Deficiency Records for Countryside Manor Health and Living Community
Updated as of March 01, 2024
A list of the most recent deficiencies for Countryside Manor Health and Living Community. 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? |
|---|---|---|---|---|
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-02 | 2024-01-17 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-01-02 | 2024-01-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-02 | 2024-01-15 | 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 | 2024-01-02 | 2024-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-02 | 2024-01-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-02 | 2024-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-02 | 2024-01-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-02 | 2024-01-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-12-04 | 2023-12-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-04 | 2023-12-21 | N |
| 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 | 2023-12-04 | 2023-12-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-12-04 | 2023-12-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-04 | 2023-12-21 | 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 | 2023-12-04 | 2023-12-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-13 | 2023-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-13 | 2023-01-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-10-13 | 2023-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-13 | 2023-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-13 | 2023-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-13 | 2023-01-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-13 | 2023-01-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-13 | 2022-12-07 | 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 | 2022-10-13 | 2022-12-07 | 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 | 2022-10-13 | 2022-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-13 | 2022-12-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-13 | 2022-12-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-13 | 2022-12-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-10-13 | 2022-12-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-04 | 2022-10-26 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-10-04 | 2022-10-26 | 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 | 2022-10-04 | 2022-10-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-04 | 2022-10-26 | N |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-10-04 | 2022-10-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-29 | 2022-08-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-29 | 2022-08-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-13 | 2021-08-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-13 | 2021-08-24 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-03 | 2021-08-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-03 | 2021-08-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-03 | 2021-08-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-03 | 2021-08-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-03 | 2021-08-19 | N |
| Have an externally vented heating system. | Fire Safety | 2021-08-03 | 2021-08-19 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-08-03 | 2021-08-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-03 | 2021-08-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-03 | 2021-08-19 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-08-03 | 2021-08-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-16 | 2021-08-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-16 | 2021-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-16 | 2021-08-13 | 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 | 2021-07-16 | 2021-08-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-16 | 2021-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-16 | 2021-08-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-16 | 2021-08-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-16 | 2021-08-13 | Y |
