Deficiency Records for Gordon Countryside Care
Updated as of March 01, 2022
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? |
---|---|---|---|---|
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 | 2021-02-09 | 2021-02-26 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-02-09 | 2021-02-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-09 | 2021-02-26 | N |
Have exits that are accessible at all times. | Fire Safety | 2021-02-09 | 2021-02-25 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-09 | 2021-02-25 | N |
Meet other general requirements that are deficient. | Fire Safety | 2021-02-09 | 2021-02-25 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-16 | 2020-10-31 | Y |
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 | 2019-10-17 | 2019-11-16 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-17 | 2019-11-16 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-17 | 2019-11-16 | 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 | 2019-10-17 | 2019-11-16 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-17 | 2019-11-16 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-10-16 | 2019-11-16 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-16 | 2019-11-16 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-08-15 | 2019-10-10 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-15 | 2019-10-10 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-06 | 2018-11-09 | 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 | 2018-11-09 | 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 | 2018-11-09 | 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 | 2018-11-09 | 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 | 2018-11-09 | 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 | 2018-11-09 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-06 | 2018-11-09 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-06 | 2018-11-09 | 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 | 2018-11-09 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-06 | 2018-11-09 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-06 | 2018-11-09 | 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 and maintain the bed rail. | Health | 2018-09-06 | 2018-11-09 | 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 | 2018-11-09 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2018-09-06 | 2018-11-09 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-09-06 | 2018-11-09 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-06 | 2018-11-09 | 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 | 2018-11-09 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-06 | 2018-11-09 | 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 | 2018-11-09 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-09-06 | 2018-11-09 | 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 | 2018-11-09 | 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 | 2018-11-09 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-09-06 | 2018-11-09 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-09-06 | 2018-11-09 | N |
Provide and implement an infection prevention and control program. | Health | 2018-09-06 | 2018-11-09 | N |
Implement a program that monitors antibiotic use. | Health | 2018-09-06 | 2018-11-09 | N |
Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2018-09-06 | 2018-11-09 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-06 | 2018-11-09 | N |
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 |