COUNTRYSIDE MANOR HEALTH & LIVING COMMUNITY
205 MARINE DR
ANDERSON, IN, 46016
7656494558
CCN: 155258
4
Overall4
Health2
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| RIVERVIEW HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| GERMAN AMERICAN BANK | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| FRIEND, JAYNA | CORPORATE OFFICER | NOT APPLICABLE |
| MOORE OPERATING GROUP INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BALLA, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CATTELL, ZACHARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ESTEP, KENNETH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FAUTH, KENDRA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FRIEND, JAYNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GORMAL, GREGG | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HASHMI, SYED | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HAUG, AMY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HYATT, DAVID | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| INGRAM, STEPHANIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LOPOSSA, LYNN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCCLELLAND, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCINTOSH, ERIC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TRENNEPOHL, WHITNEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CARDON MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CARDON AND ASSOCIATES INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (17)
2025-04-11 · Health
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-01-03 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-09-11 · Health
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
2024-06-24 · Health
D
F761 · Pharmacy Service Deficiencies
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.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-12-04 · Health
D
F761 · Pharmacy Service Deficiencies
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.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
E
F585 · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
2022-10-04 · Health
D
F777 · Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F693 · Quality of Life and Care Deficiencies
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.
D
F661 · Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.39
RN Hrs/Resident/Day0.54
0.54
LPN Hrs/Resident/Day0.81
0.75
CNA Hrs/Resident/Day2.33
2.10
PT Hrs/Resident/Day0.12
0.09
Data as of 2026-03-01