Country Drive Post Acute

In the surveyor’s words

From the most serious findings on record at Country Drive Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 6, 2025

  Based on interview and record review, the facility failed to ensure for one out of three sampled residents (Resident 1), monitoring and interventions were in place to prevent development of pressure ulcer (skin and soft tissue injuries that develop due to prolonged pressure exerted over specific areas of the body). Resident 1 developed a pressure ulcer on posterior of the right lower leg where an immobilizer (a device used to support and stabilize the leg and knee) was applied. […]

• No harm, potential for more than minimal, widespreadF725Apr 24, 2025

  Based on interview, and record review the facility failed to ensure a minimum of 3.5 Direct Care Service Hours Per Patient Day (DHPPD - refers to the minimum number of direct care service hours a facility is required to provide to each resident per day) and a minimuim of 2.4 Certified Nursing Assistant (CNA) DHPPD on ten weekend days. This failure had the potential to result insufficient nursing staff and inadequate nursing care for the facility residents. Findings: During an interview on 4/23/25, at 9:53 a.m., with Staff Developer Assistant (SDA), SDA stated they completed the daily staffing schedule and were required to staff for a minimum of 3.5 DHPPD and 2.4 CNA DHPPD. […]

• No harm, potential for more than minimal, widespreadF812May 18, 2023

  Based on observation and interview, the facility failed to ensure dietary services followed proper sanitation for food service safety when: the three compartment sink was not maintained clean. This failure had the potential to cause cross contamination and an outbreak of food borne illness to 98 residents who received food from the kitchen. Findings: During a concurrent observation and interview, in the initial tour of the kitchen, on 5/15/23, at 10:03 a.m., with Dietary Supervisor (DS), observed the three compartment sink right counter with a green worn out sponge and a silvery mesh, a red bucket, an open box of traditional bakery cornbread mix, and surface of the counter was wet and dirty with brownish black and white food particles. […]

• No harm, potential for more than minimal, patternF572Feb 23, 2026

  Based on interview and record review, the facility failed to provide notice of rights and services prior to or upon admission for four of five sampled residents (Resident 1, 2, 3, and 4), when admission agreements were either delayed or not provided at all.This failure had the potential to result in unnecessary emotional stress, diminished autonomy in making healthcare choices and violation of resident rights.During an interview on 2/23/26 at 11:41 a.m. with Admissions Director (AD), AD stated the admission agreement is very important as it covers information about resident rights, advanced directives, facility and Ombudsman information, arbitration agreement and details on what residents should expect. […]

• No harm, potential for more than minimal, patternF880Aug 8, 2025

  Based on observations, interviews, and record reviews, the facility failed to ensure consistent implementation and proper use of personal protective equipment (PPE) when staff members were not wearing the N95 respirator (respiratory protective device designed to achieve a very close facial fit and very efficient filtration of airborne particles), or N95 respirator was worn improperly. Visitors were not aware of the recommendation to use face mask when visiting their family members. These failures had the potential to affect the health and safety of the residents and visitors due to exposure to respiratory illness.During an observation on 08/08/25 at 2:30 p.m., in the facility's reception area, Licensed Vocational Nurse (LVN) 1 and Housekeeper (HS) 1 were not wearing face masks. […]