COURTYARD GARDENS REHABILITATION CENTER LLC (JUPITER, FL) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.650
State:	0.628

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	1.240
State:	0.991

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.880
Florida:	1.617

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.120
Florida:	0.120

Number Therapy Hours Per Resident Per Day

Here:	0.120
State:	0.122

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	7.1%
State:	14.7%

Percent of long-stay residents who self-report moderate to severe pain

Here:	4.3%
State:	8.4%

Percent of long-stay high-risk residents with pressure ulcers

Here:	8.9%
Florida:	6.8%

Percent of long-stay residents who lose too much weight

Here:	4.2%
State:	8.1%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	2.2%
Florida:	3.5%

Percent of long-stay residents with a urinary tract infection

Here:	12.7%
Florida:	9.2%

Percent of long-stay residents who were physically restrained

Here:	4.2%
Florida:	2.8%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	4.2%
State:	2.8%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	43.5%
Florida:	94.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	97.2%
Florida:	95.6%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	18.2%
State:	20.3%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	83.2%
State:	86.5%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	91.8%
Florida:	86.6%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	4.1%
State:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	13.2%
Florida:	24.1%

Complaint Deficiency

Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Potential for minimal harm
- Scope: Some
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few

COURTYARD GARDENS REHABILITATION CENTER LLC - JUPITER, FL

Staff Information

Quality Measures

Complaint Deficiency

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