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Deficiency Records for Countryside Health Center
View the most recent health deficiencies and inspection results for Countryside Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Countryside Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-04-30 | 2025-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-30 | 2025-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-30 | 2025-07-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-30 | 2025-07-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-04-30 | 2025-07-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-30 | 2025-07-02 | 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 | 2025-04-30 | 2025-06-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-04-30 | 2025-06-14 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-04-30 | 2025-06-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-30 | 2025-06-14 | 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 | 2025-04-30 | 2025-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-30 | 2025-06-14 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-04-30 | 2025-06-14 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-04-30 | 2025-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-30 | 2025-06-14 | 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 | 2023-08-15 | 2023-10-27 | N |
| Develop a communication plan. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-15 | 2023-10-27 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-15 | 2023-09-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-15 | 2023-09-13 | 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 | 2023-08-15 | 2023-09-13 | 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 | 2023-08-15 | 2023-09-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-08-15 | 2023-09-13 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-08-15 | 2023-09-13 | 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 | 2022-01-10 | 2022-03-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-10 | 2022-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-10 | 2022-03-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-10 | 2022-03-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-10 | 2022-03-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-01-10 | 2022-03-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-10 | 2022-03-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-01-10 | 2022-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-10 | 2022-03-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-10 | 2022-03-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-10 | 2022-02-08 | N |