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Countryside Estates

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 111
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: 01/20/2012

Date of last standard health inspection: 01/20/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in OK: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in OK: 0 - 12
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/07/2012 02/08/2001 Few complete and organized clinical records on each re

Inspection, 01/07/2011

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 01/07/2011 01/05/2012 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/07/2011 01/05/2012 2 Some
Develop a complete care plan that meets all the resident's needs 01/07/2011 01/05/2012 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 01/07/2011 01/05/2012 2 Some

Inspection, 01/09/2010

Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assure that each resident 01/09/2010 01/06/2011 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/09/2010 01/06/2011 2 Few
Develop a complete care plan that meets all the resident's needs 01/09/2010 01/06/2011 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 01/09/2010 01/06/2011 2 Some

Inspection, 01/01/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/01/2004 01/03/2005 1 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/01/2004 01/03/2005 2 Some
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. 01/01/2004 01/03/2005 3 Few
Have a program that investigates, controls and keeps infection from spreading. 01/01/2004 01/03/2005 2 Some
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. 01/01/2004 01/03/2005 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/01/2004 01/03/2005 2 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. 01/01/2004 01/03/2005 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/01/2004 01/03/2005 3 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/01/2004 01/03/2005 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/01/2004 01/03/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/01/2004 01/03/2005 3 Some
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. 01/01/2004 01/03/2005 2 Few
Ensure residents maintain acceptable nutritional status. 01/01/2004 01/03/2005 2 Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/01/2004 01/03/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/01/2004 01/03/2005 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/01/2004 01/03/2005 2 Some
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/01/2004 01/03/2005 2 Some
Keep residents' personal and medical records private and confidential. 01/01/2004 01/03/2005 2 Some

Inspection, 00/03/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 00/03/2004 00/02/2005 Many controls and keeps infection from spreading.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Send unopened mail from residents and promptly deliver unopened mail to residents. 00/03/2004 01/00/2004 2 Some

Inspection, 00/03/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/03/2003 01/07/2004 2 Some
Keep accurate 00/03/2003 01/07/2004 Some complete and organized clinical records on each re
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. 00/03/2003 01/07/2004 3 Some
Have a program that investigates, controls and keeps infection from spreading. 00/03/2003 01/07/2004 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/03/2003 01/07/2004 2 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/03/2003 01/07/2004 3 Some
Have a program that investigates 00/03/2003 01/07/2004 Many controls and keeps infection from spreading.
Make sure that the nursing home area is safe 00/03/2003 01/07/2004 clean and comfortable for residents easy to use
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/03/2003 01/07/2004 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/03/2003 01/07/2004 2 Some
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. 00/03/2003 01/07/2004 3 Some
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/03/2003 01/07/2004 3 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/03/2003 01/07/2004 3 Some
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/03/2003 01/07/2004 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/03/2003 01/07/2004 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 00/03/2003 01/07/2004 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/03/2003 01/07/2004 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/03/2003 01/07/2004 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/03/2003 01/07/2004 2 Some
Conduct initial and periodic assessments of each resident's functional capacity. 00/03/2003 01/07/2004 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 00/03/2003 01/07/2004 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/03/2003 01/07/2004 2 Some
Develop a complete care plan that meets all the resident's needs 00/03/2003 01/07/2004 Some with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 00/03/2003 01/07/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/03/2003 01/07/2004 1 Many
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/03/2003 01/07/2004 2 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 00/03/2003 01/07/2004 1 Some
Give residents a notice of rights 00/03/2003 01/07/2004 services and charges. rules
Immediately tell the resident 00/03/2003 01/07/2004 and a family member of situations (injury/decline/ the resident's doctor
Allow residents to easily view the results of the nursing home's most recent inspection. 00/03/2003 01/07/2004 1 Some

Inspection, 02/00/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/00/2001 00/04/2003 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 02/00/2001 00/04/2003 2 Some
Store, cook, and serve food in a safe and clean way. 02/00/2001 00/04/2003 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/00/2001 00/04/2003 2 Few
Use a registered nurse at least 8 hours a day, 7 days a week. 02/00/2001 00/04/2003 1 Many
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assure that each resident 02/00/2001 00/04/2003 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/00/2001 00/04/2003 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/00/2001 00/04/2003 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/00/2001 00/04/2003 2 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 OK Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 64 88
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 30 minutes 1 hour 25 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 42 minutes 9 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 7 minutes 1 hour 15 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 50 minutes 2 hours 38 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: 01/19/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 01/19/2012
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 OK: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in OK: 0 - 0

Inspection, 01/00/2004

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An externally vented heating system. 01/00/2004 01/03/2005 2 Some
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. 01/00/2004 01/03/2005 2 Some
Corridor and hallway doors that block smoke. 01/00/2004 01/03/2005 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper power supply for life support equipment. 01/00/2004 01/03/2005 1 Many
Properly installed electrical wiring and equipment. 01/00/2004 01/03/2005 2 Some
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. 01/00/2004 01/03/2005 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 01/00/2004 01/03/2005 2 Some

Inspection, 00/02/2003

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/02/2003 01/07/2004 2 Some
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. 00/02/2003 01/07/2004 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/02/2003 00/03/2005 1 Some
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. 00/02/2003 01/07/2004 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/02/2003 01/07/2004 2 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/02/2003 01/07/2004 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/02/2003 01/07/2004 2 Many

Inspection, 01/09/2001

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper power supply for life support equipment. 01/09/2001 00/04/2003 2 Few
Properly installed electrical wiring and equipment. 01/09/2001 00/04/2003 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 01/09/2001 00/04/2003 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/09/2001 00/04/2003 2 Some
 

Highway 64 East
Warner, OK 74469

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