Deficiency Records for Courtyard Gardens Nursing and Rehab Ctr
Updated as of March 01, 2024
A list of the most recent deficiencies for Courtyard Gardens Nursing and Rehab Ctr. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-07 | 2023-12-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-07 | 2023-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-07 | 2023-12-20 | N |
| Post nurse staffing information every day. | Health | 2023-11-07 | 2023-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-07 | 2023-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-07 | 2023-12-20 | N |
| Meet other general requirements. | Fire Safety | 2023-11-16 | 2023-11-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-11-16 | 2023-11-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-15 | 2023-03-31 | Y |
| Meet other general requirements. | Fire Safety | 2022-10-18 | 2022-12-17 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-10-18 | 2022-12-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-18 | 2022-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-18 | 2022-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-18 | 2022-12-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-03 | 2022-11-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-03 | 2022-11-30 | N |
| Meet other general requirements. | Fire Safety | 2021-11-15 | 2021-12-31 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-11-15 | 2021-12-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-11-15 | 2021-12-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-11-15 | 2021-12-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-15 | 2021-12-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-15 | 2021-12-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-04 | 2021-12-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-04 | 2021-12-11 | 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 | 2021-11-04 | 2021-12-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-11-04 | 2021-12-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-04 | 2021-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-12-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-04 | 2021-12-11 | 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 | 2021-11-04 | 2021-12-11 | N |
