The Courtyard Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at The Courtyard Rehabilitation and Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Sep 19, 2025

  Based on observation, interview, and record review, the facility failed to store food accordance with professional standards for service safety in the facility's only kitchen observed for sanitary conditions. The facility failed to date food and beverages found within the facility's freezers and refrigerator. The deficient practice could affect residents by failing to ensure residents received appropriate care for their health condition. Findings included: In an observation on 09/16/2025, at 10:47 AM, the facility Freezer was found to contain 1 clear plastic bag containing frozen uncooked ground beef. The bag was sealed but there was no label or date present. In an observation on 09/16/2025, at 10:49 AM, the facility Refrigerator the following: a precooked meal in a plastic container. […]

• No harm, potential for more than minimal, patternF758Aug 23, 2024

  Based on interview and record review, the facility failed to ensure the resident was not given a psychotropic drug unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record for 2 (Residents #17 & #105) of 6 residents reviewed for unnecessary medications, in that: 1. The facility failed to reduce the dosage of Resident #17's order for Cymbalta (Duloxetine) in accordance with the pharmacist's recommendation and physician concurrence. 2. Resident #105 was prescribed a psychotropic drug for depression without a documented diagnosis of depression in the clinical record. These deficient practices could place residents at risk of receiving unnecessary psychotropic medications. The findings included: 1. […]

• No harm, potential for more than minimal, patternF801Aug 23, 2024

  Based on interview and record review, the facility failed to employ staff with the appropriate competencies and skill sets to carry out the functions of the food and nutrition service, taking into consideration resident assessments, individual plans of care, and the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment required for 1 of 1 facility reviewed for dietary requirements, in that: The DM did not have the appropriate certification, education, or qualifications to serve as the Director of Food and Nutrition Services. This deficient practice could place the residents who consume food prepared from the kitchen at risk of food borne illness and not receiving adequate nutrition. […]

• No harm, potential for more than minimal, patternF880Aug 23, 2024

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 3 of 28 residents (Residents #7, #10 and #39) reviewed for infection control, and those residents who eat from meal trays in their rooms, in that: 1. LVN-A did not wash or sanitize her hands in between medication administration for Residents #7, #10 and #39. 2. CNA-B failed to wear gloves or wash hands with soap/water after obtaining used food tray following noon meal, from Resident #206's room, who was on contact precautions isolation for C-diff. […]

• No harm, potential for more than minimal, patternF839Jan 10, 2024

  Based on observation, interview and record review the facility failed to ensure professional staff were licensed, certified, or registered in accordance with applicable State laws for 1 of 3 staff (Staff A) reviewed for staff qualifications. The facility failed to ensure Staff A completed the appropriate educational requirements of a bachelor's degree in social work and was appropriately licensed to practice social work in the State of Texas. This failure could place residents at risk of not receiving care and services from staff who were properly trained and supervised. […]