A list of the most recent deficiencies for Countryside Health Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-22 | 2023-05-01 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
Construct fire resistant interior walls. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-23 | 2023-04-28 | Y |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-23 | 2023-04-28 | Y |
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 | 2023-03-23 | 2023-04-28 | 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 | 2023-03-23 | 2023-04-28 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-04-28 | Y |
Put firmly secured handrails on each side of hallways. | Health | 2023-03-23 | 2023-04-28 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-02 | 2021-09-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-09-30 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-01-10 | 2019-02-24 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-10 | 2019-02-24 | 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 | 2019-01-10 | 2019-02-24 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-01-10 | 2019-02-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-10 | 2019-02-24 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-10 | 2019-02-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-10 | 2019-02-24 | N |
Provide and implement an infection prevention and control program. | Health | 2019-01-10 | 2019-02-24 | N |
Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-01-10 | 2019-02-24 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-01-08 | 2019-02-24 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-08 | 2019-02-24 | N |