Countryside Meadows: Nephrostomy Tube Care Failures - IN
The resident, identified in inspection records only as Resident D, had a nephrostomy tube, a catheter inserted through the back into the kidney to drain urine when normal urinary function is blocked. At some point before inspectors arrived, the tube had become dislodged.
The Director of Nursing told inspectors at 1:36 p.m. that the tube was dislodged, that the resident was going to have it replaced at the hospital, and that she needed to review what the current care orders even were. She said the tube had no drainage bag attached because it wasn't draining. She planned to "clean up" the orders, because as far as she knew, the current order should have been to change the dressing only as needed and flush the tube as needed.
Forty-five minutes later, the Unit Manager gave a different account entirely. She told inspectors the tube currently in place was a new tube, and it was working properly as far as she knew. She said she was about to change the dressing because her understanding was that it should be changed and the tube flushed daily. She explained the tube had no drainage bag because the resident's other kidney was functioning and the resident was urinating normally, so drainage wasn't needed at the moment.
At 3:00 p.m., the Administrator stepped in and said the Unit Manager must have misspoken. The tube, she said, was still dislodged.
Inspectors also noted a discrepancy in how Resident D's incontinence was being managed. The Unit Manager said the resident was on a two-hour check and change schedule because she could only sense she had already voided, not when she needed to go. A facility policy from May 2019 states that residents who are totally incontinent and unable to use a toilet or bedpan should be checked and changed every two hours. The inspection record does not explain whether the resident's schedule met that threshold or fell short of it.
What it does document is that by the time inspectors left, the facility's three most senior clinical staff members could not agree on whether the tube in Resident D's body was functional or still dislodged.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Countryside Meadows from 2025-09-29 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 23, 2026 · Our methodology
COUNTRYSIDE MEADOWS in AVON, IN was cited for violations during a health inspection on September 29, 2025.
At some point before inspectors arrived, the tube had become dislodged.
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.