Facility profile · CCN 365364
Garden Court Nursing And Rehabilitation Center
92 federal citations on record , and 3 federal enforcement actions totaling $76,996.
Record summary
Federal record · Q1 202692
Total citations
61
Last 3 years
3
Actual harm+
3
Federal penalties
$76,996
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
92 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 22, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| Dec 22, 2025 | F908 | Keep all essential equipment working safely. | E | Complaint |
| Dec 22, 2025 | F680 | Ensure the activities program is directed by a qualified professional. | E | Complaint |
| Dec 22, 2025 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint |
| Aug 22, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Aug 22, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | F | Complaint |
| Jun 11, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jun 11, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Jun 11, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Jun 11, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jun 4, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Mar 26, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| Mar 26, 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 | Complaint |
| Mar 26, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Feb 27, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Feb 27, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Feb 27, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint |
| Jan 22, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Dec 3, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Dec 3, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Jul 23, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Jul 23, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Complaint |
| Jul 23, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Jul 23, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jul 23, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Jul 23, 2024 | F776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint |
| Jul 23, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jul 23, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Jul 23, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Jul 23, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Jul 23, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jul 23, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Jul 23, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jul 23, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Jul 23, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jul 23, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Jul 23, 2024 | F727 | 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. | F | Standard |
| Jul 23, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jul 23, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Jun 6, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Jun 6, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Jun 6, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Jun 6, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jun 6, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jun 6, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Jun 6, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| May 13, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| May 13, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| May 13, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Apr 11, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Apr 11, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Jan 9, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Oct 25, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Oct 25, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Sep 25, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Sep 25, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint |
| Sep 25, 2023 | F680 | Ensure the activities program is directed by a qualified professional. | E | Complaint |
| Sep 25, 2023 | F679 | Provide activities to meet all resident's needs. | E | Complaint |
| Aug 4, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jun 14, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jun 14, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 11, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Apr 11, 2023 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint |
| Apr 11, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Mar 15, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Mar 15, 2023 | F776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint |
| Mar 15, 2023 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Nov 7, 2022 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Nov 7, 2022 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| Nov 7, 2022 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Nov 7, 2022 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Nov 7, 2022 | F727 | 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. | F | Standard |
| Nov 7, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Nov 7, 2022 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Nov 7, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Nov 7, 2022 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Nov 7, 2022 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Nov 7, 2022 | F625 | 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. | D | Standard |
| Nov 7, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Nov 7, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Nov 7, 2022 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Dec 18, 2019 | F914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | Standard |
| Dec 18, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 18, 2019 | 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. | E | Standard |
| Dec 18, 2019 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Dec 18, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Dec 18, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Dec 18, 2019 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Dec 18, 2019 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Dec 18, 2019 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Dec 18, 2019 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Dec 18, 2019 | 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 |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 1 civil money penalties totaling $76,996 and 2 payment-denial actions spanning 84 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 11, 2024 | Payment Denial | — | Jul 11, 2024 · 54 days |
| Sep 25, 2023 | Fine | $76,996 | — |
| Sep 25, 2023 | Payment Denial | — | Oct 14, 2023 · 30 days |
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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