A list of the most recent deficiencies for Courtyard Care Center. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-30 | 2024-02-12 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-10-20 | 2023-11-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-01 | 2023-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-01 | 2023-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-01 | 2023-11-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-01 | 2023-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-01 | 2023-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-01 | 2023-11-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-10 | 2023-10-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-23 | 2023-05-15 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-03-23 | 2023-05-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-01 | 2023-02-23 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-10-25 | 2022-11-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-25 | 2022-11-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-20 | 2022-04-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-20 | 2022-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-20 | 2022-04-06 | 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 | 2022-02-20 | 2022-04-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-20 | 2022-04-06 | 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 | 2022-02-20 | 2022-04-06 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-02-20 | 2022-04-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-20 | 2022-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-20 | 2022-04-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-02-19 | 2022-03-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-02-19 | 2022-03-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-19 | 2022-03-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-19 | 2022-03-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-02-19 | 2022-03-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-19 | 2022-03-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-19 | 2022-03-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-19 | 2022-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-08 | 2020-04-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-08 | 2020-04-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-03-08 | 2020-04-02 | 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 | 2020-03-08 | 2020-04-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-08 | 2020-04-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2020-03-10 | 2020-04-01 | N |
