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Facility profile · CCN 555431

Country Hills Post Acute

67 federal citations on record .

Record summary

Federal record · Q1 2026
67
Total citations
54
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

67 on record
SurveyF-TagViolationSeveritySource
Aug 27, 2025F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Jul 29, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 29, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Jul 29, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jul 29, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jun 10, 2025F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Apr 7, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Apr 7, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Apr 7, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Mar 14, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard
Mar 14, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Mar 14, 2025F880Provide and implement an infection prevention and control program.DStandard
Mar 14, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Mar 14, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.EStandard
Mar 14, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Mar 14, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 14, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Mar 14, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 14, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 14, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Mar 14, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 14, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 14, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 14, 2025F641Ensure each resident receives an accurate assessment.EStandard
Mar 14, 2025F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Mar 14, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Mar 14, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Mar 14, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Mar 14, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Feb 21, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Feb 21, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 29, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
Mar 29, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Mar 29, 2024F908Keep all essential equipment working safely.DStandard
Mar 29, 2024F880Provide and implement an infection prevention and control program.EStandard
Mar 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 29, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Mar 29, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FStandard
Mar 29, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Mar 29, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Mar 29, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 29, 2024F732Post nurse staffing information every day.DStandard
Mar 29, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Mar 29, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Mar 29, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Mar 29, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 29, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 29, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Mar 29, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Jan 24, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jan 24, 2024F641Ensure each resident receives an accurate assessment.DComplaint
Oct 19, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Jun 8, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Apr 12, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 9, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 21, 2022F880Provide and implement an infection prevention and control program.EStandard
Apr 21, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 21, 2022F760Ensure that residents are free from significant medication errors.DStandard
Apr 21, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 21, 2022F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Apr 21, 2022F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 21, 2022F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Apr 21, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 21, 2022F679Provide activities to meet all resident's needs.EStandard
Apr 21, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 21, 2022F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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