COURTYARD GARDENS REHABILITATION CENTER LLC
Address
17781 THELMA AVENUE
JUPITER, FL 33458
(561) 746-2998
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 81
- Certified Beds: 120
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Partnership
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Resident Services
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 Gardens Rehabilitation Center LLC. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation Plus Extensive Services
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-16 | 17.1% |
Total Percent: | 17.1% |
High Rehabilitation Plus Extensive Services
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-16 | 1.6% |
Total Percent: | 1.6% |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 9.1% |
ADL Index Range: 6-10 | 30.0% |
ADL Index Range: 0-5 | 1.5% |
Total Percent: | 40.6% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 5.8% |
ADL Index Range: 6-10 | 10.8% |
ADL Index Range: 0-5 | 5.6% |
Total Percent: | 22.2% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 4.0% |
ADL Index Range: 6-10 | 2.6% |
ADL Index Range: 0-5 | 4.7% |
Total Percent: | 11.3% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 0.4% |
ADL Index Range: 6-10 | 0.8% |
ADL Index Range: 0-5 | 1.3% |
Total Percent: | 2.5% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16 - No Signs of depression | 0.6% |
ADL Index Range: 11-14 - Signs of depression | 0.5% |
ADL Index Range: 2-5 - Signs of depression | 1.3% |
Total Percent: | 2.4% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16 - No Signs of depression | 0.4% |
ADL Index Range: 11-14 - Signs of depression | 1.4% |
ADL Index Range: 2-5 - No Signs of depression | 0.1% |
Total Percent: | 1.9% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14 - No Signs of depression | 0.2% |
ADL Index Range: 6-10 - No Signs of depression | 0.2% |
Total Percent: | 0.5% |
Rating Details For Courtyard Gardens Rehabilitation Center LLC
Nursing Staff -
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.
Nursing Hours Per Resident Per Day | Reported | Expected |
Registered Nurse (RN) Hours | 40 Minutes | 1 Hour and 8 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 16 Minutes | 42 Minutes |
Certified Nursing Assistant (CNA) Hours | 3 Hours and 13 Minutes | 2 Hours and 30 Minutes |
Total Licensed Nurse Hours | 1 Hour and 56 Minutes | 1 Hour and 49 Minutes |
Total Nurse Hours | 5 Hours and 9 Minutes | 4 Hours and 19 Minutes |
Quality of Care -
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 Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | Florida Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 86% |
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 87% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 3% | 3% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 7% | 12% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 3% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 8% | 10% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 12% | 11% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 7% | 9% |
Percent of Long-Stay Residents Who Were Physically Restrained | 6% | 5% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 11% | 8% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 55% | 54% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 10% | 5% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 7% | 5% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 19% | 12% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 80% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 81% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | 1% | 2% |
Percent of Short-Stay Residents Who Have Pressure Sores | 18% | 14% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 17% | 17% |
Health Inspection Details -
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 12/17/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Environmental
Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Make Sure That Residents Are Well Nourished.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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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.
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Properly Mark Drugs and Other Similar Products.
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Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Properly Mark Drugs and Other Similar Products.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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Resident Assessment
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
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Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
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Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
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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.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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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.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
Action Taken | Date | Amount |
Civil Money Penalty (CMP) | 09/17/2008 | $4,485 |
Civil Money Penalty (CMP) | 10/16/2009 | $6,825 |
Fire Safety
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 Gardens Rehabilitation Center LLC 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 12/14/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Properly Working Alarms on Sprinkler Valves.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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