Courtyard Healthcare Center

2400 College Ave
Goshen, IN 46526
Elkhart County
Phone: 574-533-0351
Provider Number: 155689
Last Inspection: 08/26/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
186
Number of Residents
Number of
Residents
170
Number of Beds Available
Beds Available
16
Percent Occupancy
Percent Occupancy
91%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Government - City/county
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • IN
  • USA
  • 65
  • 31
  • 18
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 65
  • 27
  • 42
Lower Numbers are Better

Details by Inspection Date

 

8/26/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 9/25/2015
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Isolated : Minimal 3 9/25/2015
Failed To: Provide proof that residents' personal money that is deposited with the nursing home is secure. Pattern : Minimal 4 9/25/2015
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 9/25/2015
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 9/25/2015
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 9/25/2015
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 9/25/2015
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 9/25/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 9/25/2015
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 9/25/2015
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 9/25/2015
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 9/25/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 9/25/2015
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 9/25/2015
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 9/25/2015
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/25/2015
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 9/25/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/25/2015
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 9/25/2015
 

6/24/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Potential 3 7/24/2014
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 7/24/2014
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 7/24/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/24/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 7/24/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 7/24/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/24/2014
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 7/24/2014
 

5/17/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Potential 3 6/16/2013
Failed To: 1) Hire only people with 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. Isolated : Minimal 3 6/16/2013
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 6/16/2013
Failed To: Give notice to the resident before a room or roommate change. Pattern : Potential 3 6/16/2013
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 6/16/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 6/16/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/16/2013
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 6/16/2013
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 6/16/2013
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 6/16/2013
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 6/16/2013
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 6/16/2013
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 6/16/2013
Failed To: Operate and provide services according to Federal, State, and local laws and professional standards. Pattern : Potential 3 6/16/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

1/27/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 2/26/2015

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg IN State Avg
Number of Residents 170 101.17 72.40
Registered Nurses 0.47 0.85 0.94
Licensed Practical / Vocational Nurses 0.86 0.88 0.93
Certified Nursing Assistants 2.69 2.09 2.20
Total Staff Hours 4.02 3.81 4.07

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% IN State Avg%
High Risk Long Stay Residents With Pressure Ulcers 5 4 6
Long Stay Residents Experiencing One or More Falls with Major Injury 0 2 3
Long Stay Residents Who Have Depressive Symptoms 0 4 6
Long Stay Residents Who Lose Too Much Weight 9 6 8
Long Stay Residents Who Received an Antipsychotic Medication 10 17 17
Long Stay Residents Who Self Report Moderate to Severe Pain 4 8 7
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 4 6
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 2 5 5
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 16 15 16
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 3 2
Long Stay Residents With a Urinary Tract Infection 0 3 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 34 47 48
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 1 2
Short Stay Residents Who Self Report Moderate to Severe Pain 15 18 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 10 16 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 15 16 17
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 1 1