Courtyard Manor Nurse Care Center & Assisted Liv

In the surveyor’s words

From the most serious findings on record at Courtyard Manor Nurse Care Center & Assisted Liv, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 22, 2023

  Based on record review and interview, the facility failed to ensure all residents received all care and treatment in accordance with professional standards of practice as evidenced by the nurse failing to perform a blood glucose checks for 1 (#3) out of 3 (#1, #3, #4) residents getting CBG (Capillary Blood Glucose) checks. The deficient practice resulted in an actual harm for Resident #3, who has a diagnosis of diabetes, on 1/2/2023 at 6:00 a.m., when the facility's surveillance camera on the resident's hall revealed S2LPN (Licensed Practical Nurse) did not check the blood glucose level that AM and documented a level of 137. Resident #3 had a blood glucose level of 656 per lab work drawn on 1/2/2023 at 4:29 a.m. Resident #3 was transferred to the emergency roiagnom on [DATE] at 10:00 a.m. […]

• No harm, potential for more than minimal, widespreadF812Jan 7, 2026

  Based on observations, and interview, the facility failed to store food in accordance with professional standards for food service, and ensure sanitary conditions were maintained in the kitchen as evidenced by: multiple spots of build up debris and a red sticky substance on the covering of the ice machine;uncovered and expired food items stored in the refrigerator; andexposed hair and facial hair.This deficient practice had the potential to affect the 75 residents who consumed food from the kitchen.Findings:On 01/05/2026, a review of the facility's policy titled, Food Receiving and Storage, with a last reviewed date of 07/29/2025, revealed in part. Refrigerated/Frozen Storage 1. […]

• No harm, potential for more than minimal, patternF726Oct 30, 2024

  Based on observations, interviews and record reviews, the facility failed to ensure that nursing staff possessed competencies and skill sets necessary to provide nursing services to meet the residents' needs safely, and attain or maintain the highest practicable physical well-being for 1(#12) of 00 sampled residents as evidenced by nursing staff failing to properly maintain and record output from a Jackson Pratt (JP) drain for Resident #12. Findings: On 10/30/2024, a review of the facility's assessment with no revision date, read in part Before any new diagnoses is accepted into the facility the facility ensures the staff is competent of taking care of the resident. […]

• No harm, potential for more than minimal, patternF568Sep 27, 2023

  Based on record review and interview, the facility failed to maintain a system of accounting of each resident's personal funds entrusted to the facility on the resident's behalf by failing to provide quarterly statements for 1 (# 49) of 1 resident investigated for personal funds out of a finalized sample of 41 residents. Findings: A review of the facility's policy titled Resident Trust Fund, read in part .Policy Interpretation and Implementation. Should a resident decide to deposit into a resident trust fund it should consist of the items below .4. Quarterly statements reflecting the interest earned and balance of the account are to be mailed to all residents and or responsible party. Resident #49 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF644Sep 27, 2023

  Based on record review and interview, the facility failed to refer a resident with a newly diagnosed mental disorder to the appropriate state-designated authority for Level II PASARR (Preadmission Screening and Resident Review) evaluation and determination for 2 (#1, #18) of 4 (#1, #18, #53, #62) residents investigated for PASARR in a final sample of 41 residents. Resident #1 A review of Resident #1's record revealed an admitted [DATE]. Further review revealed he was diagnosed with Schizophrenia on 06/04/2015. A review of the Resident #1's current physician's orders September 2023 revealed he had been prescribed the antipsychotic medication Seroquel 25mg (milligrams) related to the diagnosis of Schizophrenia. […]