Courtyard Healthcare Center

2400 COLLEGE AVE
Goshen, IN 46526
(574) 533-0351
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 138
Number of Residents: 112
Percent of Occupied Beds: 81%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 2 Star Overall Rating
Health Inspection: 2 Star Health Inspection Rating
Nurse Staffing: 3 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 3 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071026 Health Resident Rights Deficiencies 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. Widespread Potential for minimal harm 20071211
20071026 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20080122
20071026 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20080122
20071026 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20071211
20071026 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Minimal harm or potential for actual harm 20071211
20071026 Health Quality Care Deficiencies Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated Minimal harm or potential for actual harm 20080122
20071026 Health Nutrition and Dietary Deficiencies Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Isolated Minimal harm or potential for actual harm 20071211
20071026 Health Administration Deficiencies Give or get lab tests to meet the needs of residents. Isolated Minimal harm or potential for actual harm 20080122
20071026 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20080122
20071211 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20080122
20071211 Health Pharmacy Service Deficiencies 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. Isolated Minimal harm or potential for actual harm 20080122
20071211 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20080122
20071211 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20080122
20080402 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20080516
20080402 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Minimal harm or potential for actual harm 20080604
20080402 Health Pharmacy Service Deficiencies 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. Isolated Minimal harm or potential for actual harm 20080516
20080402 Health Quality Care Deficiencies Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. Isolated Minimal harm or potential for actual harm 20080604
20081016 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20081115
20081016 Health Resident Rights Deficiencies 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. Isolated Minimal harm or potential for actual harm 20081115
20081016 Health Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property. Isolated Minimal harm or potential for actual harm 20081115
20081016 Health Mistreatment Deficiencies 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. Isolated Actual harm 20081115
20090204 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Isolated Minimal harm or potential for actual harm 20090220
20090617 Health Nutrition and Dietary Deficiencies Make sure that residents are well nourished. Pattern Minimal harm or potential for actual harm 20090619
20090617 Health Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. Pattern Minimal harm or potential for actual harm 20090619
20091001 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20091016
20100715 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20100809
20100715 Health Quality Care Deficiencies Give or get special rehabilitation if in the patient's plan of care. Isolated Minimal harm or potential for actual harm 20100809
20100715 Health Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect. Pattern Minimal harm or potential for actual harm 20100809
20100715 Health Resident Rights Deficiencies 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. Isolated Minimal harm or potential for actual harm 20100809
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 96
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 83
Percent of long-stay residents whose need for help with daily activities has increased: 26
Percent of long-stay residents who have moderate to severe pain: 3
Percent of high-risk long-stay residents who have pressure sores: 11
Percent of low-risk long-stay residents who have pressure sores: 0
Percent of long-stay residents who were physically restrained: 1
Percent of long-stay residents who are more depressed or anxious: 13
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 25
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 4
Percent of long-stay residents who spend most of their time in bed or in a chair: 4
Percent of long-stay residents whose ability to move about in and around their room got worse: 13
Percent of long-stay residents who had a urinary tract infection: 8
Percent of long-stay residents who lose too much weight: 7
Percent of short-stay residents given influenza vaccination during the flu season: 94
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 86
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 28
Percent of short-stay residents who have pressure sores: 11
# of Residents: 112
# RN Hours per Resident: 0.54
# LPN Hours per Resident: 0.75
# CNA Hours per Resident: 2.03
Total Staff Hours per Resident: 1.29