Country Village Center, Genesis Healthcare

In the surveyor’s words

From the most serious findings on record at Country Village Center, Genesis Healthcare, in the surveyor’s own words.

• Actual harm, isolatedF760Aug 27, 2026

  Based on interview and record review, the facility failed to ensure that residents were free of significant medication errors which resulted in a resident requiring hospitalization for multiple nights in 1 of 3 residents reviewed for unnecessary medications. (Resident identifier is #1.)Findings include:Review on 8/27/26 of Resident #1's progress note, dated 8/11/26, revealed Resident #1 was sent to the emergency room because a medication error had occurred and nursing staff were concerned about his electrolyte levels.Review on 8/27/26 of Resident #1's laboratory results, dated 8/11/26, revealed that Resident #1's Blood Urea Nitrogen (BUN) was 112 mg/dL (milligrams per deciliter) and creatinine was 6.80 mg/dL. […]

• No harm, potential for more than minimal, patternF812Sep 6, 2024

  Based on observation, interview, and policy review, it was determined that the facility failed to store food in accordance with professional standards for food safety to prevent foodborne illness for 1 of 1 kitchen and 2 of 3 kitchenettes observed. Findings include: Observation on 9/4/24 at approximately 9:55 a.m. with Staff B (Dietary Manager) of the main kitchen milk cooler revealed the following: 1 open container and 1 unopened container of Grave prune juice, both with a manufacturer's use by date of 8/10/24; 10 single serve containers of Dannon Light and Fit yogurts with a manufacturer's use by date of 4/2/24. Observation on 9/4/24 at approximately 10:00 a.m. […]

• No harm, potential for more than minimal, patternF880Sep 6, 2024

  Based on observation, interview, and record review it was determined that the facility failed to follow CDC guidelines for hand hygiene and the use of appropriate Personal Protective Equipment (PPE) to prevent the spread of infection for 32 residents on Transmission Based Precautions (TBP) and 3 residents on Enhanced Barrier Precautions (EBP). Findings include: Isolation Gowns Interview on 9/4/24 at 9:46 a.m. with Staff A (Administrator) revealed that the facility currently had 32 residents on Droplet Precautions for COVID-19 and they resided on all 3 units. Review on 9/4/24 of the facility Resident Matrix, dated 9/4/24, revealed that there were 32 residents on TBP and 3 additional residents who had indwelling devices; who were observed to be on EBP. […]

• No harm, potential for more than minimal, isolatedF880Aug 5, 2026

  Based on observation, interview, and record review, the facility failed to initiate contact precautions for a resident with active symptoms of C.diff (Clostridioides difficile) for 1 of 3 residents reviewed for infection control in a final sample of 16 (Resident identifier is #5). Findings include:Review on 8/6/26 at approximately 8:00 a.m. of CDC's C. diff Facts For Clinicians, dated 4/13/26 revealed, If a patient has 3 or more loose stools in 24 hours isolate patient with possible C.diff immediately, even if you only suspect CDI .Wear gloves and a gown when treating patients with potential infectious diarrhea, including C. diff infection, even during short visits. Gloves are important because hand sanitizer doesn't kill C. diff. […]

• No harm, potential for more than minimal, isolatedF552Sep 11, 2025

  Based on interview and record review, it was determined that the facility failed to inform a resident and/or the resident's representative of the risks and benefits of psychotropic medications for 1 of 5 resident reviewed for unnecessary medications in a final sample of 18 residents. (Resident identifier is #3.)Findings include:Review on 9/10/25 of Resident #3's active physician's orders revealed the following psychotropic medications and start date:Buspirone 5 mg (milligram) give 1 tablet by mouth three times a day for anxiety with a start date of 6/24/25.Lamotrigine 100 mg give 1 tablet by mouth one time day for bipolar disorder with a start date of 6/25/25.Ziprasidone 60 mg give 1 capsule by mouth twice a day with meal or snack for bipolar disorder with a start date of 6/24/25. […]