Inspection Results » Countryside Health Care Center

Health Inspection on April 12, 2019 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-04-23)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-05-12)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-05-12)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-05-12)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-05-12)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-05-12)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide and implement an infection prevention and control program. (Corrected 2019-05-12)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-05-12)
   • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2019-05-12)
   • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2019-05-12)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-05-12)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-05-12)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2019-05-12)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-05-12)
   • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne (Corrected 2019-05-12)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-05-12)
   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2019-05-12)
   • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentÂ’s advance directives. (Corrected 2019-05-12)
   • Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (Corrected 2019-05-12)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-12)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-05-12)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-12)
   • Employ staff that are licensed, certified, or registered in accordance with state laws. (Corrected 2019-05-12)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-05-12)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2019-05-12)
   • Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. (Corrected 2019-05-12)

4. Widespread: No actual harm with potential for minimal harm

   • Post nurse staffing information every day. (Corrected 2019-05-12)

5. Pattern: No actual harm with potential for minimal harm

   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2019-05-12)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2019-05-12)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2019-05-12)