A list of the most recent deficiencies for Courtyard of Natchitoches. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-24 | 2023-12-06 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-15 | 2023-10-01 | N |
| Honor 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. | Health | 2023-08-16 | 2023-09-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-16 | 2023-09-29 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-16 | 2023-09-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-16 | 2023-09-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-16 | 2023-09-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-16 | 2023-09-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-16 | 2023-09-29 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-08-16 | 2023-09-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-16 | 2023-09-29 | N |
| Ensure 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. | Health | 2023-08-16 | 2023-09-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-03 | 2022-09-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-03 | 2022-09-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-03 | 2022-09-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-03 | 2022-09-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-03 | 2022-09-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-08-03 | 2022-09-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-03 | 2022-09-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-01 | 2022-08-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-20 | 2021-06-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-20 | 2021-06-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-20 | 2021-06-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-20 | 2021-06-18 | N |
| Ensure 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. | Health | 2021-05-20 | 2021-06-18 | N |
