Deficiency Records for Countryside Nursing and Rehab Ctr
Updated as of June 01, 2021
This is not the most recent data for Countryside Nursing and Rehab Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Countryside Nursing and Rehab Ctr. 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-01-20 | 2021-02-10 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-20 | 2021-02-10 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-11 | 2020-09-22 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-08-20 | 2020-09-09 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-08-20 | 2020-09-09 | Y |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-08-17 | 2020-08-31 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-07-07 | 2020-07-29 | N |
Provide and implement an infection prevention and control program. | Health | 2020-03-25 | 2020-05-08 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-17 | 2020-02-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-17 | 2020-02-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-03 | 2020-01-25 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-21 | 2019-12-12 | Y |
Install an approved automatic sprinkler system. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-17 | 2019-10-11 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-17 | 2019-10-11 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-17 | 2019-10-11 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2019-08-22 | 2019-09-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-22 | 2019-09-29 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-22 | 2019-09-16 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-22 | 2019-09-16 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-08-22 | 2019-09-13 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-22 | 2019-09-13 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-22 | 2019-09-13 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-15 | 2019-08-29 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-15 | 2019-08-29 | 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 | 2019-08-15 | 2019-08-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-08-29 | N |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-08-15 | 2019-08-29 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-15 | 2019-08-29 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-15 | 2019-06-13 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-05-15 | 2019-06-13 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-06 | 2019-03-20 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-10-03 | 2018-11-16 | N |
Install proper backup exit lighting. | Fire Safety | 2018-10-03 | 2018-11-16 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-03 | 2018-11-16 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-03 | 2018-11-16 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-03 | 2018-11-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-03 | 2018-11-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-03 | 2018-11-05 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-03 | 2018-10-31 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2018-10-03 | 2018-10-26 | N |
Use approved construction type or materials. | Fire Safety | 2018-10-03 | 2018-10-25 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-03 | 2018-10-25 | 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 | 2018-10-03 | 2018-10-25 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-10-03 | 2018-10-25 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-03 | 2018-10-25 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-03 | 2018-10-25 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-03 | 2018-10-25 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-03 | 2018-10-25 | N |
Keep residents' personal and medical records private and confidential. | Health | 2018-09-19 | 2018-10-19 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-19 | 2018-10-19 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-09-19 | 2018-10-19 | 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 | 2018-09-19 | 2018-10-19 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-19 | 2018-10-19 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-09-19 | 2018-10-19 | 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 | 2018-09-19 | 2018-10-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-19 | 2018-10-19 | N |
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2018-09-19 | 2018-10-19 | N |
Provide and implement an infection prevention and control program. | Health | 2018-09-19 | 2018-10-19 | N |
Implement a program that monitors antibiotic use. | Health | 2018-09-19 | 2018-10-19 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-09-19 | 2018-10-19 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-19 | 2018-10-19 | N |
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2017-10-03 | 2017-11-08 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-03 | 2017-11-08 | N |
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-10-03 | 2017-11-08 | N |
Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-10-03 | 2017-11-08 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-10-03 | 2017-11-08 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-03 | 2017-11-08 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-03 | 2017-11-08 | N |
Keep all essential equipment working safely. | Health | 2017-10-03 | 2017-11-08 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-09-14 | 2017-10-19 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-09-14 | 2017-10-12 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2017-09-14 | 2017-10-12 | N |
Provide properly protected cooking facilities. | Fire Safety | 2017-09-14 | 2017-10-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-14 | 2017-10-12 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-09-14 | 2017-10-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-14 | 2017-10-12 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-14 | 2017-10-12 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-09-14 | 2017-10-12 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2017-09-14 | 2017-10-12 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-14 | 2017-10-12 | N |