COURTYARD NURSING AND REHABILITATION Nursing Home


COURTYARD NURSING AND REHABILITATION (CCN: 455613) is a For profit - Limited Liability company facility located in HOUSTON, TX (77087). The facility has an overall rating of 2/5, health inspection rating of 2/5, and a staffing rating of 2/5. It offers 120 certified beds and maintains an average of 70.9 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.78616 total hours per resident per day. It has been certified since December 11, 1985 and the last listed health inspection was on June 10, 2023, The facility is located in Harris county and provides senior and nursing home care.

COURTYARD NURSING AND REHABILITATION Summary


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Provider Name: COURTYARD NURSING AND REHABILITATION

Address: 7499 STANWICK DR, HOUSTON, TX 77087

Phone: (713) 644-8048

County: Harris (610)

Ownership Type: For profit - Limited Liability company

Certified Beds: 120

Average Residents Per Day: 70.9 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: STANWICK SENIOR CARE LLC

First Approved Date: December 11, 1985

Affiliated Entity: ()

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 2 ()

Health Inspection Rating: 2 ()

QM Rating: 2 ()

Long Stay QM Rating: 2 ()

Short Stay QM Rating: (2)

Staffing Rating: 2 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.50027, LPN Staff Hours Per Day: 1.0725, RN Staff Hours Per Day: 0.2133, Licensed Staff Hours Per Day: 1.2858

Total Nurse Staff Hours Per Day, per resident: 3.78616

Weekend Nurse Staff Hours: 3.45680, Weekend RN Staff Hours: 0.1459

PT Staff Hours Per Day, per resident: 0.0073

Nurse Staff Turnover: 64.1, Nurse Turnover Note:

RN Turnover: , RN Turnover Note: 6

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.1343, Case Mix LPN Hours Per Day: 0.7986, Case Mix RN Hours Per Day: 0.4438

Adjusted Nurse Aide Hours Per Day, per resident: 2.38649, Adjusted LPN Hours Per Day: 0.9911, Adjusted RN Hours Per Day: 0.1811

Total Adjusted Nurse Hours Per Day, per resident: 3.53415

Adjusted Weekend Nurse Hours Per Day, per resident: 3.22672

Health Survey Dates and Scores: Cycle 1: 2023-06-10 (Score: 95), Cycle 2: 2022-04-21 (Score: 32), Cycle 3: 2020-12-11 (Score: 20)

Total Weighted Health Score: 61.500

Reported Incidents: 2, Substantiated Complaints: 2

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 36170.00, Payment Denials Number: 0, Total Penalties Number: 1

Location and GPS: 7499 STANWICK DR,HOUSTON,TX,77087 (29.6763, -95.292)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-06-10

Type: Health, Deficiency: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-03

Citation on 2023-06-10

Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-03

Citation on 2023-06-10

Type: Health, Deficiency: Respond appropriately to all alleged violations.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-03

Citation on 2023-06-10

Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-03

Citation on 2023-06-10

Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-03

Citation on 2023-06-10

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-03

Citation on 2022-04-21

Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-05-27

Citation on 2022-04-21

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-25

Citation on 2022-04-21

Type: Health, Deficiency: Dispose of garbage and refuse properly.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-25

Citation on 2022-04-21

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-05-27

Citation on 2021-06-10

Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-07-03

Citation on 2020-12-11

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-01-14

Citation on 2020-12-11

Type: Health, Deficiency: Perform COVID19 testing on residents and staff.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-12-17


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-05-26

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-06-13

Citation on 2023-05-26

Type: Fire Safety, Tag: 0372, Version: New

Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-05-29

Citation on 2022-04-22

Type: Fire Safety, Tag: 0372, Version: New

Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-24

Citation on 2020-12-08

Type: Fire Safety, Tag: 0223, Version: New

Description: Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-01-09

Citation on 2020-12-08

Type: Fire Safety, Tag: 0372, Version: New

Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-01-09

Citation on 2020-12-08

Type: Fire Safety, Tag: 0918, Version: New

Description: Have generator or other power source capable of supplying service within 10 seconds.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-01-11