Inspection Reports for Country Rest Home

An unannounced follow-up survey was conducted to the complaint survey ending November 7, 2025, to assess compliance with regulatory requirements.

The facility was found to be in substantial compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care as of November 21, 2025.

An unannounced complaint survey was conducted from November 5 through November 7, 2025, to investigate allegations of abuse and neglect involving specific residents.

The facility failed to prevent sexual abuse between residents with cognitive impairments, failed to report abuse allegations within required timeframes, and did not properly update or implement care plans and staff education. Corrective actions included mandatory staff in-service training, revised care plans, and enhanced monitoring and reporting procedures.

The complaint investigation was substantiated. The facility failed to prevent sexual abuse between residents (R1 and R2) and failed to report the abuse allegation within the required two-hour timeframe. The facility also failed to update care plans and educate staff adequately.

An unannounced Annual, Complaint and Emergency Preparedness Survey was conducted at the facility from October 1, 2025, through October 6, 2025.

The survey identified multiple deficiencies related to notification of changes, abuse reporting, comprehensive care plans, respiratory care, physician visits, unnecessary drugs, quality assessment, training requirements, and other regulatory compliance areas. Root causes often involved lack of staff education, inconsistent monitoring, and inadequate documentation.

The survey included complaint investigations related to failure to notify physician of critical changes, failure to report abuse allegations timely, and failure to provide respiratory care per standards. Some residents and employees were impacted and unable to correct the deficiencies.

An unannounced Annual, Complaint and Emergency Preparedness Survey was conducted at the facility from August 21, 2024, through August 26, 2024.

The survey identified deficiencies including lack of dementia training for some employees, failure to complete comprehensive resident assessments and care plans within required timeframes, and medication administration errors resulting in a resident being sent to the emergency room. Corrective actions and plans for improvement were documented.

The survey included complaint investigation components as deficiencies were identified related to dementia training, resident assessments, care planning, and medication administration.

An unannounced Focused Infection Control and Complaint survey was conducted at the facility on September 16, 2021, to assess compliance with infection control regulations and investigate a complaint.

The facility failed to follow CDC guidance for the use of PPE, specifically disposable gowns, which were found hanging used and contaminated in the COVID-19 unit. Staff education and corrective actions were implemented during the survey.

The survey was triggered by a complaint and focused on infection control practices related to PPE use in the COVID-19 unit. The complaint was substantiated based on observations and interviews.

An unannounced annual and complaint survey was conducted at this facility beginning January 31, 2017 and ending February 3, 2017.

The facility was found deficient in multiple areas including failure to post the State Survey Agency phone number, failure to report abuse allegations timely, inadequate training on abuse prevention, failure to provide care in a respectful and dignified manner, failure to adequately assess and manage pain, failure to prevent pressure ulcers, failure to ensure timely medication administration, failure to maintain infection control, failure to maintain resident call system, and failure to ensure safety and accessibility of bathrooms.

Complaint investigation was incorporated into the annual survey. Findings related to abuse reporting and training were substantiated.

An unannounced complaint visit was conducted at the facility from October 25 through October 28, 2013, to investigate allegations related to resident care and facility compliance.

The facility failed to provide appropriate mental and psychosocial care to a resident who committed suicide during the survey period. Additionally, the facility failed to ensure the resident environment was free of accident hazards, specifically failing to secure weapons, and failed to provide adequate supervision and psychosocial services. Other deficiencies included failure to have proper refund and prepayment policies, failure to have signed contracts for payment, and failure to complete inventories of residents' personal effects.

The complaint investigation was substantiated. The resident (R1) committed suicide on 10/15/13 in his room at the facility. The investigation revealed multiple failures including lack of psychosocial care, failure to monitor and secure weapons, and failure to coordinate psychiatric care.