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Deficiency Records for Courtland Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Courtland Rehabilitation and Healthcare 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 Courtland Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-25 | 2022-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-25 | 2022-08-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-25 | 2022-08-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-25 | 2022-08-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-25 | 2022-08-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-25 | 2022-08-04 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-03-17 | 2022-06-16 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-03-17 | 2022-06-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-17 | 2022-06-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-17 | 2022-06-16 | 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 | 2022-03-17 | 2022-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-17 | 2022-06-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-17 | 2022-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-06-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-17 | 2022-06-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-17 | 2022-06-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-17 | 2022-06-16 | 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 | 2022-03-17 | 2022-06-16 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-03-17 | 2022-06-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-17 | 2022-06-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-17 | 2022-06-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-03-17 | 2022-06-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-17 | 2022-06-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-03-17 | 2022-06-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-17 | 2022-06-16 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-03-17 | 2022-06-16 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-17 | 2022-06-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-03-17 | 2022-06-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-17 | 2022-06-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-03-17 | 2022-06-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-03-17 | 2022-06-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-17 | 2022-06-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-17 | 2022-06-16 | N |
| Use approved construction type or materials. | Fire Safety | 2022-03-25 | 2022-05-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-25 | 2022-05-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-25 | 2022-05-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-25 | 2022-05-23 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-02-03 | 2022-03-07 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-02-03 | 2022-03-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-03 | 2022-03-07 | Y |
| 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 | 2020-03-13 | 2020-04-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-13 | 2020-04-27 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-13 | 2020-04-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-13 | 2020-04-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-13 | 2020-04-27 | 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 | 2020-03-13 | 2020-04-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-03-13 | 2020-04-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-30 | 2019-01-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-08 | 2018-12-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-08 | 2018-12-18 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-11-08 | 2018-12-18 | 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 | 2018-11-08 | 2018-12-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-11-08 | 2018-12-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-08 | 2018-12-18 | N |
| Provide appropriate foot care. | Health | 2018-11-08 | 2018-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-08 | 2018-12-18 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-11-08 | 2018-12-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-08 | 2018-12-18 | N |
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