Arbor Care Centers-Countryside LLC

In the surveyor’s words

From the most serious findings on record at Arbor Care Centers-Countryside LLC, in the surveyor’s own words.

• Actual harm, isolatedF760Mar 24, 2026

  Licensure Reference Number 175 NAC 12-006.10(D)Based on record review and interview; the facility failed to ensure 1 resident (Resident 4) of 4 sampled was free of significant medication errors. The facility had a census of 36. Findings are:A. Review of the facility policy Medication Error dated September 2024 revealed a medication error was the preparation, provision, or administration of medications that was not in accordance with the following:-Physician Orders;-Manufacturer's specifications regarding the preparation or administration of the drug;-Accepted professional standards that apply to professionals providing services; and-The five rights which included the right resident, the right drug, the right dosage, the right route and the right time. […]

• Actual harm, isolatedF686Sep 27, 2023

  Licensure Reference Number 175 NAC 12-006.09D2a Based on observations, interviews and record review, the facility failed to implement interventions to prevent Resident 1's pressure sore from developing and worsening and failed to implement interventions to prevent the potential development of a pressure sore for Resident 8. The sample size was 2. The facility census was 31. Findings are: A. Review of the facility policy Pressure Ulcer Prevention Plan dated 2/2020 revealed the following: -Identify high-risk residents by performing comprehensive skin assessments upon admission and re-admission. -Complete a Braden scale (an assessment tool used to determine a person's risk of developing a pressure ulcer) on admission, re-admission, and with a significant change of condition. […]

• No harm, potential for more than minimal, widespreadF880Sep 20, 2021

  Licensure Reference Number 175 NAC 12-006.17 Based on observation, interview, and record review; the facility failed to implement infection control practices to prevent potential cross contamination including the spread of COVID-19 related to: 1) failure to screen facility staff for signs and symptoms of COVID-19 prior to reporting for work, and 2) staff members not correctly utilizing required Personal Protective Equipment (PPE-can include items such as gowns, gloves, masks, goggles, face shields, and foot coverings). This had the ability to affect all facility residents. The total sample size was 5 and the census was 38. Findings are: A. […]

• No harm, potential for more than minimal, patternF628Dec 18, 2025

  Licensure Reference Number 175 NAC 12-006.09G and 175 NAC 12-006.02(A) Based on record review and interview, the facility failed to complete the required discharge notifications to the State Ombudsman when residents were transferred or discharged from the facility and complete discharge summaries for Residents 37 and 39. The sample size was 2 and the facility census was 38. Findings are: A. Review of Resident 37's Care Plan dated 10/10/25 revealed the resident was admitted to the facility with pneumonia and pancreatic cancer. […]

• No harm, potential for more than minimal, patternF880Dec 18, 2025

  Licensure Reference Number 175 NAC 12-006.18(B)(D) Based on observation, record review and interview; the facility failed to implement Enhanced Barrier Precaution (EBP-involved gown and glove use during high-contact resident care activities for residents known to be colonized or infected with a multidrug resistant organism (MDRO-bacteria that have become resistant to certain antibiotics) as well as those at increased risk for MDRO, residents with wounds or indwelling medical devices) during toileting assistance for Resident 2, catheter cares for Resident 10 and wound care for Resident 7; failed to provide cleaning of resident care equipment to prevent cross-contamination and or potential infections for Resident 10 and failed to complete gloving and hand hygiene at appropriate intervals… […]