COUNTRYSIDE MANOR NURSING AND REHABILITATION LLC
1865 COUNTRYSIDE DRIVE, FREMONT, OH 43420 · CCN 365418
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 82
- Avg residents/day
- 73.4
- Phone
- 4193342602
Inspection history vs Ohio & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Ohio avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-03 | 11 | 10.2 | 9.5 | +0.8 worse |
| 2 | 2023-02-27 | 14 | 10.7 | 9.8 | +3.3 worse |
| 3 | 2019-11-26 | 7 | 9.9 | 9.3 | -2.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 8 |
| Resident assessment and care planning | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.25 | 77.9% |
| RN staffing (reported) | 0.68 | 41.7% |
| Total nurse staffing (adjusted) | 4.05 | — |
Fines & penalties
- Total fines
- $42,278
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- CCH HEALTHCARE
- Facilities in chain
- 32
- Chain avg overall
- 2.50 / 5
Inspection citations (32)1 immediate jeopardy1 actual harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-06-03 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-03 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-06-03 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-03 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-06-03 · Health · corrected 2025-06-20
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-03 · Health · corrected 2024-09-04
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-06-03 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-06-03 · Health · corrected 2025-06-20
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-06-03 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2025-06-03 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-06-03 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-05-15 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-05 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-05 · Health · corrected 2023-12-25
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-03-05 · Health · corrected 2024-03-22
Potential for minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-12-18 · Health · corrected 2024-01-05
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-18 · Health · corrected 2024-01-05
Immediate jeopardy
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-18 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-12-18 · Health · corrected 2024-01-05
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-02-27 · Health · corrected 2023-03-31
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-02-27 · Health · corrected 2023-03-31
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-02-27 · Health · corrected 2023-03-31
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-27 · Health · corrected 2023-03-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-27 · Health · corrected 2023-03-31
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-27 · Health · corrected 2023-03-31
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-02-27 · Health · corrected 2023-03-31
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2023-02-27 · Health · corrected 2023-03-31
Potential for minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-27 · Health · corrected 2023-03-31
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-02-27 · Health · corrected 2023-03-31
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2019-11-26 · Health · corrected 2019-12-13
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-11-26 · Health · corrected 2019-12-13
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-11-26 · Health · corrected 2019-12-13
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CAPITAL HOLDINGS TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 95% | 2018-08-01 |
| FREMONT HOLDINGS TR | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 88% | 2018-08-01 |
| STARLIGHT HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | 2018-08-01 |
| STERN, JACOB | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2018-08-01 |
| STERN, JACOB | Individual | CORPORATE DIRECTOR | — | 2018-08-01 |
| STERN, JACOB | Individual | CORPORATE OFFICER | — | 2018-08-01 |
| STERN, JACOB | Individual | W-2 MANAGING EMPLOYEE | — | 2018-08-01 |
Other facilities in FREMONT
| Name | Overall | Beds |
|---|---|---|
| VALLEY VIEW HEALTH CAMPUS | ★★★★☆ | 60 |
| BETHESDA CARE CENTER | ★★☆☆☆ | 89 |
| PARKVIEW CARE CENTER | ★★☆☆☆ | 38 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.