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Deficiency Records for Country Drive Post Acute
View the most recent health deficiencies and inspection results for Country Drive Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Country Drive Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-02-23 | 2026-03-20 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2026-02-23 | 2026-03-20 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2026-02-23 | 2026-03-20 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2026-02-23 | 2026-03-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-08-08 | 2025-08-29 | Y |
| Ensure 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. | Health | 2025-04-24 | 2025-05-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-24 | 2025-05-07 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-04-24 | 2025-05-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-04-24 | 2025-05-07 | N |
| Provide activities to meet all resident's needs. | Health | 2025-04-24 | 2025-05-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-04-24 | 2025-04-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-04-24 | 2025-04-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2025-04-24 | 2025-04-30 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-04-24 | 2025-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-24 | 2025-04-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-04-24 | 2025-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-24 | 2025-04-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-04-24 | 2025-04-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-24 | 2025-04-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-06 | 2025-03-14 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-25 | 2023-08-14 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-18 | 2023-06-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-18 | 2023-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-18 | 2023-06-14 | N |
| Implement 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. | Health | 2023-05-18 | 2023-06-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-18 | 2023-06-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-18 | 2023-06-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-18 | 2023-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-18 | 2023-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-21 | 2019-06-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-21 | 2019-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-21 | 2019-06-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-21 | 2019-06-20 | N |
| Keep all essential equipment working safely. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-21 | 2019-04-30 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-03-21 | 2019-04-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-21 | 2019-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-21 | 2019-04-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-21 | 2019-04-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-04-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-21 | 2019-04-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-04-30 | N |