Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Manor Health & Living Community during CMS and state inspections, most recent first.
Failure to Provide and Complete SNF ABN Forms: The facility failed to provide a SNF ABN to one resident when Medicare Part A coverage ended and failed to fully complete the ABN for another resident because the estimated cost section was left blank. Records showed NOMNCs were reviewed with the resident or representative, but the required ABN process was not completed appropriately for both residents.
Unlabeled and expired insulin pens were found on two medication carts. On one cart, two open insulin pens were dated beyond the facility’s stated 28- to 30-day limit, and on another cart an open Novolog pen was undated and unlabeled. Staff confirmed the pens were expired or missing required resident identifier information, and that two residents received insulin from each cart.
A resident dependent on staff for transfers, with multiple medical conditions, was injured when a QMA attempted a mechanical lift transfer alone, contrary to the care plan and staff education requiring two staff for such transfers. The resident experienced pain and a fracture during the incident, and staff interviews confirmed knowledge of the two-person protocol.
A resident with a pressure injury did not receive proper wound care as per physician orders. The facility failed to maintain a care plan for the pressure injury and did not consistently document wound management. An LPN applied Resinol instead of the prescribed Medi-honey, and the DON was unaware of the Medi-honey order. The facility's policies on following physician orders were not adhered to, leading to a deficiency in pressure ulcer care.
The facility failed to follow infection control procedures for two residents with Clostridium difficile. Staff did not use PPE or perform hand hygiene when assisting these residents, despite clear signage indicating contact precautions. Interviews confirmed the need for such precautions, but staff did not consistently implement them.
A facility failed to thoroughly investigate an allegation of misappropriation of a resident's property. The investigation lacked critical details, such as the amount of money involved and statements from key staff members. The Administrator did not obtain necessary interviews or documentation, and the investigation did not adhere to the facility's policy on abuse and misappropriation.
A resident with severe cognitive impairment was taken from the facility by a family member without proper authorization, and the facility failed to report the incident to the Indiana Department of Health. The family member intended to keep the resident and did not plan to return her. The facility's policy requires such incidents to be reported within 24 hours, but this was not done, resulting in a deficiency.
The facility failed to lock medication carts when unattended and did not properly label medications on two observed carts. An RN noted that the responsible nurse had left the unit with the keys, leaving the carts unsecured. The carts contained various medications, including oral pills without resident identifiers, contrary to the facility's policy requiring secured storage and proper labeling.
Failure to Provide and Complete SNF ABN Forms
Penalty
Summary
The facility failed to ensure Skilled Nursing Facility Advanced Beneficiary Notices (SNF ABN) were provided to residents and/or resident representatives at the end of Medicare Part A covered services, and failed to ensure the ABN forms were completed appropriately for 2 of 3 residents reviewed for beneficiary notice. For one resident, the record showed admission to Medicare Part A skilled services, the last covered day of Part A services, and a Notice of Medicare Non-Coverage (NOMNC) reviewed with the resident's representative by phone, but the clinical record did not contain the SNF ABN. A progress note stated the resident was cognitively impaired, the representative was contacted, and the representative was advised of liability beginning on the date coverage ended. For another resident, the record showed admission to Medicare Part A skilled services, the last covered day of Part A services, and a NOMNC reviewed and signed with the resident. The SNF ABN was later reviewed and signed, but the form was not completed in full because the estimated cost section was left blank. A progress note stated the resident requested family be contacted and a voicemail was left. The report also stated the ABN form should have included cost estimates so the resident and/or representative could make an informed decision about services moving forward.
Unlabeled and Expired Insulin Pens on Medication Carts
Penalty
Summary
The facility failed to ensure insulin pens were labeled with resident identifiers, dated when opened, and disposed of when expired. During a medication storage observation on the 300-hall south cart, two open insulin pens were found: one Lantus pen dated 1/17/26 with approximately 80 units remaining and one Novolog pen dated 1/10/26 with approximately 175 units remaining. The Unit Manager stated insulin was good for 30 days and confirmed both open pens had expired. She also stated that only two residents received insulin from that medication cart. During a separate observation of the 300-hall short cart, one open Novolog insulin pen was found undated and unlabeled with approximately 220 units remaining. QMA 6 stated that all medications should be labeled with resident identifier information and that insulin was good for 28 days, with expired medications to be disposed of properly. QMA 6 indicated that two residents received insulin from this medication cart. The facility policy titled Drug Storage stated that insulin and other multi-dose injectable vials or pens must be discarded after 28 days or according to manufacturer recommendations, and that insulin and other multi-dose vials requiring refrigeration need to be dated when opened. The Cubex policy stated multi-dose items must have a generic label affixed with patient name, prescriber name, and an additional patient identifier.
Failure to Follow Two-Person Mechanical Lift Protocol Results in Resident Injury
Penalty
Summary
Staff failed to follow the resident's care plan and facility protocol during a mechanical lift transfer for a resident with significant physical dependencies, including hemiplegia, hemiparesis, diabetes, hypertension, dysphagia, and chronic kidney disease. The care plan required a two-person assist and use of a mechanical lift for all transfers. However, a Qualified Medication Aide (QMA) attempted to transfer the resident alone using a mechanical stand-up lift, contrary to the care plan and staff education, which clearly stated that two staff members are required for all mechanical lift transfers. During the transfer, the resident experienced pain and reported a popping sound in the right shoulder, later diagnosed as a subtle nondisplaced supercondylar fracture of the right elbow. The QMA stopped the transfer and sought assistance from a CNA, who helped complete the transfer. Interviews confirmed that staff were aware of the two-person requirement for mechanical lifts, and the assignment sheet and staff education reinforced this protocol. The facility did not have a dedicated policy for mechanical lift safety, but staff education materials reiterated the two-person rule.
Failure to Follow Wound Care Orders for Pressure Injury
Penalty
Summary
The facility failed to ensure proper wound care treatment for a resident, identified as Resident 63, who developed a pressure injury. The resident's clinical record indicated a lack of a care plan specifically addressing the pressure injury, despite a physician's order to apply Resinol to affected areas on the buttocks twice daily. A wound management note documented an abrasion on the coccyx, but subsequent notes were inconsistent, and there was a lack of additional documentation for the coccyx abrasion. A Skin Integrity Event later identified a pressure injury on the coccyx, with a physician's order to clean the wound with normal saline and apply Medi-honey daily. However, during a wound observation, an LPN applied Resinol instead of Medi-honey, and the wound was not measured, indicating a failure to follow the physician's order. The Director of Nursing (DON) was unaware of the Medi-honey order and indicated that the staff member responsible for the original skin integrity event and medication order was on vacation and unreachable. The facility's policy required obtaining and following physician prevention/treatment orders, but this was not adhered to in this case. The DON confirmed that weekly skin assessments were conducted, but only new open areas were documented in Skin Integrity Events. The facility's failure to follow the physician's orders and maintain consistent documentation contributed to the deficiency in providing appropriate pressure ulcer care for Resident 63.
Failure to Follow Contact Isolation Precautions for Residents with C. difficile
Penalty
Summary
The facility failed to adhere to infection prevention and control procedures related to contact isolation precautions for two residents diagnosed with Clostridium difficile. Resident 227, who had been in the facility for approximately five days, was observed being assisted by a Physical Therapy Assistant (PTA) who did not follow proper hand hygiene or use personal protective equipment (PPE) as required. The PTA handled items in the resident's room and interacted with other individuals in the facility without washing hands or donning appropriate PPE. Similarly, a Certified Nursing Assistant (CNA) also failed to use PPE or perform hand hygiene while assisting Resident 227, despite the presence of clear signage indicating the need for contact precautions. In another instance, Resident 61, who also had a diagnosis of Clostridium difficile, was not provided with the necessary contact isolation precautions by staff members delivering meal trays. Both a CNA and a Licensed Practical Nurse (LPN) entered the resident's room without donning PPE or performing hand hygiene, despite the presence of signs indicating the need for contact precautions. The LPN acknowledged the oversight and the need to adhere to the facility's infection control protocols. Interviews with staff, including the Therapy Supervisor and Unit Manager, confirmed the requirement for contact precautions for residents with Clostridium difficile to prevent the spread of infection. The Director of Nursing (DON) reiterated the expectation for staff to follow isolation precautions, which included the use of soap and water for handwashing. Despite in-service training on these protocols, the facility's staff failed to consistently implement the necessary precautions, as observed during the survey.
Incomplete Investigation of Misappropriation Allegation
Penalty
Summary
The facility failed to thoroughly investigate an allegation of misappropriation of resident property involving Resident B. The investigation was initiated after Family Member 2 reported that money was stolen from a plastic envelope in Resident B's purse. However, the investigation lacked critical details, such as when the money was identified as missing, to whom it was initially reported, and the amount of money involved. The statement from the Regional Marketing Consultant, who documented the conversation with Family Member 2, was not signed by the family member, and the investigation did not include statements from direct staff members who were on duty when the alleged theft was reported. The Administrator, responsible for the investigation, was uncertain about the dates and times of notification regarding the missing money. He did not obtain a statement from LPN 3, who initially reported the incident to him, nor did he interview Resident B, who was not interviewable, or the resident's representative. The investigation lacked a timeline of events and did not include statements from staff who received the initial report of the missing money. The Administrator notified the police but was unsure if they ever visited the facility for a report. The facility's investigation file was incomplete, lacking essential interviews and documentation. The facility's policy on abuse, neglect, and misappropriation requires a thorough investigation of each allegation, including interviews with the person reporting the incident, witnesses, and staff. However, the investigation into Resident B's missing money did not adhere to these guidelines. Key staff members, such as LPN 3 and RN 7, who had relevant information, were not interviewed or asked to provide statements. The investigation also failed to document the amount of money reported missing and did not create a timeline of events, as required by the facility's policy.
Failure to Report Resident Elopement
Penalty
Summary
The facility failed to report an incident involving a resident, identified as Resident C, who left the facility without proper authorization and whose whereabouts were initially unknown. Resident C, who was severely cognitively impaired and required assistance for mobility and toileting, was taken out of the facility by a family member without signing out. The family member intended to keep Resident C and did not plan to return her to the facility. This incident was not reported to the Indiana Department of Health, as the facility assumed Resident C was safe with a family member. The incident began when a family member visited Resident C in the activity room and subsequently took her to the parking lot instead of her room. A CNA was called to assist when the family member struggled to get Resident C into a car. The family member made concerning comments about Resident C's care and indicated she would not return her to the facility. The facility staff, including the ADON, attempted to contact other family members and eventually called the police at the family's request. The police were able to identify the car Resident C left in through video footage. The facility's policy requires incidents that threaten the welfare, safety, or health of a resident, such as elopement, to be reported to the Indiana State Department of Health within 24 hours. However, this incident was not reported because the facility believed Resident C was with a family member. The facility's failure to report the incident as required by their policy constitutes a deficiency.
Medication Cart Security and Labeling Deficiency
Penalty
Summary
The facility failed to ensure that medication carts were kept locked when unattended and did not properly label medications on two of the three carts observed on the 200 Hall. On June 24, 2024, at 3:12 p.m., two medication carts on the Southeast 2 unit were found unlocked and unattended, with residents present in the hallways and lounge area. During an interview, an RN indicated that the nurse responsible for the medication cart had left the unit and had the keys for both the primary and overflow medication carts. The overflow cart contained oral pills, including melatonin and potassium chloride, without any resident identifiers. Further observations revealed that the medication cart contained various medications, including breathing treatments, nasal sprays, eye drops, oral pills, insulin pen needles, and lancets, among others. The facility's policy, provided by the Administrator, stated that medications should be stored in secured areas accessible only to authorized personnel and that medication carts should be locked or attended by authorized individuals. However, the policy was not adhered to, as evidenced by the unlocked and unattended medication carts.
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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 Anderson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Envive Of Anderson | 2.7 mi | ★★★★★ | 9 | 0 |
| Beaumont Rehabilitation And Healthcare Center | 2.9 mi | ★★★★★ | 27 | 0 |
| Edgewater Woods | 3.2 mi | ★★★★★ | 8 | 0 |
| Northview Health And Living | 3.4 mi | ★★★★★ | 19 | 0 |
| Bethany Pointe Health Campus | 4.5 mi | ★★★★★ | 4 | 1 |
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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.