Rambling Oaks Courtyard Extensive Care Community

In the surveyor’s words

From the most serious findings on record at Rambling Oaks Courtyard Extensive Care Community, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Jun 14, 2024

  Based on observation, interview and record review, the facility failed to immediately inform the resident's physician and notify, consistent with his or her authority, notify a resident's representative when there was an accident involving the resident and/or when there was a significant change in the resident's physical, mental, or psychosocial status for 1 of 5 residents (Resident #1) reviewed for notification of changes in that: The facility failed to promptly notify Resident #1's physician and responsible party when Resident #1 exhibited cries of pain on 6/8/24 and verbally stated ow, my leg while crying in pain again on 6/9/24 after falling and suffering from a fracture of the right femoral/femur neck on the right hip on 6/07/24. […]

• Actual harm, patternF925Aug 9, 2026

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program to keep the facility free of pests for 5 of 8 room (Rooms# 109;111; 206; 208; 210) reviewed for pest control. The facility failed to prevent pests from entering the facility. On 08/05/26, 08/07/26; 08/08/26.1-Resident #1 had multiple ants' bites over her body per ER doctor's note on 08/05/26.2-Resident #2 had two ants' bites over her left elbow per the Resident on 08/08/26.3-Resident #3 had three ants' bites over her left elbow per the Resident on 08/08/26.4-Resident #5 reported seen ants in her room on 08/06/26.5-Resident #6 reported seen ants in his room on 08/07/266-There were life ants and a brownish, granular or soil-like substance in Resident#4's room on 08/08/2026. […]

• No harm, potential for more than minimal, widespreadF812Sep 14, 2023

  Based on observation, interviews and record reviews the facility failed to ensure food was stored, prepared, distributed and served in accordance with professional standards for food service safety for the facility's only kitchen reviewed for kitchen sanitation. The facility failed to ensure foods in the facility's dry storage area, refrigerator, and freezer were stored and dated according to guidelines. The facility failed to ensure proper discarding of expired food stored in the refrigerator and dry storage area. The facility failed to ensure all kitchen staff were wearing proper hair and/or beard coverings, while preparing food in the kitchen area. These failures could place residents at risk for cross contamination and other air-borne illnesses. […]

• No harm, potential for more than minimal, patternF583Jan 8, 2026

  Based on observations, interviews, and record review, the facility failed to ensure the resident had a right to confidentiality of his or her personal and medical records for six (Residents #9, #11, #12, #25, #36, and #40) of eighteen residents reviewed for privacy and confidentiality.The facility failed to ensure LVN C secured Residents #9, #11, #12, #25, #36, and #40's medical information before leaving his nurse's cart on [DATE]. This failure could place the residents at risk of not having their private and medical information exposed to unauthorized individuals.Findings included:Resident #9Record review of Resident #9's Face Sheet, dated [DATE], reflected a [AGE] year-old female admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF584Jan 8, 2026

  Based on observation, interview and record review the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment including but not limited to receiving treatment and supports for daily living safely for 8 of 20 resident rooms (room [ROOM NUMBER], #2, #3, #4, #5, #6, #7, and #8) observed for cleanliness. The facility failed to ensure Rooms #1, #2, #3, #4, #5, #6, #7, and #8 were thoroughly cleaned and sanitized. This deficient practice could place residents at risk of living in an unclean and unsanitary environment which could lead to a decreased quality of life. […]