COUNTRY COURT
The information listed below provides an in-depth look into the type and quality of care offered at Country Court. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
COUNTRY COURT
1076 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 397-4125
1076 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 397-4125
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
65%Number of Residents and Certified Beds
- Residents: 76
- Certified Beds: 117
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Country Court. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation Plus Extensive Services
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-10 | 6.5% |
| Total Percent: | 6.5% |
Very High Rehabilitation Plus Extensive Services
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-10 | 2.4% |
| Total Percent: | 2.4% |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 12.3% |
| ADL Index Range: 6-10 | 4.1% |
| ADL Index Range: 0-5 | 9.3% |
| Total Percent: | 25.7% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 7.1% |
| ADL Index Range: 6-10 | 7.1% |
| ADL Index Range: 0-5 | 14.9% |
| Total Percent: | 29.1% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 9.5% |
| ADL Index Range: 6-10 | 9.3% |
| ADL Index Range: 0-5 | 13.4% |
| Total Percent: | 32.3% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 0.6% |
| ADL Index Range: 6-10 | 1.5% |
| ADL Index Range: 0-5 | 0.6% |
| Total Percent: | 2.6% |
Low Rehabilitation
Rehabilitation 45 Minutes Per Week Minimum
- Three days any combination of three rehabilitation disciplines
- Two services of restorative nursing six days per week
| ADL Index Range: 11-16 | 0.6% |
| Total Percent: | 0.6% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - Signs of depression | 0.6% |
| Total Percent: | 0.6% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 2-5 - Less restorative nursing | 0.2% |
| Total Percent: | 0.2% |
Rating Details For Country Court
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 53 Minutes | 1 Hour and 13 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 50 Minutes | 46 Minutes |
| Certified Nursing Assistant (CNA) Hours | 1 Hour and 30 Minutes | 2 Hours and 33 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 43 Minutes | 1 Hour and 59 Minutes |
| Total Nurse Hours | 3 Hours and 13 Minutes | 4 Hours and 32 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Ohio are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Ohio Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 72% | 90% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 80% | 88% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 19% | 18% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 20% | 11% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 10% | 10% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 10% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 7% | 8% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 3% | 5% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 11% | 13% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 52% | 48% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 2% | 5% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 9% | 6% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 3% | 5% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 37% | 84% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 48% | 83% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 1% | 3% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 7% | 12% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 29% | 24% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/02/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Post Nurse Staffing Information.
|  |  |
Choose a Doctor to Be the Medical Director.
|  | |
Environmental
Keep Safe, Clean and Homelike Surroundings.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|  |  |
Have a Program to Keep Infection from Spreading.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Have a Program to Keep Infection from Spreading.
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Mistreatment
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Make Sure That Residents Are Well Nourished.
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Make Sure That the Attending Doctor Orders Special Diets.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
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Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
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Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
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Do an Assessment of the Resident Every Year.
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Make Sure That Doctors Visit Residents Regularly, As Required.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Resident Rights
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
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Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
| Action Taken | Date | Amount |
| Civil Money Penalty (CMP) | 01/09/2009 | $1,430 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Country Court, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Mistreatment
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
| | |
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Resident Rights
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Country Court had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/01/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Construction
Approved Construction Type or Materials.
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Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Weekly Inspections and Monthly Testing of Generators.
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Emergency Plans and Fire Drills
Did Not Have a Written Emergency Evacuation Plan.
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Exits and Egress
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
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Proper Exit Design.
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Fire Alarm Systems
Properly Maintained Smoke Detectors.
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An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Proper Backup Exit Lighting.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Vertical Openings
Proper Stairway Enclosures and Vertical Shafts.
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Source: Medicare Nursing Home Compare; Bureau of Long Term Care of Ohio - Quality Assurance - Retrieved 2011
