2%
22.2%
21.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
18.0%
10.6%
19.4%
27.6%
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents whose ability to move independently worsened
26.8%
26.9%
26.9%
25.0%
18.4%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who received an antipsychotic medication
19.0%
15.5%
16.9%
35.6%
14.8%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents whose need for help with daily activities has increased
6.7%
9.0%
3.4%
6.2%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who self-report moderate to severe pain
8.6%
11.6%
5.7%
7.1%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who lose too much weight
5.9%
8.3%
4.2%
2.2%
4.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of high risk long-stay residents with pressure ulcers
1.4%
0.0%
0.0%
4.7%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who have depressive symptoms
1.4%
2.9%
0.0%
1.4%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents with a urinary tract infection
6.8%
7.1%
4.3%
4.2%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents experiencing one or more falls with major injury
6.5%
2.5%
2.3%
2.9%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

9.4%
14.3%
9.5%
14.0%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.3%
35.7%
35.7%
35.7%
83.4%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
55.3%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
10.8%
25.7%
17.6%
25.8%
16.5%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents who self-report moderate to severe pain
3.0%
5.4%
6.2%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents who newly received an antipsychotic medication
4.6%
7.1%
6.7%
2.2%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents with pressure ulcers that are new or worsened