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Deficiency Records for Countryside Meadows
A list of the most recent deficiencies for Countryside Meadows. 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 Meadows. 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? |
|---|---|---|---|---|
| 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 | 2024-08-01 | 2024-08-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-01 | 2024-08-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-01 | 2024-08-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-01 | 2024-08-22 | Y |
| 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 | 2024-08-01 | 2024-08-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-01 | 2024-08-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-18 | 2024-07-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-19 | 2024-02-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-19 | 2024-02-16 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-01-19 | 2024-02-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-31 | 2023-09-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-31 | 2023-09-23 | 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 | 2023-08-31 | 2023-09-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-31 | 2023-09-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-31 | 2023-09-23 | 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 | 2023-08-31 | 2023-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-09-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-31 | 2023-09-23 | 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 | 2023-09-11 | 2023-09-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-11 | 2023-09-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-19 | 2023-06-30 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-25 | 2023-05-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-26 | 2022-10-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-26 | 2022-10-26 | Y |
| Meet other general requirements. | Fire Safety | 2022-06-27 | 2022-08-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-27 | 2022-08-10 | 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 | 2022-06-27 | 2022-08-10 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-06-27 | 2022-08-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-27 | 2022-08-10 | 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 | 2022-06-27 | 2022-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-27 | 2022-08-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-27 | 2022-08-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-27 | 2022-08-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-27 | 2022-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-27 | 2022-08-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-27 | 2022-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-27 | 2022-08-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-30 | 2022-07-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-23 | 2022-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-23 | 2022-06-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-23 | 2022-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-23 | 2022-06-24 | 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 | 2022-05-23 | 2022-06-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-23 | 2022-06-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-23 | 2022-06-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-23 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-23 | 2022-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-23 | 2022-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-02-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-06 | 2021-11-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-06 | 2021-11-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-06 | 2021-11-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-06 | 2021-11-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-06 | 2021-11-08 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-28 | 2020-02-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-06 | 2020-01-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-06 | 2020-01-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-06 | 2020-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-06 | 2020-01-05 | 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 | 2019-12-06 | 2020-01-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-12-06 | 2020-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-06 | 2020-01-05 | N |
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