Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 225185

Country Gardens Health And Rehabilitation Center

59 federal citations on record , and 4 federal enforcement actions totaling $24,635.

Record summary

Federal record · Q1 2026
59
Total citations
49
Last 3 years
0
Actual harm+
4
Federal penalties
$24,635
Total fines
1
Overall ★ rating

Most common violation categories here

Care Planning13 Quality of Care10 Resident Rights9 Administration8 Medication & Pharmacy7

Most common F-tags at this facility

F8423 F8803 F5802 F5832 F6552

Citation history

59 on record
SurveyF-TagViolationSeveritySource
Sep 10, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Sep 10, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint
Sep 10, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 23, 2025F887Educate 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.EStandard
Jun 23, 2025F880Provide and implement an infection prevention and control program.FStandard
Jun 23, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Jun 23, 2025F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard
Jun 23, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jun 23, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Jun 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 23, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 23, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 23, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jun 23, 2025F585Honor 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.DStandard
Jun 23, 2025F583Keep residents' personal and medical records private and confidential.DStandard
Jun 23, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 22, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Jul 1, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard
Jul 1, 2024F946Provide training in compliance and ethics.EStandard
Jul 1, 2024F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.EStandard
Jul 1, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
Jul 1, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Jul 1, 2024F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.EStandard
Jul 1, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard
Jul 1, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EStandard
Jul 1, 2024F880Provide and implement an infection prevention and control program.EStandard
Jul 1, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Jul 1, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jul 1, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jul 1, 2024F761Ensure 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.EStandard
Jul 1, 2024F760Ensure that residents are free from significant medication errors.DStandard
Jul 1, 2024F758Implement 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.EStandard
Jul 1, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Jul 1, 2024F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DStandard
Jul 1, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Jul 1, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 1, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Jul 1, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 1, 2024F680Ensure the activities program is directed by a qualified professional.FStandard
Jul 1, 2024F679Provide activities to meet all resident's needs.EStandard
Jul 1, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Jul 1, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jul 1, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jul 1, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jul 1, 2024F641Ensure each resident receives an accurate assessment.BStandard
Jul 1, 2024F583Keep residents' personal and medical records private and confidential.EStandard
Jul 1, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jul 1, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Jun 22, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.E—
Mar 28, 2023F886Perform COVID19 testing on residents and staff.FStandard
Mar 28, 2023F880Provide and implement an infection prevention and control program.EStandard
Mar 28, 2023F759Ensure medication error rates are not 5 percent or greater.EStandard
Mar 28, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Mar 28, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Mar 28, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Mar 28, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 28, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Mar 28, 2023F642Ensure a qualified health professional conducts resident assessments.BStandard
Mar 28, 2023F641Ensure each resident receives an accurate assessment.BStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $24,635 .

DateTypeFinePayment denial
Jul 1, 2024Fine$15,139—
Feb 20, 2024Fine$2,659—
Feb 12, 2024Fine$2,279—
Jan 22, 2024Fine$4,558—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

Concerned about care at Country Gardens Health And Rehabilitation Center?

An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.

  • Consultation is free and confidential
  • You pay nothing unless there is a recovery
  • Your note is shared only with vetted plaintiff attorneys
Free · Confidential · Nationwide network
Free Consultation Request
Tell us about your family's situation
A plaintiff attorney will review your note and respond within one business day.