Contact Information

COUNTRYSIDE MANOR
COUNTRYSIDE MANOR, INC
7700 US 158 EAST
STOKESDALE, NC 27357
(336) 643-6301
For profit - Corporation
Medicare certification date2: July 22, 1991
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  55 residents

  60 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 1
Facility reported incidents None
Number of fines 1
Number of penalties 1
Number of payment denials None

Staffing

Staffing for 55 residents North Carolina Average National Average
Hours by Registered Nurse (RN) per resident per day 22 minutes 36 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 43 minutes 56 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 1 hour, 54 minutes 2 hours, 19 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day n/a 8 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • EDGERTON, CYNTHIA
  • EDGERTON, STEVEN
  • KING, MERVYN
  • KING, VIRGINIA

DIRECTOR

  • FINCH, RUTH
  • KING, MERVYN

MANAGING EMPLOYEE

  • FINCH, RUTH

OFFICER

  • EDGERTON, STEVEN
  • KING, VIRGINIA

OPERATIONAL/MANAGERIAL CONTROL

  • FINCH, RUTH

Nursing Home Report

In 2016, COUNTRYSIDE MANOR charged a total of $635,409 for 47 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 82.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 23% Alzheimer's 57%
Asthma 34% Cancer 17%
Congestive Heart Failure 49% Kidney Disease 57%
COPD 32% Depression 55%
Diabetes 40% Hyperlipidemia 62%
Hypertension n/a Ischemic Heart Disease 53%
Osteoporosis 19% RA / OA 45%
Schizophrenia 6% Stroke 4%
Demographics
Medicare Beneficiaries 47 Average Age 82
Male 19 Female 28
White 43
Black n/a
Asian 0
Hispanic 0
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Apr 25, 2018; fire safety inspection: Jun 05, 2018

Health Deficiencies as of 04/25/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning 2
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies 1
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 06/05/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies 2
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 1
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also