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Countryside Manor Nursing And Rehabilitation Llc

1865 Countryside Drive, Fremont, OH 43420
4193342602
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Overall CMS Rating

2.0/5

vs State Average: 3.2 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 2.4/5

3.0/5

Quality Measures

vs State Average: 4.4/5

2 penalties in last 3 years
Penalties
vs State Average: 0.8 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
Citation Date Description Severity
Jun 3, 2025 Provide care and assistance to perform activities of daily living for any resident who is unable. D
Jun 3, 2025 Provide activities to meet all resident's needs. D
Jun 3, 2025 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D
Jun 3, 2025 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. D
Jun 3, 2025 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D
Score
3.0
State Average
2.4
National Average
2.9
0.7 RN Hours / Resident / Day
4.3 Total Nurse Hours / Resident / Day
41.7% RN Turnover Rate
Score
3.0
State Average
4.4
National Average
3.6
5.0 Long-Stay QM Rating
1.0 Short-Stay QM Rating
73.4 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST FREMONT HOLDINGS TR
5% OR GREATER DIRECT OWNERSHIP INTEREST STARLIGHT HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST CAPITAL HOLDINGS TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST STERN, JACOB
CORPORATE DIRECTOR STERN, JACOB
CORPORATE OFFICER STERN, JACOB
W-2 MANAGING EMPLOYEE STERN, JACOB
Recent Penalties
Date Type Fine
Jun 3, 2025 Fine $26,685
Dec 18, 2023 Fine $15,593

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