Deficiency Records for Courtyard Rehabilitation and Healthcare
Updated as of March 01, 2024
A list of the most recent deficiencies for Courtyard Rehabilitation and Healthcare. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-20 | 2023-11-28 | Y |
| Honor 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. | Health | 2023-06-27 | 2023-07-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-27 | 2023-07-17 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-06-27 | 2023-07-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-09 | 2023-06-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-09 | 2023-06-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-09 | 2023-06-27 | N |
| Provide 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. | Health | 2023-05-09 | 2023-06-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-09 | 2023-06-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-09 | 2023-06-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-09 | 2023-06-27 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-09 | 2023-06-27 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-05-09 | 2023-06-27 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-03 | 2023-06-02 | N |
| Honor 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. | Health | 2022-08-09 | 2022-09-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-08-09 | 2022-09-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-09 | 2022-09-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-25 | 2022-04-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-25 | 2022-02-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-30 | 2021-11-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-30 | 2021-11-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-04 | 2021-04-01 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-10-24 | 2019-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-24 | 2019-12-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-24 | 2019-12-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-24 | 2019-12-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-10-24 | 2019-12-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-24 | 2019-12-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-24 | 2019-12-03 | N |
| Have policies on smoking. | Health | 2019-10-24 | 2019-12-03 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-24 | 2019-12-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-24 | 2019-12-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-24 | 2019-12-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-03 | 2018-09-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-03 | 2018-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-03 | 2018-09-25 | 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 | 2018-08-03 | 2018-09-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-03 | 2018-09-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-08-03 | 2018-09-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-03 | 2018-09-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-08-03 | 2018-09-25 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-08-03 | 2018-09-25 | N |
