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Deficiency Records for Countryside Manor Health and Living Community

A list of the most recent deficiencies for Countryside Manor Health and Living Community. 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 Manor Health and Living Community. 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-24 2024-07-09 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 2024-06-24 2024-07-09 Y
Install an approved automatic sprinkler system. Fire Safety 2024-01-02 2024-02-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-01-02 2024-02-15 N
Establish policies and procedures for sheltering. Fire Safety 2024-01-02 2024-02-02 N
Implement emergency and standby power systems. Fire Safety 2024-01-02 2024-02-02 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 2024-01-02 2024-02-02 N
Provide properly protected cooking facilities. Fire Safety 2024-01-02 2024-02-02 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-01-02 2024-02-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-02 2024-02-02 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-12-04 2023-12-21 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-12-04 2023-12-21 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-12-04 2023-12-21 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-12-04 2023-12-21 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-12-04 2023-12-21 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 2023-12-04 2023-12-21 N
Implement emergency and standby power systems. Fire Safety 2022-10-13 2023-01-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-13 2023-01-17 N
Have exits that are accessible at all times. Fire Safety 2022-10-13 2023-01-10 N
Provide properly protected cooking facilities. Fire Safety 2022-10-13 2023-01-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-13 2023-01-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-10-13 2023-01-10 N
Meet other general requirements that are deficient. Fire Safety 2022-10-13 2023-01-10 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-10-13 2022-12-07 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 2022-10-13 2022-12-07 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 2022-10-13 2022-12-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-13 2022-12-07 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-10-13 2022-12-07 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-10-13 2022-12-07 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-10-13 2022-12-07 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-10-04 2022-10-26 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-10-04 2022-10-26 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 2022-10-04 2022-10-26 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-10-04 2022-10-26 N
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Health 2022-10-04 2022-10-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-29 2022-08-22 Y
Provide and implement an infection prevention and control program. Health 2022-07-29 2022-08-22 Y
Provide and implement an infection prevention and control program. Health 2022-02-10 2022-03-02 Y
Provide properly protected cooking facilities. Fire Safety 2021-08-03 2021-08-19 N
Install an approved automatic sprinkler system. Fire Safety 2021-08-03 2021-08-19 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-08-03 2021-08-19 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-08-03 2021-08-19 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-08-03 2021-08-19 N
Have an externally vented heating system. Fire Safety 2021-08-03 2021-08-19 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2021-08-03 2021-08-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-03 2021-08-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-08-03 2021-08-19 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2021-08-03 2021-08-19 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-07-16 2021-08-13 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-07-16 2021-08-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-07-16 2021-08-13 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 2021-07-16 2021-08-13 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-16 2021-08-13 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-16 2021-08-13 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 2021-07-16 2021-08-13 N
Provide and implement an infection prevention and control program. Health 2021-07-16 2021-08-13 N

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