Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 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.
Unsafe bed positioning and supervision during personal care led to two incidents. A dependent resident with dementia, hemiplegia, incontinence, and severe mobility impairment rolled out of bed during incontinent care while the bed was raised high and sustained a tibia fracture after sliding to the floor. Another dependent resident with Alzheimer’s disease was left unattended on her side with the bed in the highest position and a side rail down while an NA stepped away to get linen.
Loose, unsecured pills and capsules were found in two medication carts, including multiple tablets with markings and several unmarked loose pills. Nurses confirmed the medications were present but could not explain why they were stored without the minimum required resident or prescribing information. The DON and Administrator also could not explain the findings, and the DON stated the facility had no system in place to audit the medication carts.
Hand hygiene was not followed during resident care and medication administration. A nurse aide touched a room door handle and left a resident’s room with soiled gloves still on while obtaining clean linen during incontinent care, then returned and continued care without removing the gloves or sanitizing hands. In a separate event, an RN completed medication administration and used a pulse oximeter on a resident, then exited the room, placed the device in a pocket, and went to the med cart and computer without sanitizing hands or cleaning the equipment.
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.
Unsafe Bed Positioning and Supervision During Personal Care
Penalty
Summary
The facility failed to provide care in a safe manner when a dependent resident rolled out of bed during incontinent care and sustained a fracture. The resident had diagnoses including neurocognitive disorder with Lewy bodies, right-sided hemiparesis/hemiplegia status post CVA, dementia-related cognitive impairment, generalized weakness, debility, bowel and bladder incontinence, and decreased mobility. The resident was dependent for all ADLs, dependent in rolling and transfers, and always incontinent of bowel and bladder. During care, a nurse aide attempted to turn the resident while the bed was raised to a high position and while using the incontinent pad or lift sheet to assist with turning. The resident’s legs extended over the edge of the bed, gravity caused the body to slide off the bed, and the resident fell to the floor. After the fall, the resident was found lying on the floor beside the bed with a contusion under the right eye, swelling and redness to the right elbow, and skin tears to the mid right arm and top of the left hand. The resident was transferred to the emergency department and diagnosed with a mildly displaced fracture of the proximal metaphysis of the tibia. The emergency department report also documented pain with movement and treatment with pain medication and a splint. The nurse aide stated the resident was total care and required two-person assistance, and the nurse reported the resident fell during personal care while the aide was in the room. The facility also failed to keep another dependent resident safe during incontinent care. That resident had Alzheimer’s disease, debility, cardiorespiratory conditions, and was dependent in self-care and mobility, including rolling and sit-to-lying. During observation, the nurse aide left the resident unattended on her side with the bed in the highest position and the side rail down while stepping out of the room to get additional linen. The nurse aide stated she normally would move the rail up and lower the bed when leaving the bedside, but did not do so at that time. The DON stated staff were expected to ensure a resident was in a safe position with the bed in the lowest position and bed rails raised before stepping away.
Loose Unsecured Medications Found in Two Medication Carts
Penalty
Summary
Drugs and biologicals were not stored in accordance with accepted professional principles when loose, unsecured tablets and capsules were found in two medication carts during observation. In Front Hall Medication Cart #1, the surveyor observed two loose small round white tablets marked EP 116, one loose medium round white tablet marked 502, two loose small oblong white tablets marked A, one loose small oblong orange capsule, one loose small oblong white tablet marked 152, and one loose large oblong orange tablet marked 50/50 in the second and fourth drawers. Nurse #1 confirmed the loose tablets were present and was unable to explain why medications were stored without minimum information such as the resident name or prescribing information, and could not provide information about the facility process for checking medication carts or pharmacy audits. In Back Hall Medication Cart #1, the surveyor observed two loose small round white tablets in the first drawer, one loose small oblong white tablet marked A10 in the first drawer, two loose medium round white tablets in the third drawer, two loose small round white tablets in the third drawer, and one loose small round orange tablet in the third drawer. Nurse #2 confirmed the loose tablets were present and stated the pharmacy was using new packaging that was not as durable as the previous packaging, and that the carts were audited monthly by the pharmacy. Nurse #2 could not explain why the medications were stored without the minimum required information. The DON and Administrator also could not explain why loose tablets were present in either cart, and the DON stated there was no facility system in place to audit the medication carts.
Hand Hygiene Not Performed During Resident Care and Medication Pass
Penalty
Summary
The facility failed to follow its Infection Control policies and procedures for hand hygiene during resident care and medication administration. During incontinent care for one resident, Nurse Aide #1 donned gloves, removed a urine-soiled brief, and cleaned the resident’s buttocks with a washcloth. When she needed an additional washcloth, she touched the room door handle with the same soiled gloves and stepped outside the room to obtain clean linen without removing the gloves or performing hand hygiene. She then returned to the room still wearing the same gloves and continued incontinent care. During the observation, she stated the gloves should have been removed and hand hygiene performed before opening the door and leaving the room. In a separate observation, Nurse #3 entered another resident’s room to administer medications and obtain an oxygen saturation reading with a pulse oximeter. After completing the medication pass and using the pulse oximeter, Nurse #3 placed the device in her pocket, exited the room, and went to the medication cart without sanitizing or washing her hands. She then began typing on the computer. During interview, Nurse #3 stated she did not perform hand hygiene because she was not going to another resident. The Infection Control Preventionist and DON stated staff were expected to perform hand hygiene after resident contact, between residents during medication pass, and to clean equipment such as pulse oximeters after each use.
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 | ★★★★★ | 3 | 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 August 2026) and official state health department websites.