| Countryside Estates | |
| Highway 64 East, Warner, Oklahoma 74469 | |
| (918) 463-5143 | |
| Name | Countryside Estates |
|---|---|
| Location | Highway 64 East, Warner, Oklahoma |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 111 |
| Occupancy Rate | 70.27% |
| Medicare ID (CCN) | 375341 |
| Legal Business Name | Countryside Health Services LLC |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1336252089 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Countryside Health Services, LLC |
| Doing Business As | Countryside Estates, Inc. |
| Address | Highway 64 East, Warner, OK 74469 |
| Phone Number | 918-463-5143 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.83 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.22 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.4 | 0.86 |
| Nurse aide hours per resident per day | 3.2 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.5 | 3.42 |
| RN hours per resident per day on the weekend | 0.19 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 57.3% | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $3,145 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jan 9, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Feb 11, 2025 |
| Jan 9, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Feb 11, 2025 |
| Jan 9, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 11, 2025 |
| Jan 9, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 11, 2025 |
| Oct 27, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Dec 20, 2023 |
| Oct 27, 2023 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Dec 20, 2023 |
| Oct 27, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 20, 2023 |
| Oct 27, 2023 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. F0909, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Dec 20, 2023 |
| Oct 27, 2023 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. F0626, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 20, 2023 |
| Oct 27, 2023 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 20, 2023 |
| Oct 27, 2023 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 20, 2023 |
| Feb 7, 2022 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Apr 6, 2022 |
| Feb 7, 2022 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 6, 2022 |
| Feb 7, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 6, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.1 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.61 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.43 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 4.46 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.08 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.59 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.15 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.77 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.04 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 27.06 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.6 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.86 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 35.56 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 10.55 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.9 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 9.32 | 15.38 |