Countryside Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Aug 21, 2025

  Based on staff interviews, record review, review of the facility policy titled Departmental Supervision, Nursing, and review of the [NAME] Payroll-Based Journal (PBJ) dated January 1, 2025, through March 31, 2025, the facility failed to ensure the required Registered Nurse (RN) coverage of at least eight consecutive hours per day, seven days per week. This deficient practice had the potential to adversely affect all residents residing in the facility. The facility census was 52 residents. Findings include:A review of the facility policy titled Departmental Supervision, Nursing, revised August 2022, revealed the Policy Interpretation and Implementation section included, . 2. A registered nurse provides services at least eight consecutive hours every 24 hours, seven days a week. […]

• No harm, potential for more than minimal, widespreadF568Apr 18, 2024

  Based on staff interviews, record review, and review of the facility policy titled, Resident Trust Policy, the facility failed to ensure money was taken from the Resident Trust Account and used for resident needs for 39 out of 50 (census at time of misappropriation on 2/9/2024) resident. Finding include: Review of the facility policy titled Resident Trust Policy revised 11/6/2023 revealed This Policy has been established to assure compliance with maintaining a complete and accurate accounting of resident funds. It is mandatory that a reconciliation between the Resident Trust Fund and the bank statement be completed monthly. Each quarter it is also a requirement that a resident trust statement be presented to the resident/responsible party. […]

• No harm, potential for more than minimal, widespreadF602Apr 18, 2024

  Based on staff and local police interviews, record review, and review of the facility policy titled Freedom from Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property-Reporting and Investigating, the facility failed to protect the resident's right to be free from abuse by misappropriation of funds by staff for two of 24 sampled residents (R) (R203 and R45) who had trust accounts. Substandard Quality of Care was identified related to Misappropriation of Funds. […]

• No harm, potential for more than minimal, widespreadF725Apr 18, 2024

  Based on staff interviews and review of the Facility Assessment Tool and the Payroll-Based Journal (PBJ) Staffing Data Report Quarter (Q) 1 2024, the facility failed to ensure there was adequate nursing staff to serve their residents. The deficient practice had the potential to adversely affect the care and services provided to the facility residents. The facility census was 48 residents. Findings include: Review of the Facility Assessment Tool updated 2/6/2024 revealed the facility was licensed for 61 beds but the average daily census was 49.7 residents. The Staffing Plan included four licensed nurses working per 12-hour shift, six nurse aides working 12-hour shifts and two nurses' aides working eight-hour shifts to provide direct resident care, and four administrative nurses. […]

• No harm, potential for more than minimal, widespreadF812Apr 18, 2024

  Based on observations, staff interviews, and review of the facility's policy titled, Food Temperature, the facility failed to ensure proper sanitation measures were followed and to uphold appropriate sanitation practices when checking food temperatures. Specifically, the incorrect sanitization of the thermometer between use did not align with food safety standards. The deficient practice posed a risk of foodborne illness for 45 of 48 residents receiving an oral diet. Findings include: A review of the facility's policy titled Food Temperature revealed: All foods prepared for residents to maintain specific temperatures and mandates that thermometers used to measure these temperatures be sanitized between uses to prevent cross-contamination. […]