Inspection visit
Inspection
Citations
15 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0032GeneralS&S Dpotential for harm
Provide primary/alternate means for communication.
- 0033GeneralS&S Dpotential for harm
Establish methods for sharing information.
- 0034GeneralS&S Dpotential for harm
Provide a means of sharing information on occupancy/needs.
- 0026GeneralS&S Dpotential for harm
Establish roles under a Waiver declared by secretary.
- 0029GeneralS&S Dpotential for harm
Develop a communication plan.
- 0030GeneralS&S Dpotential for harm
List the names and contact information of those in the facility.
F914 - Be designed or equipped to assure full visual privacy for each
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
F920 - Dining and Resident Activities
Ensure proper usage of power strips and extension cords.
- 0006GeneralS&S Dpotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0009GeneralS&S Dpotential for harm
Include a process for Emergency Preparedness collaboration.
- 0015GeneralS&S Dpotential for harm
Address subsistence needs for staff and patients.
- 0024GeneralS&S Dpotential for harm
Establish policies and procedures for volunteers.
- 0036GeneralS&S Dpotential for harm
Establish emergency prep training and testing.
- 0039GeneralS&S Dpotential for harm
Conduct testing and exercise requirements.
- 0353GeneralS&S Dpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
FAQ · About this visit
Common questions about this visit
What happened during the February 6, 2019 survey of COUNTRYSIDE POST-ACUTE AND REHABILITATION CENTER?
This was a inspection survey of COUNTRYSIDE POST-ACUTE AND REHABILITATION CENTER on February 6, 2019. The surveyor cited 15 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at COUNTRYSIDE POST-ACUTE AND REHABILITATION CENTER on February 6, 2019?
Yes, 15 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide primary/alternate means for communication."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.