Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 during CMS and state inspections, most recent first.
Two residents' MDS assessments were inaccurately coded, with one resident's ongoing oxygen therapy and another's active bipolar disorder diagnosis omitted from their respective MDS sections, despite supporting documentation and daily treatments. These omissions were acknowledged as oversights by MDS staff.
A resident with pneumonia and a physician's order for oxygen therapy did not have a comprehensive care plan addressing respiratory care, despite daily administration of oxygen and documented need for staff monitoring due to the resident's tendency to remove her oxygen tubing. Staff interviews confirmed the omission of a respiratory care plan was an oversight.
A resident, who was severely cognitively impaired and dependent on staff for ADLs, sustained a 2 cm laceration to the forehead when a corner shelf fell from the wall during care. Despite an investigation, no definitive cause for the shelf's fall was identified. The facility removed all corner shelves from residents' rooms and educated staff on reporting compromised or damaged equipment.
The facility failed to maintain walls in good repair in two resident rooms, with multiple black marks and marring observed on the drywall. Despite procedures for reporting maintenance issues, neither the Maintenance Director nor the Administrator was aware of the specific problems, and no corrective actions were taken between observations.
Inaccurate MDS Coding for Respiratory Care and Psychiatric Diagnosis
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for two residents in the areas of respiratory care and active diagnosis. One resident, admitted with pneumonia, had a physician's order for continuous oxygen therapy and received oxygen daily as documented in the Medication Administration Record. However, the resident's quarterly MDS assessment did not reflect the use of oxygen therapy in the Special Treatments and Programs section. This omission was acknowledged by the MDS nurse as an oversight. Another resident, admitted with an anxiety disorder and an active diagnosis of bipolar disorder, was receiving daily antipsychotic medication for bipolar disorder as documented in the Medication Administration Record. Despite this, the quarterly MDS assessment did not indicate an active diagnosis of bipolar disorder in the Psychiatric/Mood Disorder section. This was also acknowledged by the MDS nurse as an oversight. The Director of Nursing and the Administrator both stated that they expected MDS assessments to be coded accurately.
Failure to Develop Respiratory Care Plan for Resident on Oxygen Therapy
Penalty
Summary
The facility failed to develop a comprehensive care plan addressing respiratory care for a resident admitted with pneumonia who had a physician's order for oxygen therapy. Although the resident was ordered to receive oxygen via nasal cannula at 2 liters per minute to maintain oxygen saturation above 92%, the quarterly MDS assessment did not indicate oxygen therapy, and the resident's care plan dated 2/27/25 did not include respiratory care. Record review showed that oxygen therapy was administered daily, and direct observation found the resident in bed with an oxygen concentrator in use, but the tubing was not on the resident, who was observed coughing. Staff interviews confirmed that the resident frequently removed her oxygen tubing and required monitoring to ensure proper oxygenation, and both the MDS nurse and DON acknowledged the absence of a respiratory care plan as an oversight.
Resident Injured by Falling Shelf
Penalty
Summary
The facility failed to prevent injury to a resident who sustained a laceration to his head when a corner shelf fell from the wall. Resident #55, who was severely cognitively impaired and dependent on staff for Activities of Daily Living (ADLs), was injured when two nurse aides were preparing to perform care. The shelf fell, landing on the bed and the resident's forehead, causing a 2 cm laceration. The incident report indicated that the resident's neurological status remained at baseline, and the laceration was treated with steri-strips and antibiotic ointment. The resident was unable to voice pain due to his cognitive impairment, and the Responsible Party (RP) and Nurse Practitioner (NP) were notified immediately. The Director of Nursing (DON) and Administrator were also informed, and the resident's overall status was monitored following the incident. Upon investigation, the facility's summary of the incident revealed that the Administrator and the Maintenance Director were summoned to the room to determine the cause of the shelf falling. Despite their efforts, no definitive cause could be identified. As a precautionary measure, the Administrator decided to remove all corner shelves from residents' rooms to prevent further accidents. Interviews with the nurse aides involved, the Maintenance Director, and the DON confirmed that no loose screws or missing drywall were observed, and no root cause could be determined for the shelf's fall. The RP of Resident #55 was notified and confirmed that the resident did not suffer any ill effects from the incident. The facility's corrective action plan included the immediate removal of all corner shelves from residents' rooms and education for all staff on reporting any compromised or damaged equipment, outlets, furniture, or shelving to maintenance. The plan was validated by the facility's Quality Assurance and Performance Improvement (QAPI) committee, which included the DON, Administrator, MDS Coordinator, Nursing Supervisor, Human Resources, Social Worker, Plant Operations Manager, and other department managers. The facility provided documentation to support the corrective action plan, including education provided to the Maintenance Director and all departments, and confirmed that no further incidents of falling objects onto residents had occurred since the corrective actions were implemented.
Failure to Maintain Walls in Good Repair
Penalty
Summary
The facility failed to maintain walls in good repair in two resident rooms, as observed during a survey. In one room, multiple black marks and marring were noted on the drywall next to a resident's bed. Despite the drywall appearing to have been patched, it was not painted. These observations were made on two separate occasions, indicating that the issue was not addressed in the interim. In another room, similar black marks and marring were observed behind a resident's chair, with the marks being at the height of the chair. Again, these observations were made on two separate occasions without any corrective action taken in between. Interviews with the Maintenance Director and the Administrator revealed that neither was aware of the specific issues in these rooms. The Maintenance Director mentioned that maintenance requests could be submitted through an electronic kiosk and were reviewed several times a day. However, she expected other staff to report such concerns. The Administrator also stated that anyone could fill out a work request and that management staff, including herself, conducted regular rounds. Despite these procedures, the deficiencies in wall maintenance were not reported or addressed, leading to the observed issues.
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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 Stokesdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Piney Grove Nursing And Rehabilitation Center | 9.1 mi | ★★★★★ | 1 | 0 |
| Jacob's Creek Nursing And Rehabilitation Center | 9.4 mi | ★★★★★ | 2 | 0 |
| Friends Homes At Guilford | 10.6 mi | ★★★★★ | 1 | 0 |
| Summerstone Health And Rehabilitation Center | 10.9 mi | ★★★★★ | 7 | 0 |
| North Carolina State Veterans Home Kernersville | 10.9 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.