Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Meadow Rehabilitation And Nursing Center during CMS and state inspections, most recent first.
The facility failed to address resident council concerns about activities, affecting five residents and potentially all residents. Despite requests for more varied and frequent activities, the activity calendars showed limited options, especially on weekends and evenings. The Activities Director confirmed the lack of consistent, planned activities during these times and acknowledged difficulties in accommodating resident preferences.
The facility failed to provide an adequate number and variety of therapeutic activities to meet resident preferences and did not schedule activities on evenings and weekends. Residents expressed dissatisfaction, and observations confirmed that scheduled activities often did not occur. The activity director was the only staff member responsible and admitted to not consistently providing evening or weekend activities.
The facility failed to ensure the activities program was directed by a qualified professional. The Activity Director was not certified and had only part-time experience as an activities assistant. The Administrator was aware of the issue and had discussed certification but had not yet resolved it. This deficiency had the potential to affect all 38 residents.
The facility failed to ensure proper ware washing and maintain a clean and sanitary kitchen, potentially affecting all 38 residents. Unlabeled and undated frozen food, dented cans not separated, and a dish machine with no sanitizer concentration were observed. The Dietary Manager confirmed these issues.
The facility failed to hold quarterly care conferences and invite a resident and their representative to participate, affecting a resident with severe cognitive impairment and multiple medical diagnoses. Interviews and record reviews confirmed lapses in proper notification and documentation due to the absence of a Social Services Designee (SSD).
Failure to Address Resident Council Concerns About Activities
Penalty
Summary
The facility failed to provide the resident council with responses and actions regarding their concerns about activities. This deficiency affected five residents who regularly attended council meetings and had the potential to affect all residents. The residents voiced concerns about the timing, variety, and frequency of activities during council meetings held from November 2023 to May 2024. Despite the residents' requests for more physical activities, longer bingo games, better games, more outdoor activities, and music in the courtyard, the facility's activity calendars did not reflect significant changes or improvements to address these concerns. The activity calendars showed limited activities, especially on weekends and evenings, and lacked special events for holidays like Mother's Day and Memorial Day. During an interview, the Activities Director (AD) confirmed that she was the only activity staff member and worked full-time from Monday to Friday, with occasional but inconsistent weekend work. She acknowledged the residents' desire for more games and activities but admitted difficulty in accommodating these requests due to her lack of familiarity with some games and the absence of volunteers to assist. The AD also confirmed that there were no consistent, planned activities in the evenings and on weekends, which were times she was not scheduled to work. She mentioned that when she did coordinate occasional weekend activities, the residents enjoyed them immensely. The residents expressed their dissatisfaction with the current state of activities during a resident council interview, highlighting the lack of activities on weekends and evenings. One resident mentioned that they had previously raised concerns with the administration but saw no improvements. The AD's statements and the review of the activity calendars indicated that the facility did not adequately address the residents' concerns, leading to a deficiency in honoring the residents' right to organize and participate in resident/family groups in the facility.
Lack of Therapeutic Activities and Scheduling Issues
Penalty
Summary
The facility failed to ensure an adequate number and variety of therapeutic activities were provided to meet resident preferences and did not schedule activities on evenings and weekends. This deficiency was observed through multiple interviews with residents who expressed dissatisfaction with the lack of activities, particularly during weekends and evenings. The Activity Participation Logs for several months showed no recorded activities on Saturdays and Sundays, indicating a complete absence of weekend activities. Additionally, scheduled activities often did not occur as planned, further contributing to resident dissatisfaction. Residents reported feeling like they were in jail due to the lack of activities, and some mentioned that the activity director had recently left her position, exacerbating the issue. Observations confirmed that activities listed on the calendar, such as badminton and a cookout, did not take place as scheduled. Residents were often found sitting idly in common areas, with some even sleeping due to the lack of engagement. The activity director confirmed that she was the only staff member responsible for activities and admitted to not consistently providing evening or weekend activities. The facility's activity calendars for several months revealed a pattern of limited activities, with most scheduled events ending by mid-afternoon and no planned activities for weekends. The activity director acknowledged the residents' desire for more games and activities but cited her lack of experience and the absence of volunteers as barriers. The facility's policy stated that activities should be available daily and involve resident participation in planning and conducting the programs, but this was not being followed, leading to the deficiency.
Failure to Ensure Activities Program Directed by Qualified Professional
Penalty
Summary
The facility failed to ensure the activities program was directed by a qualified professional. The personnel record review revealed that the Activity Director (AD) was hired on 10/04/23 and signed the job description on the same date. However, the section on Education/Experience was left blank, and there was no evidence of formal training or full-time experience in a therapeutic activities program. During an interview, the AD confirmed she was not a certified activity director and had only worked part-time as an activities assistant for approximately two years. She also mentioned that she had not committed to completing or enrolling in a certification program to become a certified activities professional. The Administrator acknowledged that the AD did not meet the minimum qualifications and had discussed the certification process with her multiple times. He believed that the AD fell under the supervision of a certified activity director from a sister facility. The Administrator was aware of the regulatory requirements and stated that he would either get the AD certified or recruit a certified activity director to oversee the activities program. The facility census was 38, indicating that all residents could potentially be affected by this deficiency.
Improper Ware Washing and Unsanitary Kitchen Conditions
Penalty
Summary
The facility failed to ensure proper ware washing and maintain a clean and sanitary kitchen, potentially affecting all 38 residents receiving meals. During a kitchen tour, it was observed that the reach-in freezer contained unlabeled and undated frozen fruit and waffles. In the dry storeroom, dented cans of baked beans and sliced apples were not separated from other canned goods. The Dietary Manager confirmed these observations and admitted to not knowing that dented cans needed to be separated. Additionally, the dish machine was found to have no sanitizer concentration, which was later repaired to register 50 ppm of chlorine. Facility policies required food to be labeled and dated when removed from original packaging and specified dishwashing machine chemical sanitizer concentration to be 50-100 ppm for chlorine-based sanitizer.
Failure to Ensure Resident Participation in Care Planning
Penalty
Summary
The facility failed to ensure that quarterly care conferences were held and that the resident and/or their representative were invited to participate. This deficiency affected one resident who had severe cognitive impairment and multiple medical diagnoses, including paranoid schizophrenia, neuroleptic-induced parkinsonism, and epilepsy. The medical record review revealed that care conferences were held on three occasions, but only attended by a Registered Nurse (RN) and a Social Services Designee (SSD), without the involvement of the resident or their representative. Interviews with the resident's family member and facility staff confirmed that care conferences were not held quarterly as required, and there was no recent documentation of a care conference for the resident since the last documented meeting. The facility's policy stated that the resident and their representative should be encouraged to participate in care planning, and the Social Services Director or designee was responsible for notifying them. However, the facility had been without an SSD for a few months, and the Director of Nursing (DON) had been coordinating care conferences in the interim, leading to lapses in proper notification and documentation.
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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 Bellville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lexington Court Care Center | 3.6 mi | ★★★★★ | 1 | 0 |
| Liberty Nursing Center Of Mansfield | 9.2 mi | ★★★★★ | 0 | 0 |
| Winchester Terrace | 9.4 mi | ★★★★★ | 3 | 0 |
| Jag Healthcare Mansfield | 10.3 mi | ★★★★★ | 0 | 0 |
| Morrow Manor Nursing Center | 10.7 mi | ★★★★★ | 16 | 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.