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Deficiency Records for Courtyards Comm Living Center
View the most recent health deficiencies and inspection results for Courtyards Comm Living Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Courtyards Comm Living Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-22 | 2025-06-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-05-22 | 2025-06-20 | 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 | 2025-05-22 | 2025-06-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-05-22 | 2025-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-22 | 2025-06-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-22 | 2025-06-20 | 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 | 2025-05-22 | 2025-06-20 | 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 | 2025-05-22 | 2025-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-22 | 2025-06-20 | 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 | 2025-05-22 | 2025-06-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-12 | 2025-01-16 | Y |
| 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 | 2024-12-12 | 2025-01-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-14 | 2024-09-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-01 | 2024-09-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-14 | 2024-09-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-14 | 2024-09-09 | Y |
| 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 | 2024-08-14 | 2024-09-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-20 | 2024-03-19 | N |
| Respond appropriately to all alleged violations. | Health | 2024-02-20 | 2024-03-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-20 | 2024-03-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-20 | 2024-03-19 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-20 | 2024-03-19 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-20 | 2024-03-19 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-20 | 2024-03-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-20 | 2024-03-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-02-20 | 2024-03-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-02-20 | 2024-03-19 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-20 | 2024-03-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-20 | 2024-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-20 | 2024-03-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-02-20 | 2024-03-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-20 | 2024-03-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-20 | 2024-03-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-04 | 2022-09-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-04 | 2022-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-09-02 | N |