A list of the most recent deficiencies for Countryside Estates. 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? |
|---|---|---|---|---|
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-10-27 | 2023-12-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-27 | 2023-12-20 | 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 | 2023-10-27 | 2023-12-20 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-27 | 2023-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-27 | 2023-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2023-12-20 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-10-27 | 2023-12-20 | 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 | 2022-02-07 | 2022-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-07 | 2022-04-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-07 | 2022-04-06 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-09 | 2022-03-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-09 | 2022-02-11 | 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 | 2022-02-09 | 2022-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-27 | 2021-08-18 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-07-27 | 2021-08-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-27 | 2021-08-11 | Y |
| 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 | 2021-07-27 | 2021-08-11 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-07-27 | 2021-08-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-20 | 2021-06-22 | Y |
| 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 | 2020-01-08 | 2020-02-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-08 | 2020-02-05 | N |
| Have an externally vented heating system. | Fire Safety | 2020-01-08 | 2020-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-08 | 2020-02-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-11-28 | 2018-12-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-28 | 2018-12-06 | 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 | 2018-11-28 | 2018-12-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-28 | 2018-12-06 | N |
