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Deficiency Records for Courtyard Gardens Nursing and Rehab Ctr

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.

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?
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-11-07 2023-12-20 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-07 2023-12-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-07 2023-12-20 N
Post nurse staffing information every day. Health 2023-11-07 2023-12-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-07 2023-12-20 N
Provide and implement an infection prevention and control program. Health 2023-11-07 2023-12-20 N
Meet other general requirements. Fire Safety 2023-11-16 2023-11-29 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-11-16 2023-11-29 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-15 2023-03-31 Y
Meet other general requirements. Fire Safety 2022-10-18 2022-12-17 N
Install a two-hour-resistant firewall separation. Fire Safety 2022-10-18 2022-12-17 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-10-18 2022-12-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-18 2022-12-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-18 2022-12-17 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-11-03 2022-11-30 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-11-03 2022-11-30 N
Meet other general requirements. Fire Safety 2021-11-15 2021-12-31 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2021-11-15 2021-12-31 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2021-11-15 2021-12-31 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2021-11-15 2021-12-31 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2021-11-15 2021-12-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-11-15 2021-12-31 N
Ensure each resident receives an accurate assessment. Health 2021-11-04 2021-12-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-11-04 2021-12-11 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 2021-11-04 2021-12-11 N
Observe each nurse aide's job performance and give regular training. Health 2021-11-04 2021-12-11 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-11-04 2021-12-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-04 2021-12-11 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-11-04 2021-12-11 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 2021-11-04 2021-12-11 N

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