Country Hills Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Mar 18, 2026

  Based on observation, interview and record review, the facility failed to ensure three of five sampled residents were free from significant medication errors (an error which causes the resident discomfort or jeopardizes his or her health and safety) when: 1. Resident 1 received a fentanyl patch (a potent pain medication) which belonged to another resident (Resident 2) without a physician's order. 2. Resident 2 was not administered a fentanyl patch by nursing staff as ordered by the physician. 3. A fentanyl patch was administered to Resident 2 without verification that the previously administered fentanyl patch was removed. 4. A Licensed Nurse (LN) 3 did not properly identify (establish or indicate who someone is) Resident 3 prior to administering medications. […]

• No harm, potential for more than minimal, widespreadF812Mar 14, 2025

  Based on observation, interview, and record review, the facility failed to ensure kitchen staff maintained sanitary food practices when: 1. Drying racks and a drying cart were not clean; and 2. The hanging sprinkler system (Ansel) heads above the stove were covered in dust; and 3. A beard net was not being worn by a dishwasher; and 4. A dishwasher aide did not wash his hands after removing trash and reentering the kitchen. These failures had the potential for cross contamination and to cause food borne illness. Findings: 1. An observation and interview was conducted with Dietary Manager (DM) of the 3-compartment sink area on 3/12/25 at 8:17 A.M., Large pots and pans were upside down, air drying on 3-rack metal shelves next to the 3-compartment sink area. […]

• No harm, potential for more than minimal, widespreadF802Mar 29, 2024

  Based on observation, interview, and record review, the facility failed to ensure the kitchen staff competently carried out the functions of the food and nutrition services department when: 1. A Dietary Aide (DA 1) dishwasher was unable to determine the correct wash, rinse and sanitizing temperatures and process. 2. A Cook (CK 2) did not prepare the beef roast correctly using the cool down process for cooking hot foods. These failures had the potential to expose dishes to to unsanitary practices and contaminate the food which could result in food borne illness among all residents who consume food from the kitchen. The facility census was 294. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF812Mar 29, 2024

  Based on observation, interviews, and record reviews the facility failed to ensure safe and sanitary conditions were maintained in the kitchen for food preparation tools and food storage methods, according to standards of practice and facility policy when: 1. Three (3) floor sink drains were full of dirt, food debris, trash, and black grime; and one floor sink drain was uncovered. 2. A Kitchen reach-in refrigerator with 7 full cases of 4-ounce Ready shake chocolate flavor milkshakes (75 milkshakes per case), and 3 cases with 10 Ready shakes of vanilla flavor, and the quart of lactaid milk with a broken thermometer. 3. […]

• No harm, potential for more than minimal, patternF558Jun 10, 2025

  ountry Hills 558-E Accommodation of Needs Based on observation, interview, and record review, the facility failed to provide residents with an alert call system for 20 of 44 Residents (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 13, 14, 15, 17, 19, 20, 21, 22, and 23) in order for staff to respond to their needs, after their electronic call system stopped working on Station 3 North, when reviewed for Accommodation of Needs. In addition, three of the 21 residents (23, 24, and 25) with manual call bells had their call bells out of reach. This failure had the potential for 26 Residents to not have their needs met in a timely manner. […]