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Deficiency Records for The Courtyard Rehabilitation and Healthcare Center
A list of the most recent deficiencies for The Courtyard 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 The Courtyard 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-08-23 | 2024-09-03 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-08-23 | 2024-09-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-23 | 2024-09-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-23 | 2024-09-03 | Y |
| 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 | 2024-08-23 | 2024-09-03 | Y |
| 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 | 2024-08-23 | 2024-09-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-23 | 2024-09-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-23 | 2024-09-03 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-20 | 2024-08-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-20 | 2024-08-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-20 | 2024-08-21 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-01-10 | 2024-01-11 | Y |
| Meet other general requirements. | Fire Safety | 2023-06-28 | 2023-08-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-28 | 2023-07-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-28 | 2023-07-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-30 | 2023-07-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-30 | 2023-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-30 | 2023-07-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-06-30 | 2023-07-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-30 | 2023-07-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-06 | 2023-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-04-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-28 | 2022-08-12 | 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 | 2022-05-13 | 2022-06-13 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-05-13 | 2022-06-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-13 | 2022-06-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-13 | 2022-06-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-13 | 2022-06-13 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-05-13 | 2022-06-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-15 | 2021-12-27 | Y |
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