COURTYARD CARE CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Courtyard Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/12/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Post Nurse Staffing Information. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Choose a Doctor to Be the Medical Director. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Post Nurse Staffing Information. Inspection Date: 07/12/2010 Correction Date: 08/18/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 07/12/2010 Correction Date: 08/18/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/08/2009 Correction Date: 10/07/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/08/2009 Correction Date: 10/07/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Hire a Qualified Dietician. Inspection Date: 07/12/2010 Correction Date: 08/18/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 07/12/2010 Correction Date: 08/18/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 07/12/2010 Correction Date: 08/18/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/12/2010 Correction Date: 08/18/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/12/2010 Correction Date: 08/18/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/12/2010 Correction Date: 08/18/2010

Resident Assessment

Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 07/12/2010 Correction Date: 08/18/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/12/2010 Correction Date: 08/18/2010
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 07/12/2010 Correction Date: 08/18/2010

Resident Rights

Provide Written Records when a Resident is Transferred or Discharged. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 11/12/2008 Correction Date: 12/27/2008
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 09/08/2009 Correction Date: 10/07/2009
Let the Resident or the Resident's Representative Look at All Records. Inspection Date: 07/12/2010 Correction Date: 08/18/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/12/2010 Correction Date: 08/18/2010

The table below lists incident reports by the nursing staff or administration for Courtyard Care Center, as well as complaints by residents or their family in the previous three years.

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Complaint Filed: 09/08/2009 Correction Date: 10/07/2009

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 11/12/2008 Correction Date: 12/27/2008

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 11/12/2008 Correction Date: 12/27/2008

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 09/12/2008 Correction Date: 10/28/2008
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Complaint Filed: 09/12/2008 Correction Date: 10/28/2008

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Courtyard Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/27/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 07/27/2010 Correction Date: 08/23/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/27/2010 Correction Date: 08/23/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/16/2008 Correction Date: 01/09/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/02/2009 Correction Date: 10/06/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 07/27/2010 Correction Date: 08/23/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/27/2010 Correction Date: 08/23/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/16/2008 Correction Date: 01/09/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/02/2009 Correction Date: 10/06/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/27/2010 Correction Date: 08/23/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 12/16/2008 Correction Date: 01/09/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 07/27/2010 Correction Date: 08/23/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 09/02/2009 Correction Date: 10/06/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/27/2010 Correction Date: 08/23/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 12/16/2008 Correction Date: 01/09/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 07/27/2010 Correction Date: 08/23/2010