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Health Inspection

Countryside Manor Health & Living Community

February 23, 2026 · Anderson, IN · 205 Marine Dr
Citations 2
CMS Rating 5/5
Beds 109
Provider ID 155258
Healthcare Facility
Countryside Manor Health & Living Community
Anderson, IN  ·  View full profile →
Inspection Summary

COUNTRYSIDE MANOR HEALTH & LIVING COMMUNITY in ANDERSON, IN — inspection on February 23, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0582
Resident Rights Deficiencies

decision about services and care.An undated, current facility policy, titled, Form Instructions Skilled

issue the SNF ABN to Original Medicare.patients prior to proving care that Medicare usually covers,

considered custodial.The SNF ABN provides information to the patient so that s/he can decide whether or not to get the care that may not be paid for by Medicare and assume financial responsibility. D. In this section, the SNF enters the estimated cost of the corresponding care that may not be covered by Medicare.

The SNF should enter an estimated total cost or a daily, per item, or per service cost estimate. SNF's must make a good faith effort to insert a reasonable cost estimate for the care. 3.1-4(f)(3)

155258 02/23/2026

Countryside Manor Health & Living Community 205 Marine Dr Anderson, IN 46016

Based on observation and interview, the facility failed to ensure insulin (a medication to treat

when expired for 2 of 5 carts reviewed for medication storage. (300 south cart and 300 short cart)Findings include:1.During a medication storage observation, on 2/19/26 at 9:59 a.m., of the 300-hall south cart, accompanied by the Unit Manager, the following was observed:One open Lantus (long-acting) insulin pen dated 1/17/26; the pen had approximately 80 units remaining.One open Novolog (rapid-acting) insulin pen dated 1/10/26; the pen had approximately 175 units remaining.

During an interview at the time of the observation, the Unit Manager indicated that insulin was good for 30 days and all expired insulin needed to be disposed of properly.

The Unit Manager confirmed the open insulin pens had expired.

She indicated only two residents received insulin from this medication cart.2.During a medication storage observation, on 2/19/26 at 10:18 a.m., of the 300-hall short cart, accompanied by QMA 6, the following was observed:One undated and unlabeled, open Novolog insulin pen with approximately 220 units remaining.

During an interview at the time of the observation, QMA 6 indicated all medications should be labeled with resident identifier information.

Insulin was good for 28 days and all expired medications should be disposed of properly.

QMA 6 indicated two residents received insulin from this medication cart. An undated, current facility policy, titled, Drug Storage, provided by the Administrator on 2/20/26 at 12:39 p.m., indicated the following: .

All expired, damaged and/or contaminated medications are removed from resident care areas and stored separately from medications available for administration.

Discontinued and expired medications should be removed from medication carts, refrigerators and cupboards promptly.

Insulin and other multi-dose injectable vials or pens must be discarded after 28 days or according to manufacturer's recommendations.

Insulin and PPD (TB) vaccine and other multi-dose vials requiring refrigeration need to be dated when opened.

All vials should be discarded within 28 days of the open date.An undated, current facility policy, titled, Cubex, provided by the Administrator on 2/20/26 at 1:17 p.m., indicated the following: .

Multi-dose items. will need to have generic label affixed by the nurse staff that includes the following information; a.

Patient name, b.

Prescriber name, c. 1 additional patient identifier, such as a date of birth . 3.1-25(j)3.1-25(k)

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ANDERSON, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from COUNTRYSIDE MANOR HEALTH & LIVING COMMUNITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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