Home / Massachusetts / Swansea
2045 Grand Army Highway, Swansea, MA 02777 · Bristol County · (508) 379-9700
86 certified beds, about 71 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1975
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225185 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 23, 2025, inspectors cited 13 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
None of its 58 health citations since March 2023 was rated as actual harm or immediate jeopardy.
CMS lists 4 fines totaling $24,635 in the last three years; the largest was $15,139, and the latest is dated July 1, 2024.
Nurses and nurse aides worked 3.36 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 58 health citations on file.
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), who had an activated Health Care Proxy (HCP), the Facility failed to ensure nursing staff notified his/her Health Care Agent (HCA), that he/she had changes in his/her condition which also included the need for new Physician's orders.
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents, (Resident #1), whose hospital discharge summary indicated he/she required an altered textured diet (dysphagia diet), the Facility failed to ensure meals prepared and served to him/her met his/her individual need, when his/her new diet orders were not transcribed by nursing, and he/she received the incorrect diet for two days. Findings Include: Review of the Facility's Policy tilted Therapeutic Diet Orders Policy, dated as reviewed/revised March 2025, indicated the following: [...]
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents, (Resident #1), who had new diet order instructions, the Facility failed to ensure they maintained a complete and accurate medical record, when nursing staff failed to transcribe his/her new diet order onto Resident #1's Physician orders. Findings Include:Review of the Facility's Policy titled Charting and Documentation, dated May 2023, indicated the following:-all services provided to the resident to the resident, or any changes in the resident's medical or mental condition, shall be documented in the resident's medical record.-documentation in the medical record will be complete and accurate. Resident #1 was admitted to the Facility in January 2024, diagnoses included Dementia, bipolar disorder, type II diabetes mellitus, Parkinson's disease, hypertension, and hyperlipidemia (high cholesterol). [...]
Inspectors wroteBased on record review and interview, the facility failed to electronically submit direct care staffing data to Centers for Medicare and Medicaid Services (CMS) for the entire reporting period, Fiscal Year (FY) Quarter 2 2025 (January 1 -March 31) in accordance with the schedule specified by CMS.
Inspectors wrote3. Review of the facility's policy titled Administering Medications, last revised August 2024, indicated but was not limited to: -Staff shall follow established facility infection control procedures for the administration of medications. On 6/16/25 at 8:25 A.M., the surveyor observed Nurse #4 prepare 10 medications for Resident #8. Nurse #4 dropped one pill on to the top of the medication cart, picked up the pill, placed it into the medication cup and administered it to Resident #8. During an interview on 6/16/25 at 8:43 A.M., Nurse #4 said she had cleaned the top the of the medication cart at the beginning of her shift at 7:00 A.M. and the pill had not fallen on the floor but on top of the medication cart. During an interview on 6/16/25 at 4:25 P.M., the Director of Nursing said Nurse #2 should not have administered the medication after it fell on top of the medication cart. [...]
Inspectors wrote4. Resident #8 was admitted to the facility in January 2024 with diagnoses including migraine (a neurological condition that can cause severe throbbing pain or a pulsing sensation, usually on one side of the head, accompanied by nausea, vomiting, and extreme sensitivity to light and sound) and restless leg syndrome (a neurological disorder characterized by an irresistible urge to move the legs, often accompanied by uncomfortable sensations). Review of the facility's policy titled Administering Medications, last revised August 2024, indicated but was not limited to: -The individual administering the medication must initial the resident's Electronic Medical Administration Record (EMAR) in the appropriate field after giving each medication and before administering the next ones. [...]
Inspectors wroteBased on observation, review of the Quality Assurance Performance Improvement (QAPI) policy, and interview, the facility failed to ensure that the Quality Assessment and Assurance (QAA) Committee developed, implemented and maintained a comprehensive QAPI program with projects that were data driven and had metrics that benchmarked their current status, established goals and defined measurements for improvement for outcomes that were sustainable.
Inspectors wroteBased on personnel record review and interview, the facility failed to ensure the new hire employee records contained evidence of the 2024-2025 COVID-19 vaccination for four of five newly hired employees. Specifically, the facility failed to ensure the employee record contained evidence of the 2024-2025 COVID-19 vaccination or proof the newly hired employees were offered an updated COVID-19 vaccine when he/she was eligible.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one Resident (#168), out of a total sample of 17 residents, was treated with respect and dignity. Specifically, the facility failed to ensure Resident #168's Foley catheter (tube inserted into the bladder to drain urine) drainage bag was consistently covered with a privacy shield and/or positioned away from the doorway.
Inspectors wroteBased on observations and interviews, the facility failed to ensure the privacy and confidentiality of resident information was maintained on one of two nursing units. Specifically, the facility failed to ensure residents' private health information and Activity of Daily Living (ADL) schedule was secure and not accessible to be viewed by anyone walking by the East unit nurses' station.
Inspectors wroteBased on interview, observation, and document review, the facility failed to ensure residents/resident representatives had the right to voice and formulate grievances, have those grievances responded to promptly, and be provided a resolution to their grievance for one Resident (#51), out of a total sample of 17 residents. Specifically, the facility failed to ensure staff followed their policy and procedure when Resident #51's Health Care Proxy (HCP- healthcare agent designated by the resident when competent who has the authority to consent for health care decisions when a resident has been declared, by a physician, not to be competent to make his/her own health care decisions) notified staff that the Resident's denture (partial plate) was missing.
Inspectors wroteBased on record review and interview, the facility failed to ensure nursing staff developed and provided the resident with a summary of the baseline or comprehensive care plan within 48 hours of admission, which included the instructions needed to provide effective and person-centered care to the resident which meet professional standards of quality care for one Resident (#168), of a total sample of 17 residents. Specifically, the facility failed to ensure a baseline care plan was developed and a summary provided to the Resident for the use of an indwelling urinary catheter.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop, implement and individualize comprehensive care plans for one Resident (#168), out of a total sample of 17 residents. Specifically, the facility failed to ensure a comprehensive care plan was developed to address the Resident's indwelling catheter.
Inspectors wroteBased on record review and interview, the facility failed to ensure one Resident (#21), out of a total sample of 17 residents, received the necessary care and treatment, consistent with professional standards of practice, to prevent the development of pressure ulcers. Specifically, the facility failed to reposition Resident #21 when he/she was identified to be a very high risk of developing a pressure area resulting in the development of a deep tissue injury (intact skin with localized area of persistent non-blanchable deep red, maroon, purple discoloration due to damage of underlying soft tissue resulting from intense and/or prolonged pressure) to his/her left heel.
Inspectors wroteBased on observation and interviews, the facility failed to ensure staff provided residents with an environment free from accidents and hazards. Specifically, the facility failed to ensure medications were disposed of on the [NAME] Unit in a secure manner to prevent access to those medications on one of two nursing units.
Inspectors wroteBased on observations, records reviewed, and interviews, the facility failed to ensure it was free from a medication error rate of greater than 5% when two out of three nurses observed during a medication pass made three errors out of 28 opportunities, resulting in a medication error rate of 10.71%. Those errors impacted two Residents (#11 and #18), out of four residents observed.
Inspectors wroteBased on interviews and records reviewed, for one of three sampled residents (Resident #1), who was alert and oriented and required substantial assistance from staff members when bathing, the Facility failed to ensure that staff treated him/her is a dignified and respectful manner, when related to his/her right to personal privacy when, on 4/03/25 while assisting him/her in the shower, Certified Nurse Aide (CNA) #1 conducted a telephone call using Face Time.
Inspectors wroteBased on interviews and review of the Activity Director's (AD) personnel file, the facility failed to ensure the activity program was directed by a qualified activities professional.
Inspectors wroteBased on observation, policy review, and interview, the facility failed to follow their policy and professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to properly label and date food products and maintain safe and clean equipment in two of two nourishment kitchenettes.
Inspectors wroteBased on interview, policy review, and document review, the facility failed to maintain a Quality Assurance and Performance Improvement (QAPI) Committee which included the required members at their meetings. Specifically, the facility Infection Preventionist failed to attend the last two quarterly QAPI meetings.
Inspectors wroteBased on a resident group meeting, staff interviews, and document review, the facility failed to ensure grievances and concerns from the Resident Council were documented to ensure they were acted upon timely and included the facility response and rationale for response.
Inspectors wroteBased on observations and staff interviews, the facility failed to ensure the privacy and confidentiality of resident records were maintained. Specifically, the facility failed to ensure residents' private health information was securely stored and not accessible in the facility's copy room and Staff Development Coordinator's (SDC) office, which were located on the main hallway on the first floor of the facility.
Inspectors wroteBased on observations, interviews, and records reviewed, for nine Residents (#55, #231, #48, #78, #74, #20, #72, #30 and #47), out of 19 sampled residents, the facility failed to develop and/or implement comprehensive care plans to reflect the individual needs of the residents. Specifically, the facility failed: 1. For Resident #55, a. to implement a care plan for an indwelling Foley catheter (tube placed in the body to drain and collect urine from the bladder), and b. to develop and implement a care plan for psychotropic medications; 2. For Resident #231, to develop and implement a care plan for an anticoagulant (blood thinning) medication; 3. For Resident #48, to implement a care plan for an anticoagulant medication; 4. For Resident #78, to implement a care plan for antidepressant medication; 5. [...]
Inspectors wrote2. Resident #20 was admitted to the facility in April 2024 with diagnoses including diabetes mellitus. Review of the MDS assessment, dated 4/19/24, indicated Resident #20 had moderate cognitive impairment as evidenced by a BIMS score of 9 out of 15, was diabetic, required a therapeutic diet and received insulin injections. a. Review of Physician's Orders included, but was not limited to: [...]
Inspectors wroteBased on observation and interview, the facility failed to ensure its staff provided a meaningful and engaging activity program for residents on one Unit (West Unit), out of two units observed. Specifically, the facility failed to ensure staff implemented facility sponsored group activities for all residents on the [NAME] Unit.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure licensed nursing staff possessed the appropriate competency and skills to care for one Resident (#74), who required intravenous (IV) administration of antibiotics through a Peripherally Inserted Central Catheter (PICC), out of a total sample of 19 residents. Specifically, the facility failed to ensure that nine Nursing staff (#1, #3, #5, #8, #10, #12, #13, Unit Manager #1, and the Director of Nursing ) had demonstrated necessary competencies to care for residents in the facility with specialized needs, inclusive of IV/PICC line care and treatment.
Inspectors wroteBased on record review, policy review, and interview, the facility failed to monitor adverse consequences (side effects) of anticoagulant medications (used to prevent the blood from clotting, a blood thinner) and anti-hypoglycemic medications (used to lower blood sugar) prescribed for three Residents (#231, #48, and #10), out of a total sample of 19 residents. Specifically, the facility failed: 1. For Residents #231 and #48, to monitor for side effects of anticoagulant medication; and 2. For Resident #10, to monitor for side effects of hypoglycemic medications.
Inspectors wroteBased on record review and interview, the facility failed to ensure each Resident's drug regimen was free from unnecessary psychotropic medications for five Residents (#55, #78, #30, #32, and #10), out of a total sample of 19 residents. Specifically, the facility failed to ensure psychotropic medications were monitored for adverse consequences (side effects) of their use.
Inspectors wroteBased on observations, interview, and policy review, the facility failed to ensure staff stored all drugs and biologicals used in the facility in accordance with currently accepted professional principles prior to administration and in 1 of 4 medication carts and 1 of 2 medication rooms. Specifically, the facility failed to ensure: - For Resident #74, Intravenous (IV) medication was stored in the medication cart and not left at the bedside; - Schedule II-V controlled substance medications were maintained in a separately locked, permanently affixed compartment; - Loose pills were properly discarded; and - A multi-dose vial of Tuberculin (used to perform a skin test to diagnose Tuberculosis) which had been opened/accessed was dated and discarded within 30 days.
Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain accurate medical records in accordance with professional standards and practices for five Residents (#74, #20, #6, #231, and #48), out of a total sample of 19 residents. Specifically, the facility failed: 1. For Resident #74, to accurately document the recommendations from the consultant infectious disease Physician regarding the plan of care for a peripherally inserted central catheter (PICC); 2. For Resident #20, to ensure his/her electronic medical record contained scanned documents pertaining only to Resident #20; and 3. For Residents #6, #231, and #48, to document weekly comprehensive skin assessment per physician orders.
Inspectors wroteBased on document review and interview, the facility failed to maintain an infection prevention and control program to help prevent the development and potential transmission of communicable diseases and infections for five Residents (#72, #74, #17, #6, and #55) of 19 sampled residents. Specifically, the facility failed to: 1. For Resident #72, ensure staff wore personal protective equipment (PPE) as required for Enhanced Barrier Precautions (EBP- an infection control intervention designed to reduce transmission of multidrug-resistant organisms in nursing homes) and Contact Precautions (infection control precautions used for patients who may be infected with certain infectious agents for which additional precautions are needed to prevent infection transmission); 2. [...]
Inspectors wroteBased on record review and interviews, the facility failed to implement and maintain an effective training program for all new and existing staff. Specifically, for eight direct care staff (Nurse #1, Nurse #9, Nurse #8, Certified Nursing Assistant (CNA) #1, CNA #7, CNA #4, CNA #11, and CNA #10), out of eight direct care staff education records reviewed, the facility failed to provide all of the required training necessary to meet the needs of each resident.
Inspectors wroteBased on interviews and staff education records reviewed for five direct care staff employees (Nurse #1, Nurse #9, Certified Nursing Assistants (CNA) #4, CNA #11, and CNA #10) of eight employees reviewed, the facility failed to ensure that training on effective communications was included as mandatory training for direct care staff.
Inspectors wroteBased on interviews and staff education records reviewed for five direct care staff employees (Nurse #1, Nurse #9, Certified Nursing Assistant (CNA) #4, CNA #11, and CNA #10) of eight employees reviewed, the facility failed to ensure that training on resident rights was included as mandatory training for direct care staff.
Inspectors wroteBased on interviews and staff education records reviewed for five direct care staff employees (Nurse #1, Nurse #9, Certified Nursing Assistant (CNA) #4, CNA #11, and CNA #10) of eight employees reviewed, the facility failed to ensure that training on elements and goals of the facility's Quality Assurance and Performance Improvement (QAPI) program was included as mandatory training for direct care staff.
Inspectors wroteBased on interviews and staff education records reviewed for four direct care staff employees (Nurse #1, Nurse #9, Certified Nursing Assistant (CNA) #7, and CNA #10) of eight employees reviewed, the facility failed to ensure that training on written standards, policies and procedures for the facility's infection prevention and control program was included as mandatory training for direct care staff.
Inspectors wroteBased on interviews and staff education records reviewed for eight direct care staff employees (Nurse #8, Nurse #1, Nurse #9, Certified Nursing Assistant (CNA) #1, CNA #7, CNA #4, CNA # 11, and CNA #10) of eight employees reviewed, the facility failed to ensure that training on written standards, policies, and procedures for the facility's compliance and ethics program was included as mandatory training for direct care staff.
Inspectors wroteBased on interviews and staff education records reviewed for eight direct care staff employees (Nurse #8, Nurse #1, Nurse #9, Certified Nursing Assistant (CNA) #1, CNA #7, CNA #4, CNA # 11, and CNA #10) of eight employees reviewed, the facility failed to ensure that training on behavioral health was included as mandatory training for direct care staff.
Inspectors wroteBased on record review and interview, the facility failed to ensure the Physician/Practitioner was notified of a change in treatment for one Resident (#44), out of a total sample of 14 residents. Specifically, the facility failed to ensure the Physician/Practitioner was notified when a prescribed anticoagulant (blood thinner) was not available from the pharmacy and administered as ordered.
Inspectors wroteBased on record review and interview, the facility failed to ensure staff developed a baseline or comprehensive care plan within 48 hours of the resident's admission, which included the instructions needed to provide effective and person-centered care for two Residents (#20 and #74), out of a total sample of 19 residents. Specifically, the facility failed: 1. For Resident #20, to develop a baseline care plan for the Resident's diagnosis of diabetes mellitus; and 2. For Resident #74, to develop a baseline care plan for the Resident's diagnosis of endocarditis (infection of the heart's inner lining, usually involving the heart valves), presence of a Peripherally Inserted Central Catheter (PICC: [...]
Inspectors wroteBased on record review and staff interview, the facility failed to document the recapitulation (a summary) of the Resident's stay from the facility for one Resident (#80), out of two closed records reviewed.
Inspectors wroteBased on record review and interviews, the facility failed to promote and manage the delivery of safe nursing care in accordance with accepted Standards of Nursing Practice for one Resident (#32), out of a total sample of 19 residents. Specifically, the facility failed to ensure a Certified Nursing Assistant (CNA) did not move a resident off the floor after the Resident sustained an unwitnessed fall with a head strike, prior to having a nurse assess the Resident.
Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure the proper care and treatment of a peripherally inserted central catheter (PICC) line device (inserted into a vein in the upper arm and is advanced until the internal tip of the catheter is in the superior vena cava to deliver medications and other treatments directly to the large central veins near your heart) was provided in accordance with professional standards of practice for one Resident (#74), out of a total sample of 19 residents. Specifically, the facility failed to ensure: -nursing staff measured the external length of the PICC line catheter as ordered by the Physician to ensure the catheter had not migrated (moved) out of place, and -the insertion site was visible for routine assessment by the licensed nurses.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to maintain respiratory equipment according to professional standards of practice for one Resident (#78), out of a total sample of 19 residents. Specifically, the facility failed to obtain a physician's order for the use of a continuous positive airway pressure machine (CPAP, machine used to treat sleep apnea).
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure staff had the skills necessary to meet the behavioral needs of one Resident (#10), out of a sample of 19 residents. Specifically, the facility failed to ensure staff had training in areas such as mental health needs and care of cognitively impaired residents.
Inspectors wroteBased on record review and interviews, the facility failed to ensure one Resident (#44) out of a total sample of 14 residents, was free from significant medication error when an anticoagulant (blood thinner) medication was not administered according to physician's orders
Inspectors wroteBased on interviews and staff education records reviewed for two direct care staff employees (Nurse #1 and Nurse #9) of eight employees reviewed, the facility failed to ensure that training on abuse, neglect, and exploitation prevention was included as mandatory training for direct care staff.
Inspectors wroteBased on record review and interviews, the facility failed to ensure Minimum Data Set (MDS) assessments were accurately completed to reflect the status for one Resident (#10), in a total sample of 19 residents. Specifically, the facility failed to ensure MDS assessments accurately reflected the Resident's bipolar disorder diagnosis.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure staff conducted testing and specimen collection in a manner that was consistent with current standards of practice for conducting COVID-19 tests and per manufacturer's instructions. Specifically, the facility failed to properly perform iHealth COVID-19 antigen rapid self-testing for four out of four staff members observed.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure that staff provided care and services according to accepted standards of clinical practice for three Residents (#29, #53, and #63), out of a total sample of 19 residents. Specifically, the facility failed: 1. For Resident #29, to initiate a bowel protocol per physician's orders; 2. For Resident #53, to administer medications in accordance with standards of practice, instead leaving them with the Resident for self-administration; and 3. For Resident #63, to ensure orders were accurately transcribed and administered.
Inspectors wrote2. Resident #29 was admitted to the facility in November 2020 with diagnoses including chronic obstructive pulmonary disease (COPD) and pneumonia. Review of current Physician's Orders indicated the following: -Change oxygen tubing weekly on Sunday, 11-7 shift and as needed (PRN) every night shift every Sunday related to COPD, 8/15/21 -Clean filter on oxygen concentrator weekly Sunday 11-7 every night shift every Sunday for maintenance, 9/5/21 During an observation with interview on 3/26/23 at 8:37 A.M., the surveyor observed Resident #29 lying in bed with a nasal cannula (lightweight tube in which one end splits into two prongs which are placed in the nostrils from which a mixture of oxygen (O2) and air flows) in place attached to an oxygen concentrator device. A nebulizer machine was observed on top of the Resident's bedside table. [...]
Inspectors wroteBased on observation, record review, and policy review, the facility failed to ensure that a licensed nurse had the completed competencies to administer medications independently for Resident #49, resulting in medication errors.
Inspectors wroteBased on observation, record review, and policy review, the facility failed to ensure that the medication error rate was not 5% or greater. A medication error rate of 7.41% was calculated following two observed errors of a total of 27 opportunities for error.
Inspectors wroteBased on observations, interview, and policy review, the facility failed to ensure staff implemented infection prevention and control practices and policies. Specifically, the facility failed to: 1. Follow infection control standards during a medication pass which included hand hygiene and proper handling of medication, and 2. Minimize the potential for cross-contamination (transfer of pathogens (biological contaminant) from one surface to another) of iHealth COVID-19 Antigen Rapid testing cards during the processing time.
Inspectors wroteBased on record reviews, interviews, and policy review, the facility failed to accurately transcribe an eye drop medication for both eyes and clarify the order to obtain the dose to be administered for one Resident (#3), out of a total sample of 19 residents.
Inspectors wroteBased on record review and interviews, the facility failed to ensure a resident's drug regimen was free from unnecessary medications by continuing to administer an antibiotic, after it was determined the bacteria was resistant to the prescribed antibiotic for one Resident (#54), out of a total sample of 19 residents.
Inspectors wroteBased on record review and interview, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessments for three Residents (#4, #51, and #3), out of a sample of 19 residents. Specifically, the facility failed to ensure the MDS was coded accurately: 1. For Resident #4, for hospice benefit services; 2. For Resident #51, for the correct active diagnosis; and 3. For Resident #3, for having a restraint.
Inspectors wroteBased on document review and interview, the facility failed for one Resident (#25), of four residents reviewed, to complete a Minimum Data Set (MDS) within Resident assessment instrument (RAI) time guidelines.
3 fire safety citations on file: 2 on June 23, 2025, 1 on March 28, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| July 1, 2024 | Fine | $15,139 |
| February 20, 2024 | Fine | $2,659 |
| February 12, 2024 | Fine | $2,279 |
| January 22, 2024 | Fine | $4,558 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.36 | 3.86 | 3.86 |
| Registered nurses | 0.44 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.19 | 3.48 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 0.90 | ||
| Nursing staff turnover (share who left in a year) | not reported | 38.2% | 45.8% |
| Registered nurse turnover | not reported | 42.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.77 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.43 on weekdays and 3.19 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.39 in April to June 2025 to 3.36 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.36 | 0.44 | 3.43 | 3.19 | 2.7% | 0 of 90 | 71 |
| Oct to Dec 2025 | 3.28 | 0.52 | 3.35 | 3.09 | 1.1% | 0 of 92 | 72 |
| Jul to Sep 2025 | 3.24 | 0.42 | 3.36 | 2.92 | 9.6% | 0 of 92 | 71 |
| Apr to Jun 2025 | 3.39 | 0.57 | 3.53 | 3.05 | 9.1% | 0 of 91 | 68 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Massachusetts, Jan to Mar 2026 | 3.79 | 0.61 | 3.94 | 3.41 | 5.0% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Massachusetts, all employers | |||
| CNAs (nursing assistants) | $22.44 | $21.32 to $23.94 | 38,130 |
| LPNs and LVNs | $38.57 | $34.91 to $40.66 | 13,210 |
| Registered nurses | $50.27 | $42.05 to $65.44 | 88,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 26.0 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.5 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.4 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.7 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.8 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.4 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Country Gardens Health and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
46.8% this home
No different from the national rate
US median of homes 51.5% · Massachusetts: 121 better, 19 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 94 eligible stays.
9.3% this home
No different from the national rate
US median of homes 10.7% · Massachusetts: 4 better, 15 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 113 eligible stays.
6.9% this home
No different from the national rate
US median of homes 7.1% · Massachusetts: 5 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 75 eligible stays.
32.0% this home
Median of homes: Massachusetts51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 25 residents counted.
0.0% this home
Median of homes: Massachusetts0.4% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 39 residents counted.
8.8% this home
Median of homes: Massachusetts2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 39 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Massachusetts99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.