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Deficiency Records for Courtyards Comm Living Center
A list of the most recent deficiencies for Courtyards Comm Living 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 Courtyards Comm Living 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? |
|---|---|---|---|---|
| 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 | 2024-08-14 | 2024-09-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-14 | 2024-09-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-14 | 2024-09-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-14 | 2024-09-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-01 | 2024-09-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-20 | 2024-03-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-20 | 2024-03-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-02-20 | 2024-03-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-20 | 2024-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-20 | 2024-03-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-20 | 2024-03-19 | 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 and maintain the bed rail. | Health | 2024-02-20 | 2024-03-19 | 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 | 2024-02-20 | 2024-03-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-20 | 2024-03-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-20 | 2024-03-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-02-20 | 2024-03-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-20 | 2024-03-19 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-20 | 2024-03-19 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-20 | 2024-03-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-02-20 | 2024-03-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-04 | 2022-09-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-04 | 2022-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-09-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-02 | 2022-06-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-02 | 2022-06-29 | Y |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-10-30 | 2019-11-07 | N |
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