Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Countryside Health & Rehab Of Newton County during CMS and state inspections, most recent first.
The facility failed to ensure proper infection control during meal service and medication administration. Staff did not perform hand hygiene between serving meal trays, and an LPN accessed an insulin vial multiple times with the same needle without disinfecting it. Additionally, during a boil water notice, a resident used bathroom sink water for oral care, and unsanitary water fountains were accessible, with insufficient measures to prevent use.
The facility failed to accurately complete MDS assessments for two residents. One resident's MDS did not reflect their hospice care, despite having a terminal prognosis and receiving continuous hospice services. Another resident's MDS inaccurately indicated no enteral feeding, despite having a PEG tube and receiving tube feedings. These errors were confirmed by the ADON and LPN/MDS/ADON during a survey.
The facility failed to ensure accurate medication administration for two residents, with incorrect dosages and improper insulin preparation observed. Additionally, a mechanical lift was used unsafely for a resident, with the wheels not locked during a transfer. These deficiencies indicate lapses in staff adherence to protocols, potentially compromising resident safety.
A long-term care facility failed to maintain a medication error rate below 5%, resulting in an 8.33% error rate. Two residents received incorrect medication dosages due to an LPN's failure to verify dosages against the MAR and improper insulin administration techniques. The errors involved incorrect dosages for a resident with moderate cognitive impairment and improper insulin handling for a resident with severe cognitive impairment, increasing the risk of contamination and inaccurate dosing.
Two residents in a long-term care facility experienced significant medication administration errors. One resident received incorrect doses of hypothyroid and antiulcer medications over several months, while another resident faced issues with insulin administration due to air bubbles in the syringe. The facility's staff did not adhere to proper medication administration procedures, leading to these deficiencies.
A dietary staff member failed to follow proper hand hygiene and food preparation practices, including not using a clean towel to turn off the faucet, having hair outside the hairnet, and changing gloves without washing hands. These actions had the potential to affect all residents.
A resident with severe cognitive impairment experienced an unwitnessed fall resulting in a hip fracture requiring surgery. The facility failed to report the incident to the State Office of LTC, as the administrator believed the resident could communicate the event, despite the resident being a poor historian. This oversight occurred despite the facility's policy requiring incident reporting to meet regulatory requirements.
A facility failed to document a care plan for a resident with a stage 2 pressure ulcer. The resident, cognitively intact, was admitted with this condition and received a medicated ointment as a preventative measure. However, the care plan lacked documentation of pressure ulcer care or specific treatments. An LPN/MDS/ADON confirmed the omission, noting that the ointment application should have been included to ensure staff could meet the resident's needs.
A resident requiring moderate assistance with bathing did not consistently receive scheduled showers, as per facility policy. Despite being cognitively intact and needing partial assistance, records showed irregularities in bathing documentation. Interviews revealed the resident was supposed to receive showers twice a week but only received one every six days, with some refusals noted.
Infection Control Deficiencies in Meal Service and Medication Administration
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices during meal service and medication administration. Observations revealed that staff did not perform hand hygiene between serving meal trays to residents, and the insulated meal cart door was left open, potentially compromising food safety. A Certified Nursing Assistant (CNA) was observed touching their face and then serving a meal tray without sanitizing their hands, which could lead to the spread of germs to residents. During medication administration, an LPN accessed an insulin vial multiple times with the same needle without disinfecting the rubber stopper, increasing the risk of contamination. The LPN attempted to remove air bubbles from the syringe by banging it against the medication cart and flicking it with fingers, which is not a proper infection control practice. The facility's policy required that medications be administered following infection control procedures, which were not adhered to in this instance. Additionally, the facility did not adequately prevent residents from using potentially contaminated water for oral care during a boil water notice. A resident reported using bathroom sink water for brushing teeth, and no signs were posted to warn against using the water. Water fountains accessible to residents were found in unsanitary conditions, with visible debris and substances on the surfaces. The facility relied on verbal communication to inform residents and staff about the boil water notice, but did not implement sufficient measures to ensure compliance.
Inaccurate MDS Assessments for Hospice and Enteral Feeding
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) assessments were accurately completed for two residents. For one resident, the MDS did not reflect the hospice care services they were receiving, despite having a terminal prognosis of cancer and being under hospice care since the previous year. The Assistant Director of Nursing (ADON) responsible for completing the MDS acknowledged the oversight, noting that the resident had been receiving continuous hospice services, which should have been accurately documented in the MDS to reflect the resident's current condition and services. For another resident, the MDS inaccurately indicated that the resident was not receiving enteral feeding, despite the resident having a percutaneous endoscopic gastrostomy (PEG) tube and receiving tube feedings as part of their care plan. The Licensed Practical Nurse/Minimum Data Set/Assistant Director of Nursing (LPN/MDS/ADON) confirmed the error after reviewing the Medication Administration Record (MAR) and acknowledged that the MDS should have been marked to indicate the presence of tube feeding. These inaccuracies in the MDS assessments were identified through observations, interviews, and record reviews conducted by the surveyors.
Medication Administration and Equipment Use Deficiencies
Penalty
Summary
The facility failed to ensure accurate medication administration for Resident #20, as observed during a survey. The resident was prescribed an anti-ulcer medication and a thyroid hormone replacement, but the medication administration record (MAR) did not reflect the correct dosages. LPN #2 administered incorrect doses of these medications, providing a 40 mg anti-ulcer tablet instead of the prescribed 20 mg, and a 25 mcg thyroid hormone tablet instead of the prescribed 50 mcg. This discrepancy was not identified or corrected from the time of admission through the survey date, and no thyroid hormone testing was conducted to monitor the resident's thyroid levels. Additionally, the facility failed to adhere to proper medication preparation standards for Resident #21. LPN #2 was observed attempting to administer insulin with air bubbles in the syringe, which could lead to inaccurate dosing. Despite multiple attempts to remove the air bubbles, the LPN did not follow proper procedures, such as discarding the syringe and starting anew, until instructed by the Administrator. The insulin vial was accessed multiple times with the same needle, increasing the risk of contamination. The facility also failed to ensure the safe use of a mechanical lift for Resident #27. During a transfer from a Geri-chair to a bed, the lift's wheels were not locked, contrary to the manufacturer's guidelines and facility policy. This oversight was acknowledged by RCNA #8, who admitted that locking the wheels was part of their training. These deficiencies highlight lapses in staff adherence to medication administration protocols and equipment usage guidelines, potentially compromising resident safety.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in an error rate of 8.33% due to three errors out of 36 opportunities. The errors involved two residents, one of whom was administered incorrect dosages of medications. Resident #20, who had moderate cognitive impairment and required assistance with daily activities, was given a 40 mg antiulcer medication and a 25 mcg thyroid hormone replacement instead of the prescribed 20 mg and 50 mcg dosages, respectively. This error was observed when LPN #2 administered the medications without verifying the correct dosages against the Medication Administration Record (MAR). Another error involved Resident #21, who had severe cognitive impairment and was diagnosed with diabetes mellitus and hypothyroidism. The resident was prescribed 42 units of long-acting insulin glargine to be administered in the morning. During the administration process, LPN #2 encountered difficulties with air bubbles in the insulin syringe, which led to multiple attempts to draw the insulin from the vial without proper disinfection of the rubber stopper. This improper technique increased the risk of contamination and inaccurate dosing, as the insulin syringe was accessed multiple times with the same needle. Interviews with the Assistant Director of Nursing (ADON) and the Administrator revealed that the facility's procedures for medication administration were not followed correctly. The ADON confirmed that the proper procedure for insulin administration was not adhered to, and the Administrator acknowledged the risk of contamination due to repeated access to the insulin vial with the same needle. These deficiencies highlight a lack of adherence to established medication administration protocols, contributing to the facility's elevated medication error rate.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors, specifically concerning the administration of hypothyroid and antiulcer medications, as well as insulin. Resident #20 received incorrect doses of hypothyroid and antiulcer medications from July 21, 2024, through November 15, 2024. The facility's policy required that medications be administered according to physician orders and verified against the five rights of medication administration. However, during an observation, LPN #2 administered incorrect doses of these medications to Resident #20, providing a delayed-release anti-ulcer medication of 40 mg instead of the prescribed 20 mg, and a thyroid hormone replacement of 25 mcg instead of the prescribed 50 mcg. Resident #20, who was admitted with diagnoses including abdominal pain, hernia, heart disease, and pulmonary disease, was observed to have moderate cognitive impairment. The resident's care plan included interventions for medication administration as ordered. Despite this, the medication administration record (MAR) showed discrepancies in the doses given, and the Assistant Director of Nursing (ADON) confirmed that the orders were not followed correctly. The ADON explained the process for entering and verifying medication orders, which was not adhered to in this case. Additionally, Resident #21, who had severe cognitive impairment and diagnoses of thyroid disease and diabetes mellitus, experienced issues with insulin administration. LPN #2 encountered difficulties with air bubbles in the insulin syringe, which could lead to inaccurate dosing. Despite attempts to correct the issue, the LPN did not follow proper procedures initially, such as disinfecting the rubber stopper on the insulin vial. The Administrator and RN #1 intervened, instructing the LPN to discard the syringe and start again to ensure accurate dosing. The ADON later confirmed the correct procedure for insulin administration, emphasizing the importance of removing air bubbles to ensure the correct dose.
Improper Hand Hygiene and Food Preparation Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene and safe food preparation practices during an observation of a dietary staff member. The staff member, identified as Dietary [NAME] #8, was observed preparing lunch without adhering to proper handwashing protocols. After washing hands, the staff member turned off the faucet by touching it directly, which is against the facility's hand hygiene policy that requires using a clean towel to turn off the faucet. Additionally, the staff member had long hair hanging out of the hairnet, touched their face, and handled various dirty surfaces before returning to food preparation without washing hands. The staff member also changed gloves multiple times without washing hands in between, and placed an unopened alcohol pad in their mouth before using it to clean a thermometer. The Dietary Manager confirmed that staff are initially trained on proper hand hygiene and safe food handling, with refresher training offered as needed. The manager acknowledged the staff member's nervousness during the observation, which led to mistakes. The facility's hand hygiene policy, revised earlier in the year, outlines specific steps for proper handwashing, including using a clean towel to turn off the faucet, which was not followed in this instance. These practices had the potential to affect all forty-four residents in the facility.
Failure to Report Unwitnessed Fall with Serious Injury
Penalty
Summary
The facility failed to report an unwitnessed fall with a serious injury involving a resident who had severe cognitive impairment, as indicated by a BIMS score of 3. The resident, who used a manual wheelchair for mobility, experienced an unwitnessed fall in their room, resulting in a fracture to the left hip that required surgical repair. Despite the serious nature of the injury, the facility did not report the incident to the State Office of Long-Term Care, as the administrator believed the resident was able to communicate what happened, although the resident was a poor historian and unable to explain the cause of the fall. The facility's policy on incidents and accidents emphasizes the importance of reporting to ensure appropriate interventions and corrective actions are taken. However, the administrator admitted to not knowing the mechanism of the injury and did not file a report due to the resident's account of the fall. This oversight occurred despite the resident's cognitive impairment and the facility's policy requiring analysis and reporting of such incidents to meet regulatory requirements.
Failure to Document Pressure Ulcer Care Plan
Penalty
Summary
The facility failed to document and complete a person-centered care plan for a resident with a diagnosis of a stage 2 pressure ulcer in the sacral region. The resident, who was cognitively intact with a BIMS score of 15, was admitted with this condition. Despite the resident's history of pressure ulcers and the application of a medicated ointment as a preventative measure, the care plan did not include pressure ulcer care or specific treatments. During an interview, an LPN/MDS/ADON confirmed that the resident did not have a current pressure ulcer but acknowledged that the application of ointment should have been included in the care plan to ensure all staff could meet the resident's needs.
Inconsistent Bathing Assistance for Resident
Penalty
Summary
The facility failed to ensure that a resident who required moderate assistance with bathing was regularly offered a bath or shower to maintain good hygiene. The facility's policy indicated that residents should receive showers per request or as scheduled to maintain proper hygiene, stimulate circulation, and prevent skin issues. However, the review of records for a resident with diagnoses including dementia, psychosis, lung disease, fecal abnormalities, and urinary elimination problems revealed inconsistencies in the documentation of bathing activities. The resident was cognitively intact and required partial to moderate assistance with showering/bathing, yet the records showed that the resident did not consistently receive the scheduled showers. The facility's documentation, including the Treatment Administration Record and the Activity of Daily Living task Bathing, did not adequately monitor or record the resident's bathing activities. The shower list indicated that the resident received showers on specific dates, but there were also entries indicating refusal or lack of notation. Interviews with the resident's representative and the Administrator revealed that the resident was supposed to receive showers twice a week but had only been receiving one every six days. The Administrator also noted that during hot water heater repairs, residents were taken to another shower room, but the records did not reflect consistent showering for the resident.
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What surveyors actually found near you
We read the 1 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Nursing homes near Jasper
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hillcrest Home | 16.7 mi | ★★★★★ | 0 | 0 |
| The Springs Of Mt Vista | 16.9 mi | ★★★★★ | 1 | 0 |
| The Springs Of Harrison | 17 mi | ★★★★★ | 0 | 0 |
| Highland Court, A Rehabilitation And Resident Care | 30.2 mi | ★★★★★ | 0 | 0 |
| Creekside At The Springs | 31.7 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.