Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Country Meadows during CMS and state inspections, most recent first.
Six residents missed multiple doses of prescribed medications, including those for diabetes, pain, constipation, and psychiatric conditions, due to medication unavailability. Documentation showed repeated missed doses over several months, with some residents reporting discomfort and staff largely unaware of the extent of the issue. The facility lacked a policy for following physician orders or addressing missed doses.
MDS assessments did not accurately reflect hospice status for three residents. One resident with COPD, abnormal weight loss, and Alzheimer's disease had hospice documentation in the record, but J1400 was not coded yes. Two other residents with COPD and other chronic conditions had hospice orders in the POS, but O0110K1 was not marked for hospice on their significant change MDS assessments. The Administrator, DON, and ADON/MDS Coordinator stated the MDS should reflect the resident's current condition.
A resident receiving dialysis had no current physician orders for dialysis care, AV fistula care, or monitoring requirements, and the care plan did not include required dialysis assessment and emergency response details. Dialysis communication forms contained only dates and pre/post weights, with no clinical assessments or instructions, and staff confirmed that forms were often sent blank and routine pre- or post-dialysis assessments were not being done.
The facility failed to document an accurate MDS for two residents. One resident's quarterly MDS did not mark the anticoagulant medication Eliquis, and another resident's entry location was incorrectly recorded as home/community instead of the hospital. Interviews confirmed that MDS assessments should accurately reflect the resident's condition and entry location.
The facility failed to follow physician's orders for five residents, resulting in multiple missed doses of prescribed medications due to unavailability. Staff acknowledged the issue and described their processes for addressing medication shortages, but the recurring nature of the missed doses suggests a systemic problem.
The facility failed to maintain proper infection control practices during perineal care for two residents. CNAs did not follow hand hygiene and glove use protocols, handling clean items with soiled gloves and failing to wash hands between tasks.
Failure to Administer Medications as Ordered Due to Unavailability
Penalty
Summary
The facility failed to follow physician's orders by not administering prescribed medications to six residents due to medication unavailability. Multiple instances were documented where residents missed doses of essential medications, including those for diabetes, pain management, constipation, vitamin deficiency, and psychiatric conditions. The Medication Administration Records (MARs) for each resident showed specific dates and numbers of missed doses, with reasons consistently cited as the medications being unavailable. For example, one resident missed several doses of pain medication, insulin, and gastrointestinal medications, while another missed doses of muscle relaxants, diabetes medication, and eye drops. These omissions occurred over several months and affected both newly admitted and long-term residents. Interviews with residents revealed that some were aware of missed doses and reported discomfort or exacerbation of symptoms, such as increased pain or bowel issues. One resident specifically mentioned being told by the DON that their pain medication was given to another resident and described ongoing issues with running out of medications, including muscle relaxers and bowel medications. Other residents either could not recall specific medication issues or believed they were receiving all their medications, despite documentation to the contrary. Staff interviews indicated a lack of awareness regarding the frequency and extent of medication unavailability. Certified Medication Technicians (CMTs) and Registered Nurses (RNs) stated that they typically use emergency kits or reorder medications through the electronic health record system, and denied knowledge of residents running out of medications. The DON and Administrator described processes for monitoring and reordering medications, but were not aware of ongoing issues. The facility did not provide a policy regarding following physician orders or procedures for handling missed doses due to unavailability.
MDS assessments did not accurately reflect hospice status
Penalty
Summary
The facility failed to document accurate MDS assessments for three residents related to hospice status. The facility did not provide a policy regarding MDS accuracy. Review of the RAI Manual showed that J1400 should be coded yes when the record includes physician documentation that the resident is terminally ill or receiving hospice services, and O0110K1 should be coded for residents identified as being in a hospice program for terminally ill persons receiving palliative and related services. Resident #3 had diagnoses including COPD, abnormal weight loss, and Alzheimer's disease, and the record showed a physician order to consult with hospice on 03/27/25. Progress notes documented that the resident was admitted to hospice on 05/01/25 with a primary diagnosis of abnormal weight loss and a secondary diagnosis of COPD, but the significant change MDS dated 05/08/25 did not mark J1400 yes. Resident #44 had diagnoses including COPD, CHF, pain, and dementia, and the POS showed an order to admit to hospice on 06/16/25 with CHF as the primary diagnosis, but the significant change MDS dated 06/23/25 did not mark O0110K1 for hospice. Resident #65 had diagnoses including COPD, repeated falls, and difficulty walking, and the POS showed an order to admit to hospice on 03/19/25, but the significant change MDS dated 03/27/25 did not mark O0110K1 for hospice. During interview, the Administrator, DON, and ADON/MDS Coordinator stated they would expect the MDS assessments to reflect the current condition of the resident.
Dialysis Care Lacked Orders, Monitoring, and Communication
Penalty
Summary
The facility failed to provide safe, appropriate dialysis care for one resident receiving hemodialysis. The resident had end-stage renal disease, acute ischemic heart disease, infectious gastroenteritis with colitis, type 1 diabetes mellitus, chronic kidney disease, bipolar disorder, and anxiety disorder. The resident’s quarterly MDS indicated dialysis, and the care plan identified risks related to dialysis such as shortness of breath, chest pain, edema, elevated blood pressure, infection at the access site, nausea, vomiting, and bleeding related to heparin use. The resident’s care plan directed staff to arrange dialysis as ordered, monitor the access area for redness or pain, and notify the physician if edema, chest pain, shortness of breath, elevated blood pressure, bleeding, or itching occurred. However, the care plan did not include several requirements from the facility’s dialysis policy, including daily palpation of the AV access for thrill, documentation of the thrill assessment, assessment for bruit, specific signs and symptoms of access-site infection, emergency response instructions for bleeding or changes in the extremity, and instructions to notify the physician immediately if no thrill was present or if sepsis signs were observed. Record review showed no active or discontinued physician orders related to dialysis, AV fistula care, or monitoring requirements. The dialysis communication forms contained only the date and pre- and post-treatment weights, with no other clinical information, nursing assessments, or instructions documented. Staff interviews confirmed that the resident went to dialysis three times weekly, that forms were often sent blank, that the facility sometimes had to call the dialysis center to obtain missing weights, and that routine vital signs and physical assessments before or after dialysis were not being performed.
Inaccurate MDS Documentation for Two Residents
Penalty
Summary
The facility failed to document an accurate Minimum Data Set (MDS) for two residents out of 15 sampled residents. For Resident #40, the quarterly MDS did not mark the anticoagulant medication Eliquis, despite an order for the medication being present in the resident's medical record. Resident #40 had diagnoses including chronic obstructive pulmonary disease (COPD), presence of a cardiac defibrillator, and a history of myocardial infarction. This discrepancy indicates that the MDS did not accurately reflect the resident's current medication regimen as required by the Resident Assessment Instrument (RAI) Manual and the facility's policy on accurate and timely completion of MDS assessments. For Resident #51, the facility failed to correctly document the entry location on both the entry tracking record and the significant change MDS assessment. The resident, who had diagnoses of cerebral infarction, type II diabetes mellitus, and muscle weakness, was admitted from the hospital, but the MDS inaccurately recorded the entry location as home/community. Interviews with the MDS Coordinator, Administrator, and Director of Nursing confirmed that the MDS assessments should accurately reflect the resident's condition and entry location, following the RAI Manual guidelines.
Failure to Follow Physician's Orders Due to Medication Unavailability
Penalty
Summary
The facility failed to follow physician's orders for five residents, resulting in multiple missed doses of prescribed medications. Resident #3 had several missed doses of Biotin, Namzaric, Pantoprazole, and Vitamin D3 due to the medications being unavailable. This issue persisted over two months, with significant gaps in medication administration, particularly for Biotin and Vitamin D3. Resident #21 experienced missed doses of Lexapro, Xarelto, Dyazide, and Vitamin D3, also due to unavailability. The missed doses spanned across two months, indicating a recurring problem with medication supply. Similarly, Resident #34 had missed doses of Atenolol, Brimonidine, Creon, Eliquis, Flomax, Hydroxyzine, Pravastatin, Remeron, Azo Bladder Control, Miralax, and Spironolactone, all attributed to the medications being unavailable. Resident #36 and Resident #174 also faced similar issues, with multiple missed doses of their prescribed medications due to unavailability. The facility staff, including CMTs, RNs, and the Administrator, acknowledged the problem and described their processes for addressing medication shortages. However, the recurring nature of the missed doses suggests a systemic issue in ensuring the timely availability of medications for residents.
Infection Control Deficiencies During Perineal Care
Penalty
Summary
The facility failed to maintain proper infection control practices during perineal care for two residents. For Resident #14, a CNA did not follow proper hand hygiene and glove use protocols. The CNA washed hands and donned gloves, but then repeatedly handled a perineal cleanser spray bottle with the same soiled gloves, placed the spray bottle on the bedside table without a barrier, and did not wash hands after removing gloves. The CNA then touched clean items such as the resident's pants, oxygen cannula, call light, and water container with soiled hands, and left the room without washing hands. The CNA acknowledged the failure to wash hands between dirty and clean tasks and before leaving the room during an interview. For Resident #46, another CNA also failed to follow proper hand hygiene and glove use protocols. The CNA washed hands and donned gloves, provided perineal and catheter care, but then placed a clean bed pad and pulled blankets over the resident with the same soiled gloves. The CNA removed gloves and washed hands only after completing these tasks. During an interview, the CNA admitted that hands should have been washed when transitioning from dirty to clean tasks and before touching the resident's clean blanket. The DON and Administrator confirmed that staff should wash hands and change gloves between dirty and clean tasks, and use barriers when placing supplies on bedside tables.
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Park Hills
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc Healthcare, Desloge | 1.5 mi | ★★★★★ | 0 | 0 |
| St Joe Manor | 4.7 mi | ★★★★★ | 0 | 0 |
| Community Manor | 5.9 mi | ★★★★★ | 1 | 0 |
| Camelot Nursing And Rehabilitation Center | 6.2 mi | ★★★★★ | 7 | 0 |
| Southbrook Nursing Center | 6.4 mi | ★★★★★ | 4 | 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.