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Deficiency Records for Countryside Nursing and Rehab Ctr
A list of the most recent deficiencies for Countryside Nursing and Rehab Ctr. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Countryside Nursing and Rehab Ctr. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-13 | 2024-09-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-13 | 2024-09-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-13 | 2024-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-13 | 2024-09-26 | N |
| 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 | 2024-09-13 | 2024-09-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-13 | 2024-09-26 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-09-13 | 2024-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-09-26 | 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 | 2024-09-13 | 2024-09-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-13 | 2024-09-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-13 | 2024-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-13 | 2024-09-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-09-13 | 2024-09-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-09-13 | 2024-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-13 | 2024-09-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-13 | 2024-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-13 | 2024-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-13 | 2024-09-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-13 | 2024-09-23 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-08-20 | 2024-08-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-15 | 2024-08-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-08 | 2024-08-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-08 | 2024-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-07 | 2024-05-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-20 | 2024-04-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-20 | 2024-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-20 | 2024-04-05 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-20 | 2024-04-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-18 | 2024-02-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-17 | 2024-01-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-10-17 | 2023-10-30 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-10-17 | 2023-10-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-17 | 2023-10-30 | 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 | 2023-10-17 | 2023-10-30 | 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 | 2023-10-17 | 2023-10-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-17 | 2023-10-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-17 | 2023-10-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-17 | 2023-10-30 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-10-17 | 2023-10-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-06 | 2023-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-06 | 2023-10-18 | 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 | 2023-08-28 | 2023-09-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-29 | 2023-07-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-11 | 2023-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-22 | 2023-03-17 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-18 | 2023-01-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-18 | 2023-01-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-17 | 2022-12-12 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-18 | 2022-11-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-18 | 2022-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-18 | 2022-11-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-18 | 2022-11-04 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-10-18 | 2022-11-04 | 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 | 2022-10-18 | 2022-11-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-18 | 2022-11-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-18 | 2022-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-18 | 2022-11-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-18 | 2022-11-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-18 | 2022-11-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-18 | 2022-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-18 | 2022-11-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-10-07 | 2022-10-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-07 | 2022-10-27 | 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 | 2022-10-07 | 2022-10-27 | 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 | 2022-10-07 | 2022-10-27 | 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 | 2022-10-07 | 2022-10-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-07 | 2022-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-07 | 2022-10-27 | 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 | 2022-10-07 | 2022-10-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-10 | 2022-10-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-10 | 2022-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-10 | 2022-10-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-19 | 2022-10-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-19 | 2022-10-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-03 | 2021-12-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-03 | 2021-12-25 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-10-03 | 2021-10-18 | Y |
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