Country Care Manor

Inspectors wroteBased on interview and record review, the facility failed to ensure the residents' clinical record was complete and accurate for 2 (Resident #3, Resident #50) in that: 1. Resident #3's facesheet, care plan, and physician orders did not match. 2. Resident #50's diet order was missing from the clinical record for one month. This deficient practice could result in delayed or improper care due to inaccurate clinical records.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public on 5 of 12 resident rooms (rooms 101, 105, 107, 108, and 110) and 3 of 3 areas (hallway 100 shower room A, laundry room, and the maintenance office) reviewed for environmental concerns: The facility failed to repair bathroom ceiling vents in rooms #'s 101, 105, 107, 108 and 110, a non-functioning light in room # 110, a ceiling vent in the # 100 resident hallway shower room, a ceiling light in the laundry room, and a ceiling vent in the Maintenance office. These failures could place residents and staff at risk of a diminished quality of life due to exposure to an environment that is unpleasant, unsanitary, and unsafe.

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, interview, and record review, the facility failed to ensure that residents received appropriate treatment and services to prevent urinary tract infections for 1 of 8 residents (Resident #25) who were reviewed for indwelling urinary catheter care, in that: Resident #25's indwelling urinary catheter bag was on the floor. These failures could affect residents with indwelling urinary catheters, placing them at risk of urinary tract infections.

Inspectors wroteBased on interview and record review, the facility failed to inform the resident if the facility determines that the physician chosen by the resident is unable or unwilling to meet requirements for 1 of 3 residents (Resident #1) reviewed for physician services. The facility failed to inform Resident #1 that his chosen physician did not meet the facility requirements and allow the resident to select a new physician while he was hospitalized beginning on 10/17/2025, leading to the facility refusing readmission of Resident #1. This failure could result in inappropriate discharges or decreased quality of life.

Inspectors wroteBased on interview and record review, the facility failed to permit a resident to return to the facility after hospitalization for 1 of 3 residents (Resident #1) reviewed for discharge rights. The facility failed to allow Resident #1 to return to the facility after hospitalization on 10/17/2025. This failure could lead to psychosocial harm and decreased quality of life.

Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 4 of 8 residents (Residents #12, #24, #40, and #46) reviewed for oral care. 1. Resident #46 was not assisted with brushing her teeth on 09/17/2024. 2. Resident #40 was not assisted with brushing her teeth on 09/17/2024. 3. Resident #12 was not assisted with brushing her teeth on 09/17/2024. 4. Resident #24 was not assisted with brushing her teeth on 09/17/2024. These failures could place residents at risk for a decline in health status with dental caries and oral infections.

Inspectors wroteBased on interviews and record reviews the facility failed to record in residents' medical records sufficient information to identify the Resident and services provided, for 4 of 8 residents (Residents #12, #24, #40 and #46) reviewed for services provided with activities of everyday life hygiene. 1. CNA B had no log in ID number to document care services provided to residents for 2 weeks. 2. CNAs had not documented oral care that was offered, preformed, and or refused for Resident #46 during the review period of September 2024. 3. CNAs had nowhere to document oral care that was offered, preformed, and or refused for Resident #40. 4. CNAs had nowhere to document oral care that was offered, preformed, and or refused for Resident #12. 5. CNAs had nowhere to document oral care that was offered, preformed, and or refused for Resident #24. [...]

Inspectors wroteBased on observations, interviews, and record review the facility failed to provide a safe, functional, sanitary, and comfortable environment for Residents for two (Hall 100 and 200) of six shower rooms observed for environment and 1 laundry room reviewed for a safe, functional, sanitary, and comfortable environment. 1. The facility failed to ensure Residents' shower rooms on Halls 100 and 200 were clean, safe, and in good repair. 2. The facility failed to ensure the laundry washroom was clean, safe, and in good repair. 3. The ceiling vent in the bathroom of Resident room [ROOM NUMBER] had dirt and rust on the vent slats and parameter surface. 4. The bathroom door of Resident room [ROOM NUMBER] had a large indention on the bottom of wood surface of the door. This failure could place residents at risk for diminished quality of life due to the lack of a well-kept environment.

Inspectors wroteBased on interview, and record review, the facility failed to ensure Quality Assurance Performance Improvement (QAPI) Training that outlines and informs staff of the elements and goals of the facility's QAPI program for 3 of 22 staff (CNAs G &H and LVN I) reviewed for training, in that: The facility failed to ensure that 3 of 22 staff (CNAs G&H and LVN I) had completed their mandatory QAPI annual training. This failure could place residents at risk for care by C.N.A. and L.V.N staff who had been insufficiently trained while working in the facility.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a safe, clean, comfortable, and homelike environment for three (3) of twenty-two (22) residents (Resident #11, Resident #23, and Resident #39) reviewed in that: 1. There was a 1.5 inch by 18-inch scrape on the bathroom wall in room [ROOM NUMBER] in which Resident #11 and Resident #39 resided. 2. There was a hole in the wall and approximately one half of the baseboard along the same wall was loose in the bathroom of Resident #23's room. These failures could result in residents living in an environment that is not safe, clean, comfortable, and homelike in nature.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents for 1 of 4 halls (Hall 100) observed for environment, in that: The facility failed to ensure potential hazards were locked up in Hall 100 This deficient practice could place residents at risk of a diminished quality of life due to an unsafe environment.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one (1) of 1 kitchen, in that: The facility failed to ensure that dietary staff were wearing hair restraints and that the ceiling light covers were kept clean. This deficient practice could place residents who received meals and snacks from the kitchen at risk for food borne illness.