Deficiency Records for Countryside Manor Nursing and Rehabilitation LLC

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Updated as of March 01, 2024

A list of the most recent deficiencies for Countryside Manor Nursing and Rehabilitation LLC. 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 and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-12-18 2024-01-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-18 2024-01-05 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 2023-12-18 2024-01-05 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-12-18 2023-11-20 Y
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-23 2023-06-01 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 2023-02-27 2023-03-31 N
Respond appropriately to all alleged violations. Health 2023-02-27 2023-03-31 N
Ensure each resident receives an accurate assessment. Health 2023-02-27 2023-03-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-27 2023-03-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-27 2023-03-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-27 2023-03-31 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-02-27 2023-03-31 N
Post nurse staffing information every day. Health 2023-02-27 2023-03-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-02-27 2023-03-31 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-02-27 2023-03-31 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-02-23 2023-03-31 N
Install an approved automatic sprinkler system. Fire Safety 2023-02-23 2023-03-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-02-23 2023-03-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-02-23 2023-03-31 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-02-23 2023-03-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-02-23 2023-03-31 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-11-09 2022-11-23 Y
Provide and implement an infection prevention and control program. Health 2021-09-21 2021-10-13 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 2019-11-26 2019-12-13 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 2019-11-26 2019-12-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-11-26 2019-12-13 N
Provide primary/alternate means for communication. Fire Safety 2019-11-25 2019-12-13 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 2019-11-25 2019-12-13 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-11-25 2019-12-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-11-25 2019-12-13 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-11-25 2019-12-13 N
Provide a written emergency evacuation plan. Fire Safety 2019-11-25 2019-12-13 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-11-25 2019-12-13 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-11-25 2019-12-13 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-10-03 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 2018-10-03 2018-11-09 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2018-10-03 2018-11-09 N
Ensure that residents are free from significant medication errors. Health 2018-10-03 2018-11-09 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2018-10-03 2018-11-09 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 2018-10-01 2018-11-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-10-01 2018-11-09 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-10-01 2018-11-09 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2018-10-01 2018-11-09 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2018-10-01 2018-11-09 N