Deficiency Records for Gordon Countryside Care
Updated as of June 01, 2019
This is not the most recent data for Gordon Countryside Care. For the most recent information, click here.
A list of the most recent deficiencies for Gordon Countryside Care. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-14 | 2018-12-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-14 | 2018-12-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-14 | 2018-12-31 | Y |
| 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 | 2018-11-14 | 2018-12-31 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-06 | 2018-11-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-06 | 2018-11-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-06 | 2018-11-14 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-09-06 | 2018-11-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-06 | 2018-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-06 | 2018-11-14 | 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 | 2018-09-06 | 2018-11-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-06 | 2018-11-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-06 | 2018-11-14 | 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 | 2018-09-06 | 2018-11-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-06 | 2018-11-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-09-06 | 2018-11-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-09-06 | 2018-11-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-09-06 | 2018-11-14 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-09-06 | 2018-11-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-06 | 2018-11-14 | 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 | 2018-09-06 | 2018-11-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-06 | 2018-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-06 | 2018-11-14 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-09-06 | 2018-11-14 | 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 and emergencies. | Health | 2018-09-06 | 2018-11-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-06 | 2018-11-14 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-09-06 | 2018-11-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-09-06 | 2018-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-06 | 2018-11-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-09-06 | 2018-11-14 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2018-09-06 | 2018-11-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-06 | 2018-11-14 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-05 | 2018-10-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-09-05 | 2018-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-05 | 2018-10-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-09-05 | 2018-10-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-05 | 2018-10-01 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-13 | 2018-04-03 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-03-13 | 2018-04-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-08 | 2018-03-17 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-09-08 | 2017-11-24 | N |
| Provide residents with private access to a telephone. | Health | 2017-09-07 | 2017-10-05 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-09-07 | 2017-10-05 | N |
| Provide housekeeping and maintenance services. | Health | 2017-09-07 | 2017-10-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-07 | 2017-10-05 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-09-07 | 2017-10-05 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-07 | 2017-10-05 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-07 | 2017-10-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-07 | 2017-10-05 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-09-07 | 2017-10-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-07 | 2017-10-05 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-09-07 | 2017-10-05 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2017-09-08 | 2017-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-08 | 2017-09-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-09-08 | 2017-09-11 | N |
| Provide housekeeping and maintenance services. | Health | 2016-10-18 | 2016-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-18 | 2016-11-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-18 | 2016-11-23 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-10-18 | 2016-11-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-18 | 2016-11-23 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2016-10-18 | 2016-11-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-10-18 | 2016-11-23 | N |
