Deficiency Records for Country Trails Wellness and Rehabilitation Center
Updated as of February 01, 2022
This is not the most recent data for Country Trails Wellness and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Country Trails Wellness and Rehabilitation Center. 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? |
|---|---|---|---|---|
| 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 | 2020-03-05 | 2020-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-05-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-03-05 | 2020-05-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-05 | 2020-05-13 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-05 | 2020-04-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-05 | 2020-04-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-05 | 2020-04-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-05 | 2020-04-16 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-03-05 | 2020-04-16 | 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 | 2020-03-05 | 2020-04-16 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2020-03-05 | 2020-04-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-05 | 2020-03-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-11 | 2019-09-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-11 | 2019-07-12 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-28 | 2019-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-05-07 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-03-28 | 2019-05-07 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-03-28 | 2019-05-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-03-28 | 2019-05-06 | 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 | 2019-03-28 | 2019-05-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-28 | 2019-05-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-28 | 2019-05-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-16 | 2018-04-30 | 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 | 2018-03-16 | 2018-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-16 | 2018-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-16 | 2018-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-16 | 2018-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-16 | 2018-04-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-03-16 | 2018-04-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-15 | 2018-04-30 | 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 | 2018-03-15 | 2018-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
