Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

COUNTRYSIDE MANOR HEALTH & LIVING COMMUNITY

ANDERSON, IN · 109 certified beds · Last Life Safety survey February 23, 2026

CMS Certification Number 155258 · first certified April 1985

Ownership

Operated by CARDON & ASSOCIATES · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

28
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within IN

28 citations — more than 84% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 18 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was February 2026. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 28 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 28 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

This facility28IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility28
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
82023-1222025-01182026-02
Citations at each Life Safety survey
Survey dateCitations
December 4, 20238
January 3, 20252
February 23, 202618

Most-cited tags

Most-cited tags at this facility
E-00412K-03512K-05112K-03242K-03002K-09182K-03721E-00221
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0041Implement emergency and standby power systems.22026-02-23
K-0351Install an approved automatic sprinkler system.22026-02-23
K-0511Have properly installed electrical wiring and gas equipment.22026-02-23
K-0324Provide properly protected cooking facilities.22026-02-23
K-0300Meet other general requirements that are deficient.22026-02-23
K-0918Have generator or other power source capable of supplying service within 10 seconds.22026-02-23
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12026-02-23
E-0022Establish policies and procedures for sheltering.12023-12-04

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Egress Deficiencies 6
  • Emergency Preparedness Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Egress Deficiencies6
Emergency Preparedness Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies2
Services Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 23, 2026 — 18 citations

Citations issued on February 23, 2026
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (April 15, 2026)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (April 15, 2026)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 15, 2026)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (April 15, 2026)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (April 15, 2026)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (April 15, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 15, 2026)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (April 15, 2026)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (April 15, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 15, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 15, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 15, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 15, 2026)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (April 15, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 15, 2026)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (April 15, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 15, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 15, 2026)

January 3, 2025 — 2 citations

Citations issued on January 3, 2025
TagWhat the surveyor checksStatus
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (February 5, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (February 8, 2025)

December 4, 2023 — 8 citations

Citations issued on December 4, 2023
TagWhat the surveyor checksStatus
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (February 2, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (February 2, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (February 2, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 2, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 15, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 2, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (February 15, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 2, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.