Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Post Acute during CMS and state inspections, most recent first.
The facility failed to follow its abuse investigation policy when responding to an allegation that a male resident wandered into a female shared room, allegedly sat on a resident’s bed, inappropriately touched her leg, stared at another resident, and opened the bathroom door to watch a third resident brushing her teeth. The allegation was reported by a cognitively intact resident and involved residents with varying levels of cognitive impairment. The investigation, conducted by the Administrator and former DON, relied only on interviews with a RN and a CNA, did not obtain required written, signed, and dated witness statements, and did not include interviews with other residents to assess their sense of safety. Despite these omissions and incomplete documentation, the facility’s final report concluded the allegation was unsubstantiated.
RN coverage was not maintained for at least eight consecutive hours per day, seven days a week. Facility records showed multiple days without the required RN hours, including nine days with no RN coverage at all. The DON stated there were only two full-time RNs, including herself and the MDS Coordinator, plus one part-time RN who worked one weekend day, and the Administrator confirmed the lack of RN coverage and could not explain why it occurred.
Improper Labeling and Discarding of Opened Insulin Vials: An LPN was observed with one opened Humalog vial that was past its discard date and one opened Lantus vial that was missing both an open date and discard date. The LPN confirmed the Humalog vial should have been discarded and discarded the undated Lantus vial during the observation. The DON stated nurses were responsible for dating opened insulin vials and discarding them on the discard date.
The facility failed to manage resident funds properly, leading to the misappropriation of $52,323.72 by the former BOM, who altered checks and deposited them into her personal account. This affected 39 out of 50 residents, and the fraudulent activity was confirmed through an audit requested by the police.
The facility failed to protect two residents from financial abuse by a former Business Office Manager, who misappropriated funds totaling $12,918.96. Unauthorized transactions were discovered when one resident's debit card was declined, leading to a police investigation and the arrest of the former BOM for theft and fraud.
The facility failed to ensure adequate nursing staff, as evidenced by the PBJ Staffing Data Report for Q1 2024, which triggered a One-Star rating due to issues such as failure to submit data by the deadline and excessively low weekend staffing. Interviews revealed a lack of awareness and coordination among the Administrator, Interim DON, and Corporate Payroll Manager, contributing to the staffing deficiencies.
The facility failed to properly sanitize thermometers used for checking food temperatures, posing a risk of foodborne illness for 45 of 48 residents receiving an oral diet. The Dietary Manager was observed using a thermometer without proper sanitization between uses, contrary to the facility's policy.
The Administrator failed to report an allegation of exploitation to the State Agency in a timely manner. Despite being aware of the mismanagement of funds on 2/8/2024 and the perpetrator being identified on 2/9/2024, the report was not made until 2/13/2024. This delay violated the facility's policy and regulatory requirements.
The facility failed to uphold the right of dignity for a resident receiving catheter care by not providing necessary privacy measures. The resident's urinary catheter bag was observed dragging on the floor and exposed without a privacy bag on multiple occasions. The facility's protocol requires the use of privacy bags to cover catheter bags.
The facility failed to provide adequate space for a resident in a shared room, compromising her comfort and mobility. Despite repeated requests, the resident's concerns about restricted movement and access to the bathroom due to encroaching belongings were unaddressed. Measurements confirmed the resident had significantly less space compared to others, necessitating re-evaluation of space distribution.
A facility failed to provide a meal or snack to a resident before leaving for hemodialysis, resulting in a time span greater than 14 hours between dinner and breakfast. The resident, who has end-stage renal disease, reported not receiving breakfast or a snack before leaving at 6:00 am and returning around 11:00 am. The facility's lack of protocol for providing meals or snacks to dialysis residents led to this deficiency.
The facility failed to ensure that the Dietary Manager possessed the required certification. The Dietary Manager confirmed she does not have the necessary certifications, although she has been performing the duties since her appointment. The consulting Dietician emphasized the need for a Certified Dietary Manager, and a review of the Dietitian contract revealed non-compliance with regulatory requirements. The Dietary Manager's credentials showed she has not completed any relevant courses or holds a degree, despite her intention to obtain certification.
Failure to Thoroughly Investigate Allegation of Sexual Abuse
Penalty
Summary
The deficiency involves the facility’s failure to conduct a thorough investigation of an allegation of sexual abuse in accordance with its policy titled “Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating.” The policy required that all allegations be thoroughly investigated, including reviewing documentation and evidence, interviewing any witnesses, interviewing staff on all shifts who had contact with the resident, and completely documenting the investigation, with written, signed, and dated witness statements. A facility-reported incident documented that a male resident was wandering into a female three-bed room, allegedly inappropriately touching one resident, staring at another for a length of time, and then opening the bathroom door and staring at a third female resident while she was brushing her teeth. The allegation was initially reported by a cognitively intact resident (BIMS score 15) and involved another resident with moderate cognitive impairment (BIMS score 8) and a resident with severe cognitive impairment (BIMS score 99). The Administrator reported that the investigation of this incident was conducted by the former DON and herself after the allegation was reported by a RN. She stated that this was not the first time the alleged male resident had wandered into other residents’ rooms and described the allegation as the male resident entering a resident’s room, sitting on the resident’s bed, and allegedly touching the resident’s leg. Staff interviews for the investigation were limited to the RN and a CNA, and the Administrator acknowledged that no written witness statements were obtained, contrary to facility policy. She also confirmed that no additional residents were interviewed to assess their sense of safety following the incident. The facility’s final investigation report concluded that the allegation was unsubstantiated, despite the lack of comprehensive interviews, written statements, and full documentation required by the facility’s abuse investigation policy.
RN Coverage Not Maintained
Penalty
Summary
The facility failed to ensure required RN coverage of at least eight consecutive hours per day, seven days per week. Review of the facility policy titled Departmental Supervision, Nursing, showed that a registered nurse is to provide services at least eight consecutive hours every 24 hours, seven days a week. However, review of the facility’s PBJ data for January 1, 2025 through March 31, 2025 showed multiple dates when the facility did not have an RN working for eight consecutive hours each day, including several dates with no RN coverage at all. The RN clock hour report provided by the Administrator confirmed nine days with no RN coverage for the entire facility. During interview, the DON stated there were only two full-time RNs on staff, including herself and the MDS Coordinator, and one part-time RN who worked only one day on the weekend. The DON stated she provided care for residents when she was on the floor. The Administrator acknowledged awareness that there were no RN hours for nine days during the second quarter of 2025, stated the expectation was to have RN coverage, and was unable to explain why no RN staff were present on those days. She also stated she had attempted to obtain waiver approval for RN coverage but was not approved, and confirmed the RN clock hour report was accurate.
Improper Labeling and Discarding of Opened Insulin Vials
Penalty
Summary
The facility failed to ensure that opened insulin vials were properly labeled and discarded according to the discard date. Review of facility policies showed that opened multi-dose vials must be dated and discarded within 28 days unless the manufacturer specifies otherwise, and the insulin administration policy required staff to record the expiration date and time when opening a new vial. Manufacturer inserts for Humalog and Lantus both stated that opened vials are to be stored at room temperature and thrown away after 28 days of use, even if insulin remains in the vial. During observation of the nurse's medication cart with an LPN on the Short Hall, one opened Humalog vial for a resident had a handwritten open date of 7/20/2025 and a discard date of 8/31/2025, and the LPN confirmed it was past the discard date and should have been discarded. The same cart also contained an opened Lantus vial for the same resident that had no open date or discard date on it. The LPN stated she was unaware of its status and discarded it during the observation. The DON stated that nurses assigned to medication carts were responsible for ensuring opened insulin vials were labeled with both the open date and discard date and discarded on the discard date.
Misappropriation of Resident Funds by Former BOM
Penalty
Summary
The facility failed to ensure proper management of resident funds, resulting in the misappropriation of $52,323.72 from the Resident Trust Account. The former Business Office Manager (BOM) was identified as the perpetrator, having altered checks requested for different parties through the Resident Fund Management Service (RFMS) and deposited them into her personal bank account using a mobile banking app. This fraudulent activity affected 39 out of 50 residents at the time of the incident. The facility's policy required monthly reconciliation of the Resident Trust Fund and quarterly statements to be provided to residents or their responsible parties, which the former BOM failed to do for the third quarter of 2023. Interviews with staff, including the Admission Director and the Administrator, confirmed the former BOM's actions and the lack of quarterly statements. The Administrator reported the fraudulent activity to the police, who then requested an audit. The audit, conducted by the VP of Revenue Cycle Management, confirmed the misappropriation and identified the affected residents. The former BOM was subsequently arrested and charged with misappropriation of resident funds.
Misappropriation of Resident Funds by Former Business Office Manager
Penalty
Summary
The facility failed to protect the residents' right to be free from abuse by misappropriation of funds by staff for two residents who had trust accounts. The former Business Office Manager (BOM) used one resident's bank card for several unauthorized transactions totaling $861.33. This was discovered when the resident's debit card was declined at an ATM, leading to an investigation by the facility and the local police. The police confirmed that the former BOM used the resident's card for personal purchases, including a transaction at a local recreation department. The former BOM was arrested for theft by conversion, identity theft, and financial transaction card fraud. Another resident was also a victim of the former BOM's fraudulent activities. The BOM took this resident to the bank to sign over and deposit a check totaling $10,182.15 and intercepted three additional checks written out to the resident, depositing them into her personal account. The total amount misappropriated from this resident was $12,057.63. The resident expressed feeling taken advantage of and initially believed it was necessary to continue his stay at the facility. The former BOM was arrested for theft and misappropriation of resident funds. Interviews with staff and the local police, along with a review of the facility's policy on abuse, neglect, exploitation, mistreatment, and misappropriation of property, revealed that the facility failed to protect these residents from financial abuse. The facility's Administrator was unaware of the mismanagement until it was reported, at which point the police were contacted to assist with the investigation. The police suggested the facility conduct an audit to uncover any additional fraudulent activities during the timeframe in question.
Inadequate Nursing Staff and PBJ Data Submission Issues
Penalty
Summary
The facility failed to ensure adequate nursing staff to meet the needs of their residents, as evidenced by the review of the Facility Assessment Tool and the Payroll-Based Journal (PBJ) Staffing Data Report for Q1 2024. The facility, licensed for 61 beds with an average daily census of 49.7 residents, had a staffing plan that included four licensed nurses and six nurse aides working 12-hour shifts, along with two nurse aides working eight-hour shifts, and four administrative nurses. However, the PBJ Staffing Data Report revealed that the facility triggered a One-Star rating due to several issues, including failure to submit PBJ data by the deadline, more than four days in the quarter without Registered Nurse (RN) staffing hours, and excessively low weekend staffing. These deficiencies had the potential to adversely affect the care and services provided to the residents. Interviews with the Administrator and the Regional Nurse Consultant (RNC) acting as the Interim Director of Nursing (DON) indicated a lack of awareness regarding the details of the Q1 2024 PBJ CASPER Report. The Administrator attributed the staffing issues to the simultaneous resignation of three family members of the terminated Business Office Manager (BOM), including the DON, Maintenance Director, and a Unit Manager Licensed Practical Nurse (LPN). Additionally, a telephone interview with the Corporate Payroll Manager revealed that he was not aware of the specifics related to the CASPER Report ratings, as he only received the data and submitted it to a third-party vendor for submission to CMS. This lack of awareness and coordination contributed to the facility's failure to maintain adequate staffing levels, as required by regulations.
Improper Sanitization of Thermometer in Food Service
Penalty
Summary
The facility failed to ensure proper sanitation measures were followed when checking food temperatures, posing a risk of foodborne illness for 45 of 48 residents receiving an oral diet. The Dietary Manager was observed using a thermometer to check food temperatures without properly sanitizing it between uses. Instead of using a proper sanitizing solution, the thermometer was dipped in ice water between testing different food items. This practice was observed multiple times over several days, including during meal service and periodic test trays, involving various food items such as mashed potatoes, chicken, squash, and pureed items. The facility's policy titled 'Food Temperature' mandates that thermometers used to measure food temperatures be sanitized between uses to prevent cross-contamination. However, the Dietary Manager confirmed in an interview that the standard procedure requiring the use of a sanitizing solution was not followed. This deficiency was identified through observations, staff interviews, and a review of the facility's policy, highlighting a significant lapse in maintaining food safety standards.
Failure to Timely Report Exploitation Incident
Penalty
Summary
The Administrator failed to ensure an allegation of exploitation was reported to the State Agency in a timely manner for one resident. The facility policy requires any complaint, allegation, observation, or suspicion of resident abuse, mistreatment, or neglect to be communicated to the Abuse Coordinator and thoroughly reported, investigated, and documented. However, the Administrator did not report the incident until four days after the perpetrator was confirmed and identified. The delay in reporting was evident from the Facility Incident Report, which showed that the report was made on 2/13/2024, despite the Administrator being aware of the mismanagement of funds on 2/8/2024 and the perpetrator being identified on 2/9/2024. Interviews with the Administrator and the Chief of Police revealed that the Administrator contacted the police department on 2/8/2024 after being informed of the mismanagement of funds. The police investigation identified the former Business Office Manager as the perpetrator on 2/9/2024. Despite this, the Administrator did not report the incident to the State Agency until 2/13/2024. The Chief of Police confirmed that he provided the facility with the investigation results on 2/9/2024 and suggested an audit to assist with additional findings. The failure to report the incident in a timely manner is a clear violation of the facility's policy and regulatory requirements.
Failure to Provide Privacy for Catheter Care
Penalty
Summary
The facility failed to uphold the right of dignity for a resident receiving catheter care by not providing necessary privacy measures. On multiple occasions, the resident's urinary catheter bag was observed dragging on the floor without a privacy bag. The resident confirmed that the privacy bag was missing following a cleaning session. Further observations revealed the catheter bag exposed and without a privacy bag while the resident was outside. The facility's protocol, as confirmed by the Administrator, requires the use of privacy bags to cover catheter bags.
Inadequate Space for Resident in Shared Room
Penalty
Summary
The facility failed to provide adequate space to meet the needs of a resident (R8) in a shared room, compromising her comfort and mobility. Observations and interviews revealed that R8, a below-knee amputee, was resting in bed C in a room shared with two other residents. R8 expressed discomfort due to insufficient space, noting that her movement was restricted, especially access to the bathroom, because belongings from the resident in bed B encroached into her area. Despite repeated requests to the staff for more space, her concerns had gone unaddressed. The Maintenance Director, upon measuring the room space, confirmed that R8 had significantly less space (72 sq ft) compared to the other residents (144 sq ft and 120 sq ft), indicating a need for re-evaluation and adjustment of space distribution to ensure equitable living conditions.
Failure to Provide Meal or Snack Before Dialysis
Penalty
Summary
The facility failed to provide a meal or snack to a resident (R33) before leaving for hemodialysis, resulting in a time span greater than 14 hours between dinner and breakfast. The facility's policy on Renal Dialysis Management requires arrangements for an appropriate meal to accompany the resident to dialysis, but this was not followed. R33, who has end-stage renal disease and chronic respiratory failure, reported not receiving breakfast or a snack before leaving for dialysis at 6:00 am and returned to the facility around 11:00 am. The Dialysis Clinic Administrator confirmed that while the clinic does not recommend eating during treatment, clients can choose to eat if they sign a release form. The Dietary Manager admitted there was no protocol for providing meals or snacks to dialysis residents before their departure, leading to extended periods without food for R33 on dialysis days. Interviews with the resident, facility staff, and the Dialysis Clinic Administrator revealed that the facility did not send snacks with residents to the dialysis clinic due to the clinic's policy against eating during treatment. The Administrator confirmed that this practice resulted in more than 14 hours between meals for R33 on dialysis days. The lack of a protocol for ensuring residents receive a meal or snack before leaving for dialysis directly contributed to the deficiency, as evidenced by the resident's statements and the facility's failure to adhere to its own policy on Renal Dialysis Management.
Lack of Certified Dietary Manager
Penalty
Summary
The facility failed to ensure that the staff designated as Dietary Manager possessed the required certification as a Certified Dietary or Food Service Manager. During an interview, the Dietary Manager confirmed that she does not currently possess the required certifications for her position, although she has been performing the duties since her appointment. The consulting Dietician, who is not a full-time employee, emphasized the necessity for a Certified Dietary Manager to oversee kitchen operations effectively. A review of the Dietitian contract revealed non-compliance with regulatory requirements for Dietary Manager oversight. Additionally, the Dietary Manager's credentials showed that she has not completed any Certified Dietary or Food Service Manager courses nor holds a relevant degree, despite assuming the position with the intention to obtain certification.
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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.
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Nursing homes near Buchanan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Buchanan Healthcare Center | 0.3 mi | ★★★★★ | 0 | 0 |
| Haralson Nsg & Rehab Center | 6.3 mi | ★★★★★ | 12 | 0 |
| Cedar Valley Nsg & Rehab Ctr | 15.3 mi | ★★★★★ | 9 | 0 |
| Pine Knoll Path Of Journey Llc | 16.3 mi | ★★★★★ | 0 | 0 |
| Rockmart Health | 16.5 mi | ★★★★★ | 1 | 0 |
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