Countryside

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF638Dec 15, 2022

  Based on record review and staff interviews, the facility failed to complete quarterly Minimum Data Set (MDS) assessments no later than 14 days after the Assessment Reference Date (ARD, the last day of the look-back period) for 4 residents (Residents #8, #7, #14, and #16) reviewed for resident assessments. The findings included: 1. Resident #8 was admitted to the facility on [DATE]. Review of the resident's Minimum Data Set (MDS) assessment revealed a quarterly MDS had an Assessment Reference Date (ARD, the last day of the look-back period) of 11/21/22. […]

• No harm, potential for more than minimal, isolatedF689Jun 25, 2026

  Based on observations, return demonstration, record review and staff interviews, the facility failed to provide care in a safe manner when Resident #8 rolled out of bed with the bed raised to a high position hitting the floor during incontinence care. Resident #8 was transported to the Emergency Department and diagnosed with a mildly displaced fracture of the proximal metaphysis of the tibia, likely subacute (a break in the upper part of the shinbone [tibia] near the knee, where the bone is slightly out of alignment and has likely been healing for a few days to weeks). The facility also failed to provide care in a safe manner when Resident #3 was left alone with the bed in the highest position and the bed rail down. […]

• No harm, potential for more than minimal, isolatedF761Jun 25, 2026

  Based on observations and staff interviews, the facility failed to remove loose and unsecured pills of various shapes, sizes and colors in 2 of 2 medication carts (Front Hall Medication Cart #1 and Back Hall Medication Cart #1) reviewed for medication storage.The findings included:a. An observation was conducted on 6/23/26 at 3:10 pm of Front Hall Medication Cart #1 in the presence of Nurse #1. The observation revealed the following medications were stored in the medication cart:-Two loose small round white tablets with the marking EP 116 found in the second drawer of the medication cart,-One loose medium round white tablet with the marking 502 found in the second drawer of the medication cart,-Two loose small oblong white tablets with marking A found in the second drawer of the medication… […]

• No harm, potential for more than minimal, isolatedF880Jun 25, 2026

  Based on observations, record reviews, and staff interviews, the facility failed to follow their Infection Control policies and procedures for hand hygiene when Nurse Aide (NA) #1 failed to remove her gloves and sanitize her hands before opening Resident #3's room door to obtain additional washcloths during incontinent care, and when Nurse #3 failed to sanitize her hands after medication administration and contact with Resident #19. The deficient practice occurred for 2 of 7 staff observed for infection control practices (NA #1 and Nurse #3).The findings included:Review of the facility's Standard Precautions policy and procedure last revised on 10/2025 revealed the following:Hand hygiene:Hand hygiene refers to hand washing with soap or the use of alcohol-based hand rub, which does not… […]

• No harm, potential for more than minimal, isolatedF641May 2, 2025

  Based on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment in the areas of respiratory care and active diagnosis for 2 of 14 residents reviewed for MDS accuracy (Residents #32 and #41). The findings included: 1. Resident #32 was admitted to the facility on [DATE] with diagnoses that included pneumonia. A record review indicated Resident #32 had a physician order dated 9/1/24 for oxygen via nasal canula at 2 liters per minute to maintain oxygen level of greater than 92%. A record review of Resident #32's February 2025 Medication Administration Record (MAR) revealed oxygen therapy was administered daily. The quarterly Minimum Data Set (MDS) assessment dated [DATE] did not indicate Resident #32 had received oxygen therapy. […]