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Countryside Manor Health & Living Community, Llc
205 MARINE DRIVE
Anderson, IN 46016
(765) 649-4558
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 109 |
| Number of Residents: | 91 |
| Percent of Occupied Beds: | 83% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071002 | Health | Nutrition and Dietary Deficiencies | 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | Pattern | Minimal harm or potential for actual harm | 20071105 |
| 20071105 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20071228 |
| 20080123 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Actual harm | 20080215 |
| 20080123 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20080215 |
| 20080123 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Actual harm | 20080215 |
| 20080123 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080215 |
| 20080617 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080722 |
| 20080617 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20080722 |
| 20080617 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm | 20080722 |
| 20080814 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm | 20080902 |
| 20080814 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20080902 |
| 20080814 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20080902 |
| 20090206 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Pattern | Minimal harm or potential for actual harm | 20090308 |
| 20090206 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Pattern | Minimal harm or potential for actual harm | 20090308 |
| 20090729 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20090909 |
| 20091215 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20100108 |
| 20100729 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20100828 |
| 20100729 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20100828 |
| 20100729 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20100903 |
| 20100729 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20100903 |
| 20100810 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm | 20100903 |
| 20100810 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm | 20100903 |
| 20100810 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20100903 |
| 20100810 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20100903 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 99 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 96 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 26 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 11 | |
| Percent of low-risk long-stay residents who have pressure sores: | 6 | |
| Percent of long-stay residents who were physically restrained: | 1 | |
| Percent of long-stay residents who are more depressed or anxious: | 18 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 52 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 9 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 0 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 13 | |
| Percent of long-stay residents who had a urinary tract infection: | 13 | |
| Percent of long-stay residents who lose too much weight: | 10 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 98 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 93 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 7 | |
| Percent of short-stay residents who have pressure sores: | 4 | |
| # of Residents: | 91 |
| # RN Hours per Resident: | 0.72 |
| # LPN Hours per Resident: | 1.08 |
| # CNA Hours per Resident: | 1.78 |
| Total Staff Hours per Resident: | 1.8 |
