Countryside Care Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF607Jun 3, 2021

  Based on interview and record review, the facility failed to implement their Abuse policy by not removing an alleged perpetrator (V8/CNA/Certified Nursing Assistant) from direct resident care after an incident of verbal and mental abuse, not educating staff on resident behavioral management to prevent abuse, not educating staff on burnout, frustration, and stress, and not developing/implementing a care plan to address R1's behaviors that may lead to conflict/abuse for one of three residents (R1) reviewed for abuse in the sample of three. […]

• Immediate jeopardy, patternF689Aug 24, 2023

  Based on observation, interview and record review, the facility failed to monitor and supervise a cognitively impaired resident (R1) with an identified elopement history from exiting the building during the deactivation of the facility door alarms. R1 was missing from the facility for hours and was found sleeping under a bush at a gas station on a busy street one mile from the facility. R1 was transported back to the facility by the local Police Department without injury. This failure has the potential to affect all eight Elopement Risk Residents residing in the Facility (R1, R2, R3, R4, R5, R6, R7 and R8). These failures resulted in an Immediate Jeopardy. While the Immediate Jeopardy was removed on 8/23/23, the facility remains out of compliance at a severity level two. […]

• Immediate jeopardy, isolatedF803Jul 26, 2024

  Based on record review and interview the facility failed to ensure one of three residents (R1) reviewed for mechanically altered diets was served the Physician ordered diet. This failure resulted in R1 receiving the wrong texture of diet causing R1 choking on his food requiring back thrusts, the Heimlich maneuver and transfer to the local area hospital. This failure also put R1 at risk for death and/or brain damage from lack of oxygen due to choking. These failures resulted in an Immediate Jeopardy. Findings Include: The Immediate Jeopardy began on 6/23/24 at 5:50 PM when the facility failed to provide the proper mechanically soft diet with ground meat and gravy on all meats as ordered for R1. […]

• Immediate jeopardy, isolatedF600Sep 28, 2021

  Based on observation, interview and record review the facility failed to honor a resident's preference for not receiving a shower resulting in staff forcing resident to take a shower against their will for one of three residents (R1) reviewed for abuse in a sample of six. This failure resulted in R1 feeling sexually violated and fearful of taking future showers while at the facility. This failure resulted in an Immediate Jeopardy. While the immediacy was removed on 9/24/21, the facility remains out of compliance at Severity Level 2 due to the facility's ongoing monitoring of the their plan of correction and QA (Quality Assurance) team meeting to identify residents at risk for abuse who refuse cares to apply proper interventions of those refusals during the QA process. […]

• Immediate jeopardy, isolatedF600Jun 3, 2021

  Based on interview and record review, the facility failed to ensure a resident (R1) was free from verbal and mental abuse and failed to recognize these allegations as abuse for one of three residents (R1) reviewed for abuse in the sample of three. These failures resulted in R1 sustaining verbal and mental abuse from a staff member (V8/Certified Nursing Assistant), resulting in an escalation of R1's behaviors. These failures resulted in an Immediate Jeopardy. While the immediacy was removed on 6-3-21, the facility remains out of compliance at a Severity Level 2 as the facility continues to educate all staff and all newly hired staff on de-escalation techniques to reduce behaviors, abuse prevention and the reporting reasonable suspicion of a crime to the facility abuse coordinator. […]