Countryside Care Center: Trip Hazard Injury Violation - IL
The resident, identified in inspection records only as R1, tripped on a worn floor mat near the staff breakroom door and struck her head. The injury was classified as actual harm. A new mat had been ordered on August 4, 2025, but the old one was never taken up. R1 fell on August 5.
The maintenance worker who removed it described what happened plainly. "A few days before R1 tripped they had talked about removing the rug," he told inspectors on August 29. "They were saying someone is going to trip over it — then she did. I carried it to the dumpster the same day that she fell."
The facility had ordered a replacement a full day before the fall. The worn mat stayed on the floor anyway.
Federal inspectors documented the violation during a complaint inspection completed September 3, 2025. The deficiency was cited at the actual harm level, meaning the injury to R1 was not theoretical.
What the maintenance worker's account makes clear is that the danger was not invisible or sudden. Staff had seen the mat, discussed the mat, and predicted exactly what would happen. The replacement had already been purchased. None of that was enough to get the old mat off the floor before R1 went down.
She hit her head on the breakroom door.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Countryside Care Center from 2025-09-03 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
COUNTRYSIDE CARE CENTER in MACOMB, IL was cited for violations during a health inspection on September 3, 2025.
The resident, identified in inspection records only as R1, tripped on a worn floor mat near the staff breakroom door and struck her head.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.