Courtland, LLC

In the surveyor’s words

From the most serious findings on record at Courtland, LLC, in the surveyor’s own words.

• Immediate jeopardy, patternF921Jul 24, 2025

  Based on observations, and interviews, it was determined that the facility failed to provide a safe sanitary environment related to sewage water backup. This was found on 1 of 8 days of the survey.The Maryland Office of Health Care Quality (OHCQ) determined that concern met the Federal definition of Immediate Jeopardy and the facility was notified in writing of this determination at 3:25 PM on 7/15/25. The findings include:On 7/15/25 at 8:44 AM, at the entrance conference the Nursing Home Administrator (NHA) confirmed that the facility was having a problem with a drainage pipe and that they were dealing with a sewage issue.On 7/15/25 at 9:36 AM, the surveyor observed the kitchen. A pooling of sewer water was noted over a circular drain in the floor. […]

• No harm, potential for more than minimal, widespreadF812Feb 16, 2023

  Based on observations, interviews, and reviews of facility documents and medical records, it was determined that the facility staff failed to 1) ensure that the dishwasher hot water temperatures are frequently checked to ensure cleanliness and sanitation of dishware, and 2) store food in accordance with professional standards for food service safety, and 3) ensure meals were provided in a manner that maintained safe quality control temperatures to meet the individual needs of dialysis residents. This was evident for 2 (Residents #51 and #111) of 17 residents reviewed during an LTCSP recertification survey for food quality and kitchen practices. This practice had the potential to affect all residents that consumed food that was prepared by the kitchen. […]

• No harm, potential for more than minimal, widespreadF880Feb 16, 2023

  Based on observations, reviews of medical records, and staff interviews, it was determined that the facility failed to implement an effective infection control program and facility staff failed to follow infection control practices and guidelines to prevent the development and transmission of disease by;1) failing to screen tuberculosis (TB) for new admit residents, this was evident for 2 (Resident #125 and #142) of 5 residents TB screening reviewed; 2) failing to order contact precautions for a resident who diagnosis E. […]

• No harm, potential for more than minimal, patternF550Feb 16, 2023

  Based on surveyor observation and interview with staff it was determined the facility staff failed to treat each resident with respect and dignity by 1) ensuring residents were treated with respect and dignity by labeling residents who required physical assistance with meals as feeders and this was evident for 11 residents listed on 2 of 3 posted staffing assignment boards in the facility, 2) identifying, labeling and posting the residents level of dependency on others on 1 of 3 nursing units in the facility, and 3) failing to have an effective process in place to assist the residents to obtain and wear personal clothing for 2 (#70 and #137) of 78 residents reviewed during an LTCSP recertification survey. […]

• No harm, potential for more than minimal, patternF656Feb 16, 2023

  Based on observation, medical record reviews, and staff interviews, it was determined that facility staff failed to develop and initiate comprehensive, resident-centered care plans with measurable objectives and goals for residents residing in the facility. This was evident for 6 (#14, #30, #131, #52, #51, #35) of 78 residents reviewed during the LTCSP recertification survey. The findings include: A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess, and evaluate the effectiveness of the resident's care. 1) Resident #131's care plans were reviewed on 2/10/23. A care plan problem initiated on 2/6/23 related to functional maintenance was reviewed. […]