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Facility profile · CCN 366199

Country Lane Gardens Rehab & Nursing Ctr

110 federal citations on record , including 4 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $54,312.

Abuse Icon Special Focus Status 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
110
Total citations
62
Last 3 years
7
Actual harm+
3
Federal penalties
$54,312
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

110 on record
SurveyF-TagViolationSeveritySource
Dec 15, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Dec 15, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 15, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Nov 26, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Nov 26, 2025F610Respond appropriately to all alleged violations.DComplaint
Nov 26, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 26, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Oct 28, 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
Oct 15, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint
Oct 15, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Oct 15, 2025F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.FComplaint
Oct 15, 2025F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FComplaint
Oct 15, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Oct 15, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Oct 15, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Oct 15, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint
Oct 15, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Oct 15, 2025F692Provide enough food/fluids to maintain a resident's health.GComplaint
Oct 15, 2025F687Provide appropriate foot care.GComplaint
Oct 15, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Oct 15, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 15, 2025F610Respond appropriately to all alleged violations.DComplaint
Oct 15, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 15, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint
Oct 15, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Oct 15, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Oct 15, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 15, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.DComplaint
Aug 15, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 15, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 2, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Jul 2, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 2, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint
Jun 12, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
May 19, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Apr 29, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Apr 29, 2025F610Respond appropriately to all alleged violations.DComplaint
Apr 29, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 8, 2024F881Implement a program that monitors antibiotic use.DStandard
Jul 8, 2024F880Provide and implement an infection prevention and control program.EStandard
Jul 8, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Jul 8, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jul 8, 2024F761Ensure 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
Jul 8, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jul 8, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Jul 8, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard
Jul 8, 2024F692Provide enough food/fluids to maintain a resident's health.JStandard
Jul 8, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jul 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 8, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jul 8, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Jul 8, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jul 8, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Jul 8, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 2, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Apr 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Apr 2, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 2, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 26, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Nov 8, 2023F610Respond appropriately to all alleged violations.EComplaint
Nov 8, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Apr 25, 2022F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Apr 25, 2022F888Ensure staff are vaccinated for COVID-19DStandard
Apr 25, 2022F881Implement a program that monitors antibiotic use.DStandard
Apr 25, 2022F880Provide and implement an infection prevention and control program.FStandard
Apr 25, 2022F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Apr 25, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 25, 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 25, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 25, 2022F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Apr 25, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 25, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 25, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 25, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 25, 2022F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Apr 25, 2022F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard
Apr 25, 2022F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Apr 25, 2022F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Apr 25, 2022F625Notify 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
Apr 25, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Apr 25, 2022F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Apr 25, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 25, 2022F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard
Sep 26, 2019F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.CStandard
Sep 26, 2019F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard
Sep 26, 2019F880Provide and implement an infection prevention and control program.DStandard
Sep 26, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Sep 26, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Sep 26, 2019F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
Sep 26, 2019F803Ensure 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.EStandard
Sep 26, 2019F758Implement 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
Sep 26, 2019F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Sep 26, 2019F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Sep 26, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 26, 2019F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Sep 26, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Sep 26, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Sep 26, 2019F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Sep 26, 2019F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $54,312 .

DateTypeFinePayment denial
Apr 29, 2025Fine$17,345
Jul 8, 2024Fine$26,737
Apr 2, 2024Fine$10,230
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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