Courtyard Rehabilitation by Harborview

In the surveyor’s words

From the most serious findings on record at Courtyard Rehabilitation by Harborview, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812May 15, 2025

  Based upon observations, interviews and review of facility kitchen policy, the facility failed to provide clean and sanitary conditions in food service areas to prevent contamination of food and food storage areas. The facility failed to follow proper sanitation guidelines for kitchen equipment. The findings include: On 5/12/25 at 10:40 AM an initial observation tour of the kitchen area was conducted with the Dietary Manager. The dishwasher area had a black hose across the floor, connected to the opposite wall of the dish room to a dishwasher leaking water, with water flowing onto the floor. A clear plastic covering was observed over the hose and faucet connector. The Dietary manager stated it's been like that becuase they can't find a hose to fit the connection properly. […]

• No harm, potential for more than minimal, isolatedF880Aug 27, 2026

  Based upon observations, interviews, and record reviews, the facility failed to ensure proper infection control prevention measures for 3 out of 4 residents observed during medication administration opportunities. (Resident #61, #65, and #33)The findings include:An observation of medication administration was conducted on 08/26/2026 at 08:00 AM with Staff A, Registered Nurse. Staff A failed to clean the blood pressure cuff and stethoscope after checking the blood pressure of Resident #61 prior to administering medications. Staff A returned the blood pressure cuff and stethoscope to the bottom drawer of the medication cart.An observation of medication administration was conducted on 08/26/2026 at 08:20 AM with Staff Nurse A. Resident #65 voiced concerns of feeling hot, sweaty, and jittery. […]

• No harm, potential for more than minimal, isolatedF880May 15, 2025

  Resident #45 An observation of Resident #45 was conducted on 5/12/25 at 1:14 PM. Signage indicating contact precautions were in place and that staff should clean hands then don gown and gloves prior to entering the room were observed on the resident's room door. Employee C (agency Certified Nursing Assistant) was observed to enter Resident #45's room to serve the resident's lunch meal. Employee C did not don a gown or gloves prior to entering the resident's room. Employee C was observed to touch the resident's overbed table with her bare hands while serving the resident's lunch meal. A review of Resident #45's record revealed a current physician's order for contact isolation beginning on 5/11/25. […]

• No harm, potential for more than minimal, isolatedF914May 15, 2025

  Based on observations and staff interviews, the facility failed to ensure each resident bedroom was equipped to provide full visual privacy for 2 of 19 sampled resident rooms. (rooms [ROOM NUMBERS]) The findings include: An observation of room [ROOM NUMBER] bed B (occupied) was conducted with the Director of Environmental Services on 5/14/25 at 2:41 PM. The privacy curtain was measured and it was about 4 feet too short in width to provide full privacy. He stated he was not aware of a facility process to check the curtains to ensure they provided full visual privacy to the resident. An observation of room [ROOM NUMBER] bed B (occupied) was conducted with the Director of Maintenance on 5/14/25 at 4:23 PM. […]

• No harm, potential for more than minimal, isolatedF584Feb 22, 2024

  Based on observations and interview, the facility failed to maintain a safe and clean environment for 7 of 62 occupied rooms. (Rooms 314, 316, 404, 405, 407, 409, 411) The findings include: On 2/19/24 at 12:30 PM, during the initial tour of the facility, the following environmental issues were observed: In occupied room [ROOM NUMBER], a rusted toilet seat riser was in use inside the bathroom. In occupied room [ROOM NUMBER], the drawer and armoire had layers of paint peeling. In occupied room [ROOM NUMBER], a brown substance was observed on the wall. In occupied room [ROOM NUMBER], the dresser and armoire had peeled off layers of paint and there was a hole on the wall. […]