Countryside
Countryside Information
| Facility Name | Countryside |
| Location | 7700 Us 158 East, Stokesdale, NC 27357 |
| County (SSA Code) | Guilford (400) |
| Phone Number | 336-643-6301 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 60 |
| Average Number of Residents | 52.8 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | COMPASS HEALTHCARE AND REHAB GUILFORD LLC |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 1991-07-22 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.088 |
| Reported LPN Staffing Hours per Resident per Day | 0.90924 |
| Reported RN Staffing - Hours per Resident per Day | 0.41287 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.32212 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.41011 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.09374 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.09948 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.7747 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.41557 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.28976 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.30482 |
| Total Weighted Health Survey Score for three cycles | 18.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-03-27 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-25 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-02 |
| Rating cycle 3 - Health Deficiency Score | 28 |
| Rating cycle 3 - Total Health Inspection Score | 28 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 19133 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |