Country Health

In the surveyor’s words

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

• Actual harm, isolatedF600Apr 22, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse for two (R4 and R6) of three residents reviewed for resident-to-resident physical contact on a sample list of three residents. The facility failed to assess, care plan, and implement effective interventions following repeated altercations. This failure resulted in a physical injury (skin tear) to R6, with actual harm.Findings include:Review of the facility's Abuse Policy, revised 01/29/2026, documented that all residents have the right to be free from verbal, sexual, physical, and mental abuse. […]

• Actual harm, isolatedF742Apr 22, 2026

  Based on observation, interview, and record review, the facility failed to ensure appropriate behavioral health services were provided for two (R4 and R6) of three residents reviewed for behavioral concerns, when the facility failed to implement effective behavioral health interventions, failed to provide coordinated behavioral health services, and failed to ensure adequate assessment and communication regarding psychotropic medication management. These failures resulted in continued unsafe behaviors and a resident-to-resident physical altercation that caused actual harm (skin tear) to R6.Findings Include:Facility has no Policy on Behavioral ServicesReview of the Electronic Health Record (EHR) revealed R4 had diagnoses including Frontotemporal Neurocognitive Disorder, Dementia with… […]

• Actual harm, isolatedF689Oct 21, 2025

  Based on observation, interview, and record review the facility failed to implement interventions to prevent a fall for one resident (R1) of three residents reviewed for falls in a sample list of three residents. This failure caused R1 to fall sustaining an acute nasal Fracture and a laceration to (R1's) nose requiring five sutures to close.Findings Include:R1's Care Plan updated 10/14/25 includes the following diagnoses: Osteoarthritis, Heart Disease, Lumbar Disc Displacement, Anxiety, Vertigo, Repeated Falls, Glaucoma, Type II Diabetes, Difficulty in Walking, and Psychotic Disturbance with Hallucinations.R1 Fall Risk assessment dated [DATE] document R1 as being at high risk for falls and having a recent history of falls. […]

• Actual harm, isolatedF689Dec 11, 2024

  Based on interview and record review the facility failed to supervise a resident after providing the resident with a hot beverage. This failure affects one (R504) is one of three residents reviewed for supervision in the sample of 3. This failure resulted in R504 spilling hot liquid on R504's lap sustaining redness and 6 blistered areas to R504's bilateral upper extremities requiring subsequent treatment for 3days. Findings Include: R504's Facility Census documents R504 was admitted to the facility on [DATE] and has the following medical diagnoses: Congestive Heart Failure, Reflux Disease, Alzheimer ' s Disease, Dementia, Difficulty in Walking, Age-Related Physical Debility, Muscle Wasting and Atrophy, Fall, Muscle Weakness, Hypertension, , Cognitive Communication Deficit, Repeated Falls,… […]

• Actual harm, isolatedF686Oct 23, 2024

  Based on observation, interview and record review the facility failed to provide targeted interventions to prevent skin breakdown, failed to assess, evaluate and document resident skin on a regular basis, and failed to obtain appropriate treatment orders for pressure ulcers for two (R20, R58) of five residents reviewed for pressure ulcers from a total sample list of 44 residents. These failures resulted in one resident (R20) developing a new, unstagable, deep tissue injury and a second resident (R58) developing seven, new stage two pressure wounds. […]