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 Center For Rehabilitation And Nursing during CMS and state inspections, most recent first.
A facility failed to complete admission MDS assessments within the required timeframe for two residents. One resident had a peritoneal abscess and the other had atherosclerotic heart disease with unstable angina pectoris. The MDS Coordinator acknowledged both assessments were completed late, and the DON and Administrator stated they were not familiar with the timing requirements or the MDS process.
The facility failed to ensure the designated Infection Preventionist (IP), the Staff Development Coordinator (SDC), had completed the required specialized training in infection control. Despite the facility's policy requiring such training before assuming the role, the SDC had not completed it, potentially affecting all fifty residents. The Director of Nursing (DON) and Administrator mistakenly believed there was a six-month window for training completion, which was not supported by policy.
The facility failed to ensure safe and sanitary storage of foods brought in by family and visitors for residents, as observed in several personal refrigerators. The absence of a policy on resident refrigerators led to confusion among staff about responsibilities for checking and cleaning them. Observations revealed spoiled and moldy food items in some refrigerators, with temperatures above safe levels, posing a risk of food poisoning.
A facility failed to include hemodialysis services in a resident's care plan, despite the resident's complex medical needs and initiation of off-site hemodialysis. The facility's policy requires comprehensive care plans to describe necessary services, but this was not followed. Staff interviews confirmed the oversight, with acknowledgment that the hemodialysis should have been included.
A facility failed to maintain accurate narcotic counts, with discrepancies found in a medication cart and storage room. Six medications for four residents had incorrect counts, such as tramadol and liquid morphine. The issue stemmed from improper narcotic counts during shift changes, with staff distracted by resident behaviors and failing to notify the DON of discrepancies. Interviews revealed non-adherence to procedures for counting and documenting narcotics.
Late Completion of Admission MDS Assessments
Penalty
Summary
The facility failed to ensure comprehensive MDS assessments were completed within the required timeframe for 2 residents, R23 and R40. Facility policy stated admission assessments were to be completed within 14 days of admission, counting the day of admission as day 1, and the CMS RAI Manual stated the admission assessment completion date was to be no later than the 14th calendar day after admission. Review of R23’s record showed the resident was admitted on 09/16/2025, and the admission MDS listed a completion date of 09/30/2025, which was the 15th calendar day after admission. R23’s face sheet also showed a diagnosis of peritoneal abscess. Review of R40’s record showed the resident was admitted on 09/08/2025, and the admission MDS listed a completion date of 09/24/2025, which was the 17th calendar day after admission. R40’s face sheet showed a diagnosis of atherosclerotic heart disease of the native coronary artery with unstable angina pectoris. During interview, the MDS Coordinator stated both admission assessments were completed late and expected them to be completed by day 13. She did not know why R40’s assessment was not completed on time. The DON stated she was not involved in the MDS process or the timing requirements, and the Administrator stated she was not familiar with the time requirements for MDS assessments.
Inadequate Training for Infection Preventionist
Penalty
Summary
The facility failed to ensure that the designated Infection Preventionist (IP) had received specialized training in infection control and prevention, as required by their own policy. The Staff Development Coordinator (SDC) was assigned the role of IP but had not completed the necessary specialized training. The facility's policy, revised in August 2024, mandates that the IP must be qualified by education, training, experience, or certification and must have completed specialized Infection Prevention and Control (IPC) training prior to assuming the role. Despite this requirement, the SDC, who had been serving as the IP since August 2024, admitted to not having completed the specialized training. The Director of Nursing (DON) and the Administrator were under the impression that there was a six-month window for the IP to complete the training, which was not supported by the facility's policy. The DON had completed the CDC's Nursing Home Infection Preventionist Training Course and served as a backup, but the SDC was the primary IP performing all related duties. The lack of specialized training for the SDC/IP had the potential to affect all fifty residents in the facility, as the IP was responsible for critical infection control tasks such as antibiotic stewardship, infection tracking, and vaccine management.
Improper Food Storage in Resident Refrigerators
Penalty
Summary
The facility failed to ensure that foods brought in by family and visitors were stored in a safe and sanitary manner for four of the thirteen sampled residents. The deficiency was identified during observations and interviews conducted by the State Survey Agency. The facility did not have a policy on resident personal refrigerators, which contributed to the lack of proper food storage and temperature monitoring. The Director of Nursing confirmed the absence of such a policy and acknowledged the confusion regarding responsibilities for checking and cleaning the refrigerators. Observations revealed that the personal refrigerators of several residents contained spoiled and moldy food items, with temperatures recorded above the safe threshold. For instance, Resident 5's refrigerator had a temperature of 54 degrees Fahrenheit and contained unlabeled and undated food items covered with mold. Similarly, Resident 6's refrigerator had expired and moldy food items, with a temperature reading of 50 degrees Fahrenheit. The refrigerators of Residents 37 and 50 also showed issues with temperature monitoring and maintenance. Interviews with staff, including CNAs and the Director of Nursing, highlighted confusion and lack of clarity regarding who was responsible for monitoring and maintaining the refrigerators. The CNAs were unsure of their responsibilities, and the Director of Nursing admitted that there was confusion about the roles of different staff members in this regard. The Administrator also acknowledged the lack of clarity and the potential risk of food poisoning due to improper food storage and refrigerator temperatures.
Failure to Include Hemodialysis in Resident's Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident receiving hemodialysis services. The resident, who began receiving off-site hemodialysis services, did not have these services included in their Comprehensive Care Plan. The facility's policy requires that the care plan describe the services necessary to attain or maintain the resident's highest practicable well-being, but this was not adhered to in the case of the resident receiving hemodialysis. The resident was admitted with multiple diagnoses, including schizophrenia disorder, hypertensive chronic kidney disease, type 2 diabetes mellitus, and chronic obstructive pulmonary disease. Despite the resident's complex medical needs and the initiation of hemodialysis treatment, the care plan did not reflect this critical aspect of their care. Interviews with facility staff, including the MDS nurse and the DON, confirmed the oversight, with the DON acknowledging that the hemodialysis services should have been included in the resident's care plan.
Narcotic Count Discrepancies in Medication Cart and Storage Room
Penalty
Summary
The facility failed to maintain accurate drug records and account for all controlled drugs, as evidenced by discrepancies found during a narcotic count of a medication cart and storage room. Specifically, the narcotic count for six medications belonging to four residents was incorrect. For instance, the count for one resident's tramadol was recorded as 49, but the narcotic record showed 53. Similarly, discrepancies were noted in the counts of liquid morphine, lorazepam, and oxycodone/acetaminophen for other residents. The issue arose because the narcotic count was not properly conducted during shift changes. An LPN admitted to not counting the narcotics when accepting the medication cart keys, relying instead on the previous shift's count. A KMA involved in the count reported being distracted by a resident's behavior, which led to oversight. The DON was not notified of the discrepancies, contrary to facility policy. Interviews with staff revealed a lack of adherence to procedures for counting and documenting narcotics, contributing to the discrepancies.
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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 Bardwell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of La Center | 13.7 mi | ★★★★★ | 2 | 0 |
| Clinton Place | 14.8 mi | ★★★★★ | 20 | 0 |
| Clinton-hickman County Nursing Facility | 15.2 mi | ★★★★★ | 0 | 0 |
| Providence Pointe Healthcare | 19.2 mi | ★★★★★ | 0 | 0 |
| Mills Nursing & Rehabilitation | 21.1 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.