COURTYARD HEALTHCARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Courtyard Healthcare Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

COURTYARD HEALTHCARE CENTER
2400 COLLEGE AVE
GOSHEN, IN 46526
(574) 533-0351

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 127
  • Certified Beds: 138

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Elkhart | Syracuse | Milford

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 "Very 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 Healthcare Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • 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: 11-160.5%
Total Percent:0.5%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1626.5%
ADL Index Range: 6-101.6%
ADL Index Range: 0-55.7%
Total Percent:33.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1615.8%
ADL Index Range: 6-1010.8%
ADL Index Range: 0-523.4%
Total Percent:49.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-103.6%
ADL Index Range: 0-55.6%
Total Percent:9.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.9%
ADL Index Range: 6-104.1%
ADL Index Range: 0-50.1%
Total Percent:6.1%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.5%
Total Percent:0.5%
 

Rating Details For Courtyard Healthcare Center

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 DayReportedExpected
Registered Nurse (RN) Hours45 Minutes1 Hour and 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours53 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 2 Minutes2 Hours and 13 Minutes
Total Licensed Nurse Hours1 Hour and 38 Minutes1 Hour and 47 Minutes
Total Nurse Hours3 Hours and 40 Minutes4 Hours

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 Indiana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIndiana Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%89%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased26%20%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious13%16%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder25%50%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain28%18%
Percent of Short-Stay Residents Who Have Pressure Sores11%10%

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 02/18/2011.

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 InspectorsDegree of HarmResidents Affected

Administration

Have Licensed, Certified, or Registered Staff to Give Needed Services.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/09/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/09/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 03/26/2010
  • Correction Date: 04/16/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/26/2010
  • Correction Date: 04/16/2010
Keep Complete, Dated Lab Records in the Resident's File.
  • Inspection Date: 02/18/2011
  • Correction Date: 03/14/2011
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/18/2011
  • Correction Date: 03/14/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/26/2010
  • Correction Date: 04/16/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/18/2011
  • Correction Date: 03/14/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 02/18/2011
  • Correction Date: 03/14/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/26/2010
  • Correction Date: 04/16/2010
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 02/18/2011
  • Correction Date: 03/14/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/01/2009
  • Correction Date: 07/07/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/09/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/26/2010
  • Correction Date: 04/16/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 02/18/2011
  • Correction Date: 03/14/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/09/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/09/2009
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: 05/01/2009
  • Correction Date: 06/09/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 02/18/2011
  • Correction Date: 03/14/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/09/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 03/26/2010
  • Correction Date: 04/16/2010

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 TakenDateAmount
Civil Money Penalty (CMP)05/01/2009$6,533

Deficiencies from Complaints and Incidents

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

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
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/16/2008
  • Correction Date: 11/15/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/01/2009
  • Correction Date: 10/16/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/09/2011
  • Correction Date: 06/10/2011

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 10/16/2008
  • Correction Date: 11/15/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 10/16/2008
  • Correction Date: 11/15/2008

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Complaint Filed: 06/17/2009
  • Correction Date: 06/19/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 06/17/2009
  • Correction Date: 06/19/2009

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.
  • Complaint Filed: 04/02/2008
  • Correction Date: 05/16/2008

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 04/02/2008
  • Correction Date: 06/04/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 02/04/2009
  • Correction Date: 02/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 03/26/2010
  • Correction Date: 04/16/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/09/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/09/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 04/02/2008
  • Correction Date: 05/16/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 04/02/2008
  • Correction Date: 06/04/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 03/26/2010
  • Correction Date: 04/16/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 10/16/2008
  • Correction Date: 11/15/2008
Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 05/01/2009
  • Correction Date: 06/09/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/09/2010
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.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/09/2010

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 Healthcare 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 02/22/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/11/2009
  • Correction Date: 05/18/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 04/05/2010
  • Correction Date: 05/05/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/22/2011
  • Correction Date: 03/22/2011
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 02/22/2011
  • Correction Date: 03/22/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 02/22/2011
  • Correction Date: 03/22/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/22/2011
  • Correction Date: 03/22/2011

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 02/22/2011
  • Correction Date: 03/22/2011

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 04/05/2010
  • Correction Date: 05/05/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/05/2010
  • Correction Date: 05/05/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 05/11/2009
  • Correction Date: 05/18/2009
Source: Medicare Nursing Home Compare; Department of Health of Indiana - Long Term Care Division - Retrieved 2011