| Countryside Meadows | |
| 762 N Dan Jones Rd, Avon, Indiana 46123 | |
| (317) 495-7200 | |
| Name | Countryside Meadows |
|---|---|
| Location | 762 N Dan Jones Rd, Avon, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 171 |
| Occupancy Rate | 80.29% |
| Medicare ID (CCN) | 155792 |
| Legal Business Name | The Health and Hospital Corporation of Marion County |
| Ownership Type | For Profit - Corporation |
| Chain | American Senior Communities (90 nursing homes) |
| Chain Average Overall Rating | 3.9 out of 5 |
| NPI Number | 1063717528 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | The Health and Hospital Corporation of Marion County |
| Doing Business As | Countryside Meadows |
| Address | 762 N Dan Jones Rd, Avon, IN 46123 |
| Phone Number | 317-495-7200 |
| 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 | 3.47 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.57 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.83 | 0.86 |
| Nurse aide hours per resident per day | 2.08 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.02 | 3.42 |
| RN hours per resident per day on the weekend | 0.44 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 38.5% | 45.8% |
| Registered nurse turnover | 38.1% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 19, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Apr 10, 2026 |
| Dec 16, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 14, 2026 |
| Dec 16, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 14, 2026 |
| Dec 16, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 14, 2026 |
| Dec 16, 2025 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 14, 2026 |
| Dec 16, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 14, 2026 |
| Nov 10, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Nov 19, 2025 |
| Sep 29, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Nov 19, 2025 |
| Oct 7, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 24, 2024 |
| Oct 7, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Oct 24, 2024 |
| Oct 7, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 24, 2024 |
| Oct 7, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 24, 2024 |
| Oct 7, 2024 | 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 Oct 24, 2024 |
| Oct 7, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 24, 2024 |
| Oct 7, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 24, 2024 |
| Oct 7, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 24, 2024 |
| Aug 1, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Aug 22, 2024 |
| Aug 1, 2024 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Aug 22, 2024 |
| Aug 1, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Aug 22, 2024 |
| Aug 1, 2024 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Aug 22, 2024 |
| Aug 1, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 22, 2024 |
| Aug 1, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Aug 22, 2024 |
| Jun 18, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| Jan 19, 2024 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Jan 19, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Jan 19, 2024 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F0800, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Aug 31, 2023 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 23, 2023 |
| Aug 31, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Sep 23, 2023 |
| Aug 31, 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, pattern | Corrected by Sep 23, 2023 |
| Aug 31, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 23, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.72 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.12 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.86 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 59.15 | 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 | 2.58 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.04 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.45 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.83 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.04 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.24 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.78 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.03 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.5 | 15.38 |
Avon Health & Rehabilitation Center Location: 4171 Forest Pointe Circle, Avon, Indiana 46123 Phone: (317) 745-5184 |