Deficiency Records for Courtyard Gardens Nursing and Rehab Ctr
Updated as of October 01, 2019
This is not the most recent data for Courtyard Gardens Nursing and Rehab Ctr. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-03-13 | 2019-04-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-03-13 | 2019-04-09 | 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 | 2019-03-13 | 2019-04-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-13 | 2019-04-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-13 | 2019-04-09 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-07 | 2019-04-09 | 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 | 2019-03-07 | 2019-04-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-07 | 2019-04-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-07 | 2019-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-07 | 2019-04-09 | 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 | 2019-03-07 | 2019-04-09 | 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 | 2019-03-07 | 2019-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-04-09 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-03-07 | 2019-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-04-09 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-03-07 | 2019-04-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-04-25 | 2018-05-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-05 | 2018-04-16 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-04-05 | 2018-04-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-05 | 2018-04-16 | 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 | Health | 2018-04-05 | 2018-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-05 | 2018-04-16 | 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 | 2018-04-05 | 2018-04-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-05 | 2018-04-05 | 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 | 2018-04-05 | 2018-04-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-05 | 2018-04-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-03-23 | 2017-04-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-23 | 2017-04-21 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-03-23 | 2017-04-21 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-23 | 2017-04-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-23 | 2017-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-23 | 2017-04-21 | N |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2017-03-23 | 2017-04-21 | N |
