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Provider Name: COUNTRYSIDE REHAB AND HEALTHCARE CENTER
Provider Type: Nursing Home
Inspection Data from January 1, 2008 to present
Export Results
Survey Date
Inspection Type
Track ID
Deficiency
Severity and Scope
Class
Requirement Description
Correction Date
05/09/2025
Fire/Life/Safety
RWQL
N0132
F
3
EMERGENCY ENVIRONMENTAL CONTROL
06/26/2025
02/19/2025
Complaint
5ZT7
F0656
D
DEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN
03/19/2025
02/19/2025
Complaint
5ZT7
N0072
D
3
COMPREHENSIVE CARE PLANS
03/19/2025
10/03/2024
Complaint
WI9G
None
None
None
None
None
None
09/19/2024
Standard
5N2D
F0578
D
REQUEST/REFUSE/DSCNTNUE TRMNT;FORMLTE ADV DIR
10/14/2024
09/19/2024
Standard
5N2D
F0759
D
FREE OF MEDICATION ERROR RTS 5 PRCNT OR MORE
10/14/2024
09/19/2024
Standard
5N2D
F0761
D
LABEL/STORE DRUGS AND BIOLOGICALS
10/14/2024
09/19/2024
Standard
5N2D
F0791
D
ROUTINE/EMERGENCY DENTAL SRVCS IN NFS
10/14/2024
09/19/2024
Standard
5N2D
F0880
E
INFECTION PREVENTION & CONTROL
10/14/2024
09/19/2024
Standard
5N2D
N0054
E
3
FOLLOW PHYSICIAN ORDERS
10/14/2024
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