Facility profile · CCN 255212
Courtyards Comm Living Center
39 federal citations on record , including 6 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $117,659.
Record summary
Federal record · Q1 202639
Total citations
36
Last 3 years
11
Actual harm+
4
Federal penalties
$117,659
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
39 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 22, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 22, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| May 22, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| May 22, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| May 22, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| May 22, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| May 22, 2025 | F578 | 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. | D | Standard |
| May 22, 2025 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard |
| Dec 12, 2024 | F585 | 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. | E | Complaint |
| Dec 12, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Aug 14, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | G | Complaint |
| Aug 14, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint |
| Aug 14, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Aug 14, 2024 | F585 | 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. | D | Complaint |
| Aug 1, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Feb 20, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Feb 20, 2024 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Feb 20, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint |
| Feb 20, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Feb 20, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 20, 2024 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | J | Standard |
| Feb 20, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| Feb 20, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Standard |
| Feb 20, 2024 | F801 | 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. | F | Standard |
| Feb 20, 2024 | F726 | 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. | D | Standard |
| Feb 20, 2024 | F700 | 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. | D | Standard |
| Feb 20, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 20, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | J | Standard |
| Feb 20, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard |
| Feb 20, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Feb 20, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Feb 20, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Standard |
| Feb 20, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Feb 20, 2024 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Feb 20, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Standard |
| Feb 20, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Standard |
| Aug 4, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 4, 2022 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Aug 4, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $117,659 and 1 payment-denial actions spanning 16 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 1, 2024 | Fine | $14,050 | — |
| Aug 1, 2024 | Fine | $41,730 | — |
| Aug 1, 2024 | Payment Denial | — | Aug 24, 2024 · 16 days |
| Feb 20, 2024 | Fine | $61,879 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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