A list of the most recent deficiencies for Country Health. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-09-13 | 2023-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-13 | 2023-10-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-13 | 2023-10-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-13 | 2023-10-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-13 | 2023-10-16 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-09-13 | 2023-10-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-09-13 | 2023-10-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-13 | 2023-10-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-12 | 2023-10-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-18 | 2023-08-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-18 | 2023-08-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-18 | 2023-08-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-27 | 2023-01-27 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-27 | 2023-01-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-01 | 2022-09-09 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-24 | 2022-09-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-24 | 2022-08-29 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-08-24 | 2022-08-24 | N |
| Establish methods for sharing information. | Fire Safety | 2022-08-24 | 2022-08-24 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-08-24 | 2022-08-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-07 | 2022-06-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-05-24 | 2022-06-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-24 | 2022-06-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-24 | 2022-06-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-24 | 2022-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-24 | 2022-06-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-24 | 2022-06-10 | Y |
| Honor 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. | Health | 2022-03-03 | 2022-03-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-03-03 | 2022-03-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-03 | 2022-03-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-03 | 2022-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-03 | 2022-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-03 | 2022-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-29 | 2022-01-13 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-30 | 2021-10-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-19 | 2021-06-11 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-05-19 | 2021-06-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-19 | 2021-06-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-19 | 2021-06-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-19 | 2021-06-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-19 | 2021-06-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-05-19 | 2021-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-19 | 2021-06-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-19 | 2021-06-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-19 | 2021-06-09 | 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 | 2021-05-19 | 2021-06-09 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-05-19 | 2021-06-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-05-19 | 2021-06-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-19 | 2021-06-09 | N |
| 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 | 2021-05-19 | 2021-06-09 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-05-19 | 2021-06-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-05-19 | 2021-06-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-19 | 2021-06-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-05-19 | 2021-06-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-19 | 2021-06-06 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-19 | 2021-06-06 | N |
| Establish methods for sharing information. | Fire Safety | 2021-05-19 | 2021-06-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-19 | 2021-06-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-05-19 | 2021-06-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-19 | 2021-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-19 | 2021-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-13 | 2021-04-23 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-04-13 | 2021-04-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-13 | 2021-04-23 | Y |
