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Deficiency Records for Country Hills Post Acute
View the most recent health deficiencies and inspection results for Country Hills Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Country Hills Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-18 | 2026-05-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-18 | 2026-05-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-04-23 | 2026-04-24 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-03-18 | 2026-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-19 | 2026-04-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-03 | 2026-03-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-02-17 | 2026-03-11 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2025-08-27 | 2025-09-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-07-29 | 2025-09-05 | Y |
| 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 | 2025-07-29 | 2025-09-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-07-29 | 2025-09-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-29 | 2025-09-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-06-10 | 2025-07-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-07 | 2025-05-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-07 | 2025-05-06 | 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 | 2025-04-07 | 2025-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-14 | 2025-04-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-14 | 2025-04-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-03-14 | 2025-04-13 | 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 | 2025-03-14 | 2025-04-13 | 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 | 2025-03-14 | 2025-04-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-14 | 2025-04-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-14 | 2025-04-13 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-03-14 | 2025-04-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-03-14 | 2025-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-14 | 2025-04-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-03-14 | 2025-04-13 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-03-14 | 2025-04-13 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-03-14 | 2025-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-14 | 2025-04-13 | 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 | 2025-03-14 | 2025-04-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-14 | 2025-04-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-14 | 2025-04-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-14 | 2025-04-13 | 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 | 2025-03-14 | 2025-04-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-14 | 2025-04-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-14 | 2025-04-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-03-14 | 2025-04-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-03-14 | 2025-04-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-14 | 2025-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-14 | 2025-04-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-14 | 2025-04-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-14 | 2025-04-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-14 | 2025-04-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-21 | 2025-03-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-21 | 2025-03-21 | Y |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-05-16 | 2024-06-04 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-29 | 2024-05-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-29 | 2024-05-01 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-29 | 2024-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-29 | 2024-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-29 | 2024-05-01 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-03-29 | 2024-04-29 | 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 | 2024-03-29 | 2024-04-29 | 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 | 2024-03-29 | 2024-04-29 | 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 | 2024-03-29 | 2024-04-29 | N |
| Post nurse staffing information every day. | Health | 2024-03-29 | 2024-04-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-29 | 2024-04-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-29 | 2024-04-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-29 | 2024-04-29 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-03-29 | 2024-04-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-29 | 2024-04-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-29 | 2024-04-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-03-29 | 2024-04-29 | 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 | 2024-03-29 | 2024-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-29 | 2024-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-29 | 2024-04-29 | N |
| Keep all essential equipment working safely. | Health | 2024-03-29 | 2024-04-29 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-29 | 2024-04-29 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-03-29 | 2024-04-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-24 | 2024-02-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-24 | 2024-02-12 | 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 | 2023-10-19 | 2023-11-29 | 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 | 2023-06-08 | 2023-07-08 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-04-21 | 2022-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-06-06 | 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 | 2022-04-21 | 2022-06-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-21 | 2022-06-06 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-04-21 | 2022-06-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-21 | 2022-06-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-21 | 2022-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-21 | 2022-06-06 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-21 | 2022-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-21 | 2022-06-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-21 | 2022-06-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-21 | 2022-05-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-21 | 2022-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-21 | 2022-05-24 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2022-04-21 | 2022-05-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-21 | 2022-05-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-21 | 2022-05-24 | N |