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Deficiency Records for Courtyard Manor Nurse Care Center and Assisted Liv
A list of the most recent deficiencies for Courtyard Manor Nurse Care Center and Assisted Liv. 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 Manor Nurse Care Center and Assisted Liv. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-29 | 2023-10-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-09-27 | 2023-10-06 | 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 | 2023-09-27 | 2023-10-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-27 | 2023-10-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-27 | 2023-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-27 | 2023-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-10-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-27 | 2023-10-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-27 | 2023-10-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-10 | 2023-07-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-10 | 2023-07-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-25 | 2023-05-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-22 | 2023-03-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-22 | 2023-02-01 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-21 | 2022-10-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-21 | 2022-10-10 | 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 | 2022-09-21 | 2022-10-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-09-21 | 2022-10-10 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-09-21 | 2022-10-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-21 | 2022-10-10 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-09-21 | 2022-10-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-21 | 2022-10-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-21 | 2022-10-10 | Y |
| 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 | 2022-09-21 | 2022-10-10 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-02 | 2022-03-18 | 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 | 2022-03-02 | 2022-03-18 | N |
| Provide activities to meet all resident's needs. | Health | 2021-06-24 | 2021-07-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-24 | 2021-07-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-06-24 | 2021-07-08 | N |
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