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General Information
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Category: Participating in Medicare and Medicaid COUNTRYSIDE PLACE NURSING & RE (574) 259-1917 811 E 12TH ST MISHAWAKA, IN 46544 |
Last inspected: 08/20/04 Certified Bed Count: 87 Total Residents: 80 Occupancy: 92% Ownership: For profit - Corporation Inside Hospital: NO |
Resident Nurse: 0.32 LPN/LVN Care: 1.08 C.N.A. Care: 1.81 Total Staff: 0 Total Licensed Staff: 0 (All hours are per Resident per Day) |
Resident Survey
| Measure | Score | County Ave | State Ave | Updated |
| Percent of High-Risk Residents Who Have Pressure Sores | 9 % | 08/20/04 | ||
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder | 39 % | 08/20/04 | ||
| Percent of Residents Who are More Depressed or Anxious | 14 % | 08/20/04 | ||
| Percent of Residents Who Have Moderate to Severe Pain | 2 % | 08/20/04 | ||
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 8 % | 08/20/04 | ||
| Percent of Residents Who Lose Too Much Weight | 11 % | 08/20/04 | ||
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair | 1 % | 08/20/04 | ||
| Percent of Residents Who Were Physically Restrained | 0 % | 08/20/04 | ||
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse | 12 % | 08/20/04 | ||
| Percent of Residents Whose Need for Help With Daily Activities Has Increased | 10 % | 08/20/04 | ||
| Percent of Residents With a Urinary Tract Infection | 6 % | 08/20/04 | ||
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 3 % | 08/20/04 | ||
| Percent of Short-Stay Residents With Delirium | 2 % | 08/20/04 | ||
| Percent of Short-Stay Residents With Pressure Sores | 16 % | 08/20/04 |
Countryside Place Nursing & Re - Nursing Home Treatment Deficiencies
| Severity | Scope | Level of Nursing Home Neglect | Updated | Category | Deficiency |
| Isolated | Actual harm | 03/24/05 | |
| Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | ||
| Isolated | Minimal harm or potential for actual harm | 02/23/04 | |
| Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | ||
Countryside Place Nursing & Re - Nursing Home Inspections - Nursing Home Abuse Report
No inspection results have been reported.
Medicare Suppliers in MISHAWAKA
Out of 36
SAMS EAST INC
Pharmacy/Drug Store
(574)243-8419
120 INDIAN RIDGE BLVD
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
PEARLE VISION INC
Durable Medical Equipment
(574)277-7723
6502 GRAPE RD
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
ADVANCED MEDICAL SPECIALTIES LLC
Durable Medical Equipment
(574)255-1290
620 W EDISON RD
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
AMERICAN PARTNERS LP
Pharmacy/Drug Store
(574)255-4729
316 N BITTERSWEET RD
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
CHARLES E SHEARER
Optometry/Optician
(574)255-6363
517 LINCOLN WAY E
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
AMERICAN PARTNERS LP
Pharmacy/Drug Store
(574)256-5559
502 W MCKINLEY AVE
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
ADVANCED MEDICAL SPECIALTIES LLC
Durable Medical Equipment
(574)255-1290
620 W EDISON RD
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
AMERICAN PARTNERS LP
Pharmacy/Drug Store
(574)259-3707
304 N IRONWOOD DR
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
CHARLES E SHEARER
Optometry/Optician
(574)255-6363
517 LINCOLN WAY E
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
C & B OPTICAL INC
Optometry/Optician
(574)291-9200
5327 GRAPE RD
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545