Country Gardens Health And Rehabilitation Center - Swansea Nursing Home
General Information
UPDATEFederal Provider Number
225185
Provider Name
COUNTRY GARDENS HEALTH AND REHABILITATION CENTER
Provider Address
2045 GRAND ARMY HIGHWAY
SWANSEA, MA 2777
SWANSEA, MA 2777
Provider Phone Number
5083799700
Provider SSA County
20
Provider County Name
Bristol
Ownership Type
Non profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CH - COUNTRY GARDENS LLC
Date First Approved to Provide Medicare and Medicaid services
1975-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.93224
Reported LPN Staffing Hours per Resident per Day
0.57434
Reported RN Staffing Hours per Resident per Day
0.69211
Reported Licensed Staffing Hours per Resident per Day
1.26645
Reported Total Nurse Staffing Hours per Resident per Day
3.19869
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04211
Expected CNA Staffing Hours per Resident per Day
2.50500
Expected LPN Staffing Hours per Resident per Day
0.57355
Expected RN Staffing Hours per Resident per Day
0.87038
Expected Total Nurse Staffing Hours per Resident per Day
3.94893
Adjusted CNA Staffing Hours per Resident per Day
1.89267
Adjusted LPN Staffing Hours per Resident per Day
0.83115
Adjusted RN Staffing Hours per Resident per Day
0.59416
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26509
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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