Countryside Meadows

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Feb 18, 2021

  Based on record review and interview, the facility failed to ensure nursing staff accurately and thoroughly assessed and completed neurological checks after a resident fell , and when the resident fell a second time on the same day, staff failed to report or document the fall, resulting in a lack of assessment and delay of treatment for [REDACTED]. The Immediate Jeopardy began on [DATE] when Resident C had two unwitnessed falls. Staff assisted the resident up after the second fall, but failed to document the fall, or initiate the fall protocol to ensure neurological assessments were conducted. Staff failed to accurately assess Resident C's change in condition until family observed the change in the resident's condition. […]

• Actual harm, isolatedF689Nov 10, 2025

  Based on observation, interview, and record review, the facility failed to ensure the environment was free from the potential for accidents when a protective cap for a bedframe end-piece was missing which resulted in actual harm when a resident (Resident B) sustained an 18 centimeter (cm) long by 5 cm wide avulsion skin tear which required 6 sutures for 1 of 3 residents reviewed for accidents. Findings include:On 11/10/25 at 10:40 a.m., Resident B's room was observed with the Administrator (ADM) who indicated that during a transfer from her wheelchair to her bed, Resident B's leg was injured, by the metal bedframe, where there was an approximate 5-inch gap between the head of the bed frame, and the center frame. […]

• Actual harm, isolatedF690Aug 1, 2024

  Based on interview and record review, the facility failed to ensure lab specimens were obtained immediately with symptoms of urinary tract infection and laboratory results were reviewed in a timely manner for a resident with an indwelling urinary catheter to prevent urinary tract infection for 1 of 3 residents reviewed for quality of care (Resident F). This deficient practice resulted in a delay of treatment and the resident developed urosepsis with acute kidney failure with a systemic inflammatory response syndrome (SIRS) and died . Findings include: During a confidential interview, it was indicated Resident F's family member received a phone call on [DATE]. […]

• No harm, potential for more than minimal, patternF558Oct 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure call lights were in reach for 4 of 8 residents reviewed for call lights (Resident 25, 50, 52, and 72). Findings include: 1. On 10/4/24 at 11:55 a.m., Resident 25's call light was observed out of reach. Her diagnoses included, but were not limited to, right-sided hemiplegia (loss of strength or paralysis), atrial fibrillation (irregular heartbeat), hypertension (HTN) (high blood pressure), paroxysmal tachycardia (episodes of rapid heart rate), convulsions (sudden, violent, irregular movement of a limb or the body cause by involuntary contraction of the muscles), osteoporosis (OP) (bone disease that causes bones to become weak and more likely to break), and anxiety disorder (excessive and persistent feelings… […]

• No harm, potential for more than minimal, patternF761Oct 7, 2024

  Based on observation and record review, the facility failed to ensure medications were labeled and dated for 3 of 3 medication carts reviewed for medications (Resident 47, 49, 56, 83, 86, 106, 112, and 278). Findings include: On [DATE] at 1:53 p.m., the 500 back hall medication cart was observed with Qualified Medical Assistant (QMA) 11. The findings were: a The facility tuberculin serum was opened [DATE] and expired on [DATE]. b. Resident 83's was sent to the facility on [DATE] but had no opened date. c. Resident 86's had latanoprost was observed in the medication cart with only his name and date to indicate when it was opened d. Resident 112's had budesonide-formoterol with no date. The 500 front medication cart was observed with Registered Nurse (RN) 20. […]