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Countryside Nursing & Rehab Ctr

Details

Type of Ownership For profit - Partnership
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 197
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 07/22/2011

Date of last standard health inspection: 07/22/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in IL: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in IL: 0 - 11

Inspection, 00/05/2010

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/05/2010 02/07/2010 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 00/05/2010 02/07/2010 Few with timetables and actions that can be measured.

Inspection, 03/01/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 03/01/2008 02/01/2009 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 03/01/2008 02/01/2009 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 03/01/2008 02/01/2009 2 Few
Have a program that investigates, controls and keeps infection from spreading. 03/01/2008 02/01/2009 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 03/01/2008 02/01/2009 1 Many
Provide a safe 03/01/2008 02/01/2009 comfortable and home-like environment; and allow r clean
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 03/01/2008 02/01/2009 2 Few
Make sure that the nursing home area is safe 03/01/2008 02/01/2009 clean and comfortable for residents easy to use
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 03/01/2008 02/01/2009 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 03/01/2008 02/01/2009 2 Some
Ensure that residents are safe from serious medication errors. 03/01/2008 02/01/2009 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 03/01/2008 02/01/2009 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 03/01/2008 02/01/2009 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/01/2008 02/01/2009 2 Few
Ensure residents maintain acceptable nutritional status. 03/01/2008 02/01/2009 2 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 03/01/2008 02/01/2009 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 03/01/2008 02/01/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 03/01/2008 02/01/2009 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 03/01/2008 02/01/2009 2 Some
Reasonably accommodate the needs and preferences of each resident. 03/01/2008 02/01/2009 2 Few

Inspection, 01/02/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/02/2008 00/08/2009 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/02/2008 00/08/2009 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide food in a way that meets a resident's needs. 01/02/2008 00/08/2009 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 01/02/2008 00/08/2009 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 01/02/2008 00/08/2009 2 Few

Inspection, 02/02/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2007 01/09/2008 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/02/2007 01/09/2008 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 02/02/2007 01/09/2008 1 Some
Provide housekeeping and maintenance services. 02/02/2007 01/09/2008 1 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/02/2007 01/09/2008 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/02/2007 01/09/2008 2 Some
Ensure that residents are safe from serious medication errors. 02/02/2007 01/09/2008 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/02/2007 01/09/2008 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2007 01/09/2008 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/02/2007 01/09/2008 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/02/2007 01/09/2008 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 02/02/2007 01/09/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/02/2007 01/09/2008 2 Some
Develop a complete care plan that meets all the resident's needs 02/02/2007 01/09/2008 Some with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are fully informed and understand their health status, care and treatments. 02/02/2007 01/09/2008 2 Some
Let residents choose whether to manage their own money or deposit it with the nursing home. 02/02/2007 01/09/2008 2 Few

Inspection, 02/05/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/05/2004 03/00/2004 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 02/05/2004 02/05/2004 Some with timetables and actions that can be measured.

Inspection, 00/01/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/01/2002 03/00/2004 3 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in IL Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 93 159
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 51 hours 18 minutes 51 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 50 hours 44 minutes 22 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 50 hours 52 minutes 29 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 52 hours 11 minutes 1 hour 10 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 09/23/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/23/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in IL: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in IL: 0 - 0

Inspection, 01/01/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/01/2009 01/02/2010 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 01/01/2009 01/02/2010 2 Few
Corridor and hallway doors that block smoke. 01/01/2009 01/02/2010 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/01/2009 01/02/2010 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/01/2009 01/02/2010 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 01/01/2009 01/02/2010 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/01/2009 01/02/2010 2 Few

Inspection, 00/02/2009

Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 00/02/2009 02/01/2009 2 Many
 

1635 East 154th Street
Dolton, IL 60419

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