A list of the most recent deficiencies for Countryside Care 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-20 | 2023-05-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-21 | 2023-05-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-20 | 2023-04-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-20 | 2023-04-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-21 | 2023-04-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-21 | 2023-04-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-21 | 2023-04-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-21 | 2023-04-12 | 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 | 2023-03-21 | 2023-04-12 | 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 | 2023-03-21 | 2023-04-12 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-03-21 | 2023-04-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-03-21 | 2023-04-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-21 | 2023-04-12 | N |
| Report COVID19 data to residents and families. | Health | 2023-03-21 | 2023-04-12 | N |
| Have a Compliance and Ethics Program. | Health | 2023-03-21 | 2023-04-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-13 | 2023-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-13 | 2023-03-29 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-13 | 2023-03-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-13 | 2023-03-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-13 | 2023-03-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-13 | 2023-03-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-22 | 2022-06-01 | 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 | 2022-04-22 | 2022-06-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-22 | 2022-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-22 | 2022-06-01 | 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 | 2022-04-22 | 2022-06-01 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-04-22 | 2022-06-01 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-22 | 2022-06-01 | 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 | 2022-04-22 | 2022-06-01 | 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 | 2022-04-22 | 2022-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-22 | 2022-06-01 | 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 and emergencies. | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-22 | 2022-06-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-04-22 | 2022-06-01 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-04-22 | 2022-06-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-22 | 2022-06-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-22 | 2022-06-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-22 | 2022-06-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-22 | 2022-06-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-22 | 2022-06-01 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-04-22 | 2022-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-06-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-22 | 2022-06-01 | 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 | 2022-04-22 | 2022-06-01 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-22 | 2022-06-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-22 | 2022-06-01 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-13 | 2022-06-01 | 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 | 2020-01-16 | 2020-02-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-16 | 2020-02-20 | 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 | 2020-01-16 | 2020-02-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-16 | 2020-02-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-16 | 2020-02-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-16 | 2020-02-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-01-16 | 2020-02-20 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2020-01-16 | 2020-02-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-16 | 2020-02-20 | 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 | 2020-01-16 | 2020-02-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-16 | 2020-02-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-16 | 2020-02-20 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2020-01-16 | 2020-02-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-14 | 2020-02-12 | 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 | 2020-01-14 | 2020-02-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-14 | 2020-02-12 | N |
