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Complaint Investigation

Country Lane Gardens Rehab & Nursing Ctr

Inspection Date: October 15, 2025
Total Violations 20
Facility ID 366199
Location PLEASANTVILLE, OH
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Inspection Findings

F-Tag F0565

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0565 during a complaint investigation conducted on 2025-10-15.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to organize and participate in resident/family groups in the facility.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0580

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0580 during a complaint investigation conducted on 2025-10-15.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Immediate Jeopardy

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2025-10-15.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0602

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0602 during a complaint investigation conducted on 2025-10-15.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from the wrongful use of the resident's belongings or money.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0605 during a complaint investigation conducted on 2025-10-15.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0609 during a complaint investigation conducted on 2025-10-15.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0610 during a complaint investigation conducted on 2025-10-15.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Respond appropriately to all alleged violations.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0677

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0677 during a complaint investigation conducted on 2025-10-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2025-10-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0687

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0687 during a complaint investigation conducted on 2025-10-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate foot care.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0692

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0692 during a complaint investigation conducted on 2025-10-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0698

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0698 during a complaint investigation conducted on 2025-10-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0727

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0727 during a complaint investigation conducted on 2025-10-15.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0740

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0740 during a complaint investigation conducted on 2025-10-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0760 during a complaint investigation conducted on 2025-10-15.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0835

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0835 during a complaint investigation conducted on 2025-10-15.

Category: Administration Deficiencies

The facility was found deficient in the following area: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0837

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0837 during a complaint investigation conducted on 2025-10-15.

Category: Administration Deficiencies

The facility was found deficient in the following area: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0841

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0841 during a complaint investigation conducted on 2025-10-15.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0842

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-10-15.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0865

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH for a deficiency under regulatory tag F-F0865 during a complaint investigation conducted on 2025-10-15.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have a plan that describes the process for conducting QAPI and QAA activities.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of COUNTRY LANE GARDENS REHAB & NURSING CTR.

Correction Status: Deficient, Provider has no plan of correction.

πŸ“‹ Inspection Summary

COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 PLEASANTVILLE, OH, (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 COUNTRY LANE GARDENS REHAB & NURSING CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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