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Deficiency Records for Courtyard Health Care Center
A list of the most recent deficiencies for Courtyard Health Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Courtyard Health 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-05-24 | 2024-06-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-24 | 2024-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-24 | 2024-06-21 | 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 | 2024-05-24 | 2024-06-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-24 | 2024-06-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-24 | 2024-06-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-24 | 2024-06-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-05-24 | 2024-06-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-24 | 2024-06-21 | 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 | 2024-05-24 | 2024-06-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-24 | 2024-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-24 | 2024-06-21 | N |
| Keep all essential equipment working safely. | Health | 2024-05-24 | 2024-06-21 | N |
| Use approved construction type or materials. | Fire Safety | 2024-05-30 | 2024-06-21 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-05-30 | 2024-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-30 | 2024-06-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-30 | 2024-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-30 | 2024-06-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-30 | 2024-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-30 | 2024-06-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-30 | 2024-06-21 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-02-27 | 2024-03-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-14 | 2024-01-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-11 | 2023-12-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-11 | 2023-12-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-11 | 2023-12-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-30 | 2023-11-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-30 | 2023-11-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-07-20 | 2023-07-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-29 | 2023-05-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-21 | 2022-12-27 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-12-21 | 2022-12-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-05 | 2022-09-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-05-27 | 2022-07-12 | 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 | 2022-05-27 | 2022-07-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-27 | 2022-07-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-05-27 | 2022-07-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-27 | 2022-07-12 | 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 | 2022-05-27 | 2022-07-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-27 | 2022-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-27 | 2022-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-27 | 2022-07-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-02 | 2022-06-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-02 | 2022-06-15 | 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 | 2022-06-02 | 2022-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-02 | 2022-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-02 | 2022-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-02 | 2022-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-02 | 2022-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-02 | 2022-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-06 | 2022-05-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-25 | 2022-02-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-17 | 2022-01-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-17 | 2022-01-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-07 | 2022-01-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-16 | 2022-01-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-16 | 2022-01-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-16 | 2022-01-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-15 | 2021-11-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-15 | 2021-11-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-15 | 2021-11-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-06 | 2021-10-06 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-14 | 2020-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-14 | 2020-02-25 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-01-10 | 2020-02-05 | 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 | 2020-01-10 | 2020-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-10 | 2020-02-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-10 | 2020-02-05 | N |
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