The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
GARDEN PLACE HEALTHCARE
ATTLEBORO, MA · Medicare-certified · 133 beds
Needs attention
For-profitChain member
2 of 5 overall
GARDEN PLACE HEALTHCARE (ATTLEBORO, MA) has an overall rating of 2 out of 5 stars, with a 2-star health inspection and 3-star staffing and quality ratings. It has a recent federal penalty, $27,372 in fines over the last 24 months, and reported nurse staffing of 3.30 hours per resident per day, below the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.3049 hrs/resident/day
Quality measures
Last inspection: December 10, 2025Penalties, last 24 months: $27,372recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3049.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.76
- Nurse aides
- 1.89
- Weekend nursing
- 3.09
Hours per resident per day.
Total staff turnover: 24%
Registered nurse turnover: 38%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.1%25.9%Worsening
Residents with a fall causing major injury
2.9%3.9%Worsening
Residents with pressure ulcers (bedsores)
1.9%1.8%No change
Residents with a urinary tract infection
1%0%Improving
Residents who lost too much weight
3.2%5.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.3%12.5%Worsening
Residents whose ability to walk got worse
19.7%11.1%Improving
Long-stay residents on antianxiety or sleep medication
18.1%22.9%Worsening
Short-stay residents newly given an antipsychotic
2%0%Improving
Residents with a long-term catheter
0.9%0%Improving
Residents with new or worsening incontinence
31%26.1%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.5%—
Long-stay residents given the pneumonia vaccine
87.3%88.2%Improving
Short-stay residents given the seasonal flu vaccine
—48.8%—
Short-stay residents given the pneumonia vaccine
43.9%68.8%Improving
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $27,372 was recorded.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $82,488 in total fines.
- $27,372
Federal fine
Nov 6, 2024
- $55,116
Federal fine
Aug 16, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of NEXT STEP HEALTHCARE · 14 homes · 2 stars avg
- Occupancy
- 117.2 residents on an average day (88% of 133 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 45 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.