Average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Countryside Care & Rehabilitation during CMS and state inspections, most recent first.
Kitchen staff did not wear required beard nets, and food items in storage were not properly labeled with expiration or use-by dates. A cook was observed touching his face and hair with gloved hands before handling food, and the food service manager was unaware of the beard net requirement. These actions did not comply with food safety standards.
Garbage cans in the kitchen food prep areas were found uncovered and not in use, with staff unaware that lids were required when not actively filling the cans. This failure to keep garbage containers properly closed did not comply with state and federal regulations intended to minimize pest and rodent attraction.
A resident with significant neurological impairment and a legal guardian did not have an Advance Directive documented in the medical record. Facility staff did not offer or document assistance to the guardian in formulating an Advance Directive, as confirmed by both the DON and Administrator.
A resident with a history of stroke and hypertension was not given the required Advance Beneficiary Notice (CMS-10055) when discharged from Medicare Part A Skilled Nursing and admitted to LTC. The administrator confirmed the notice was not provided as required.
The facility did not follow its bowel care protocol for several residents with complex medical conditions, resulting in missed or delayed administration of prescribed interventions such as prune juice, milk of magnesia, and suppositories. The DON confirmed that nursing staff failed to implement the required steps according to physician orders and facility policy.
Several residents with complex medical conditions did not have their oxygen tubing changed as ordered by their physicians or per facility policy. Observations showed overdue and discolored tubing, and documentation confirmed that scheduled changes were missed. The DON acknowledged the lapses in following the required schedule for respiratory care.
The facility did not document attempts at alternatives or the intended purpose for bed rail use for several residents with complex medical conditions, despite policy requirements. Both the DON and Administrator acknowledged the absence of required documentation in the medical records.
Controlled medications were not properly tracked or secured due to missing licensed nurse signatures on narcotic accountability sheets for a medication cart. An LPN and the Administrator confirmed that two nurses should have signed the sheets when accepting or releasing the cart, but this was not done, creating the potential for undetected misuse or diversion.
The facility failed to properly sanitize a food thermometer, increasing the risk of foodborne illnesses. Cook1 was observed using the thermometer without sanitizing it before use and reused an alcohol swab between items. The Food Service Supervisor confirmed the need for proper cleaning before and after each use.
A resident with Alzheimer's Disease and severe cognitive impairment was found with bruising on her hand, an injury of unknown origin. The facility's incident report was incomplete, and no investigation was conducted, contrary to the facility's policy. The Administrator in Training confirmed the lack of investigation during an interview.
A resident with a G-Tube did not receive medications according to professional standards, as the facility lacked a policy for G-Tube medication administration. An LPN administered medications improperly by crushing them together and not checking tube placement correctly, while the resident's head was not elevated as required. The AIT confirmed the expected procedures were not followed.
A facility failed to assess a resident for bed rail use, discuss risks and benefits with the representative, and obtain informed consent. The resident, with anoxic brain damage and quadriplegia, was observed with side rails despite being unable to move independently. The Administrator in Training confirmed there was no rationale for the rails, highlighting a deficiency in following the facility's policy.
Failure to Follow Food Safety and Hygiene Standards in Kitchen
Penalty
Summary
Surveyors observed that kitchen staff failed to comply with food safety and hygiene standards as outlined in the Idaho Food Code and the facility's own Food and Nutrition Services Policy. Specifically, a male cook with a beard was seen working in the kitchen without a required beard net or cover, and he touched his face and hair with gloved hands before handling an open container of food without changing gloves or washing his hands. The food service manager was unaware of the requirement for beard nets for staff with facial hair. Additionally, multiple food storage and labeling deficiencies were identified. In the dry food storage room, containers of cracker crumbs and chocolate chips were found without any labeling indicating expiration or use-by dates. In the walk-in freezer, an opened package of egg rolls was not labeled with an opened date or expiration date. The food service manager confirmed that these items should have been properly labeled and dated, but they were not.
Uncovered Garbage Cans in Kitchen Food Prep Areas
Penalty
Summary
Surveyors observed that garbage cans in the kitchen food preparation areas were not properly closed with lids as required by Idaho Administrative Rules and the U.S. Food and Drug Administration Food Code. Specifically, a 55-gallon garbage can was found half full and uncovered while not in use, with the lid placed on the ground under a table. Additionally, two more 55-gallon garbage cans were observed without lids in the kitchen food prep areas. Interviews with the contractor food service manager and worker revealed that they were not aware that lids needed to be on the garbage cans when not actively being filled. These actions and inactions resulted in the facility failing to ensure garbage cans were properly closed to minimize attracting pests and rodents into the kitchen.
Failure to Assist with Advance Directive Formulation
Penalty
Summary
The facility failed to ensure that a resident and their representative were provided with assistance to exercise the right to formulate an Advance Directive. Upon review of the medical record for a resident admitted with anoxic brain damage and quadriplegia, it was found that while the record included a POST and a Letter of Guardianship, there was no documentation of an Advance Directive. Additionally, there was no evidence that the facility had offered to assist the resident's guardian in formulating an Advance Directive, as required by regulation. Interviews with the Director of Nursing and the Administrator confirmed that the resident had not created an Advance Directive prior to admission, and the guardian had not completed one either. Furthermore, the resident's record did not contain documentation that Advance Directive information had been offered to the guardian. This lack of documentation and assistance constituted a failure to comply with federal requirements regarding advance care planning.
Failure to Provide Advance Beneficiary Notice Upon Change in Coverage
Penalty
Summary
The facility failed to provide an Advance Beneficiary Notice (CMS-10055 form) to a resident whose medical records were reviewed for beneficiary protection notification. The resident, who had multiple diagnoses including stroke and hypertension, was admitted to the facility and later discharged from Medicare Part A Skilled Nursing before being admitted to the long-term care unit. Upon review, it was found that the required notice was not given to the resident at the time of discharge from Medicare Part A and admission to long-term care. The administrator confirmed that the resident should have received the notice but did not.
Failure to Follow Bowel Care Protocol for Multiple Residents
Penalty
Summary
The facility failed to follow its established bowel care standing orders for four residents whose records were reviewed for bowel and bladder care. According to the facility's protocol, specific interventions and medications were to be administered at 24, 48, 72, and subsequent hours without a bowel movement. However, documentation revealed that these steps were missed or delayed for multiple residents. For example, one resident with a history of stroke and hypertension did not receive the required interventions from day one through day five of no bowel movement. Another resident with polyosteoarthritis and respiratory failure had missed steps in the protocol during two separate periods of constipation. Additional residents with diagnoses such as epileptic seizures, hypertension, chronic kidney disease, and COPD also experienced missed or delayed administration of bowel protocol steps. The missed interventions included failure to provide prune juice, milk of magnesia, bisacodyl suppositories, or to notify the primary care provider as outlined in the protocol. The Director of Nursing confirmed that nursing staff had not followed the bowel protocol as required for these residents. The failure to administer medications and interventions according to physician orders and facility policy was identified through record review and staff interviews.
Failure to Provide Physician-Ordered Respiratory Services
Penalty
Summary
The facility failed to provide respiratory services as ordered by the physician for four out of five residents reviewed for respiratory care. Specifically, the facility's policy required oxygen tubing and masks/cannulas to be changed monthly and as needed if soiled or contaminated. However, multiple residents with significant medical histories, including dementia, anxiety disorder, hypertensive heart disease, chronic kidney disease, paroxysmal atrial fibrillation, and chronic obstructive pulmonary disease, did not have their oxygen tubing changed according to physician orders or facility policy. For example, one resident's tubing was last changed over a month prior and was not replaced on the scheduled date. Another resident's tubing was only changed after the issue was brought to the attention of the DON by the surveyor. Observations revealed that several residents' oxygen tubing was overdue for replacement, with one instance of tubing appearing yellowed. Documentation and interviews confirmed that the required monthly changes were not completed as scheduled for these residents. The DON acknowledged that the tubing had not been changed according to the established schedule, confirming the facility's failure to follow physician orders and its own policy regarding respiratory care.
Failure to Document Alternatives and Rationale for Bed Rail Use
Penalty
Summary
The facility failed to ensure that, prior to the placement of bed rails, alternatives were attempted and documented as unsuccessful in meeting residents' assessed needs. For four out of six residents reviewed for bed rail use, there was no documentation in the medical records regarding the evaluation of alternatives or the intended purpose for the use of bed rails. The facility's policy requires that the assessment include an evaluation of alternatives and documentation of their failure to meet the resident's needs before bed rails are installed. Specifically, residents with various diagnoses such as hemiparesis, diabetes, encephalopathy, respiratory failure, heart failure, osteomyelitis, and atherosclerosis were observed with bilateral upper side rails in place. In each case, the medical records lacked evidence of attempted alternatives or the rationale for bed rail use. Both the DON and the Administrator confirmed that this documentation was missing and should have been present in the residents' records.
Failure to Properly Track and Secure Controlled Medications
Penalty
Summary
The facility failed to ensure that controlled medications were properly tracked and secured, as evidenced by missing signatures on narcotic accountability sheets for one medication cart. During a medication cart audit, it was observed that the narcotic accountability sheets, covering a period from February to September, were missing three required licensed nurse signatures. Both an LPN and the Administrator confirmed that two nurses should have signed the narcotic accountability sheet when accepting or releasing the medication cart. This lapse in documentation created the potential for undetected misuse or diversion of controlled medications for all residents receiving such medications.
Improper Sanitization of Food Thermometer
Penalty
Summary
The facility failed to properly sanitize the thermometer used for taking food temperatures, which could potentially increase the risk of foodborne illnesses and infections for all residents receiving food from the facility kitchen. The facility's policy on taking accurate temperatures requires that the thermometer probe be cleaned, rinsed, sanitized, and air-dried before and after taking the temperature of each food item. However, during an observation of the tray line, Cook1 was seen taking the thermometer out of her pocket and using it to measure food temperatures without sanitizing it beforehand. After taking the temperature of the first item, Cook1 used an alcohol swab to clean the thermometer but reused the same swab for the next two items, and then placed the thermometer back into her pocket. Cook1 continued to take temperatures of additional food items without sanitizing the thermometer first and used the same alcohol swab between items. During interviews, Cook1 acknowledged that her pocket could contaminate the thermometer and admitted she should have cleaned it before use. The Food Service Supervisor confirmed that thermometers need to be cleaned before and after each use and expected staff to adhere to the sanitizing requirements. This failure to follow proper sanitization procedures was observed and confirmed through interviews with the staff involved.
Failure to Investigate Injury of Unknown Origin
Penalty
Summary
The facility failed to thoroughly investigate an injury of unknown origin for a resident, identified as R20, who was part of a sample of 14 residents reviewed for abuse. R20, who was admitted with Alzheimer's Disease, was found to have scattered bruising on the back of her right hand on 08/29/24. The resident was severely cognitively impaired, with a Brief Interview for Mental Status (BIMS) score of three out of 15, and was unable to explain how the bruising occurred. The incident was recorded as an injury of unknown origin in the facility's Incident/Accident Log. The facility's incident report for R20's injury was incomplete, with sections on Level of Pain, Mental Status, and Predisposing Factors left blank. No investigation was conducted into the injury, as confirmed by the Administrator in Training (AIT) during an interview on 09/17/24. The AIT acknowledged that a thorough investigation should have been conducted for any injury of unknown origin experienced by residents, as per the facility's Abuse, Neglect, and Exploitation Policy.
Improper G-Tube Medication Administration
Penalty
Summary
The facility failed to meet professional standards of care for a resident receiving medication through a gastrostomy (G) tube. The survey team found that the facility did not have a policy for administering medication via G-Tube. During an observation, a Licensed Practical Nurse (LPN) was seen administering medications to a resident with a G-Tube without following proper procedures. The resident, who had anoxic brain damage and quadriplegia, received all nutrition and medication through the G-Tube. The LPN crushed all medications together, mixed them with water, and administered them simultaneously without checking the tube's placement properly or elevating the resident's head to the recommended degree. The LPN admitted to not being instructed to crush and administer medications separately with water flushes in between. The Administrator in Training (AIT), who was the former Director of Nursing (DON), confirmed that the facility's expected procedure was to administer medications separately with water flushes, check G-Tube placement by checking residuals without pushing water first, and administer medications via gravity with the resident's head elevated at least 30 degrees. The lack of adherence to these procedures created the potential for complications in the resident's care.
Failure to Assess and Obtain Consent for Bed Rail Use
Penalty
Summary
The facility failed to ensure that a resident was properly assessed for the use of bed rails, did not discuss the risks and benefits with the resident's representative, and did not obtain informed consent for the use of side rails. The facility's policy requires a person-centered approach, including evaluating alternatives before using bed rails, assessing the resident's risk, and obtaining informed consent. However, for this resident, who was admitted with anoxic brain damage and quadriplegia, these steps were not followed. The resident's records indicated the use of side rails, but there was no documentation of a Bed Rail Evaluation, risks and benefits discussion, or signed informed consent. The resident was observed with bilateral half side rails in the raised position on multiple occasions, despite being unable to move independently or grasp the side rails due to severely contracted upper extremities. During interviews, the Administrator in Training confirmed that the resident should not have had bed rails, as there was no rationale for their use. This oversight created the potential for the resident to experience negative effects or risks associated with unnecessary use of the rails.
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What surveyors actually found near you
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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 Rupert
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mini-cassia Care Center | 8.6 mi | ★★★★★ | 16 | 0 |
| Parke View Rehabilitation & Care Center | 9 mi | ★★★★★ | 0 | 0 |
| Oak Creek Rehabilitation Center Of Kimberly | 35 mi | ★★★★★ | 27 | 0 |
| Twin Falls Transitional Care Of Cascadia | 38.9 mi | ★★★★★ | 19 | 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 October 2026) and official state health department websites.