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Health Inspection Summary

Courtyards of Orlando Care Center and Rehab

1900 Mercy Drive

Orlando, FL 32808

(407) 299-5404

Deficiency Category	Inspection Date: 3/21/24 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 5/19/22 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 12/17/20 Complaint Reporting Period: 4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies	0	2	1
Quality of Life and Care Deficiencies	2	4	2
Infection Control Deficiencies	0	0	0
Resident Assessment and Care Planning Deficiencies	1	3	2
Nursing and Physician Services Deficiencies	0	0	0
Resident Rights Deficiencies	5	0	2
Nutrition and Dietary Deficiencies	0	0	0
Pharmacy Service Deficiencies	1	1	1
Environmental Deficiencies	0	0	0
Administration Deficiencies	0	1	0

Detailed result for inspection on 3/21/24

Date of last standard health inspection:	3/21/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25	8/19/24Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25	No infection control inspections
Total number of Health Deficiencies for this nursing home:	9
Average number of Health Deficiencies in Florida:	7.2
Average number of Health Deficiencies in the United States:	9.6

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide safe and appropriate respiratory care for a resident when needed.	3/21/24	4/21/24	2 - Minimal harm or potential for actual harm	Few
Provide for the safe, appropriate administration of IV fluids for a resident when needed.	3/21/24	4/21/24	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure each resident receives an accurate assessment.	3/21/24	4/21/24	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Allow residents to self-administer drugs if determined clinically appropriate.	3/21/24	4/21/24	2 - Minimal harm or potential for actual harm	Few
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	8/19/24	9/5/24	2 - Minimal harm or potential for actual harm	Few
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	3/21/24	4/21/24	2 - Minimal harm or potential for actual harm	Few
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	3/21/24	4/21/24	2 - Minimal harm or potential for actual harm	Few
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	3/21/24	4/21/24	2 - Minimal harm or potential for actual harm	Some

Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	3/21/24	4/21/24	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 5/19/22

Date of last standard health inspection:	5/19/22Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24	5/26/23Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24	No infection control inspections
Total number of Health Deficiencies for this nursing home:	11
Average number of Health Deficiencies in Florida:	6.2
Average number of Health Deficiencies in the United States:	9.4

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	5/26/23	5/26/23	4 - Immediate jeopardy to resident health or safety	Some
Develop and implement policies and procedures to prevent abuse, neglect, and theft.	5/26/23	5/26/23	4 - Immediate jeopardy to resident health or safety	Some

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	5/19/22	6/20/22	2 - Minimal harm or potential for actual harm	Few
Provide or obtain dental services for each resident.	5/19/22	6/20/22	2 - Minimal harm or potential for actual harm	Few
Provide for the safe, appropriate administration of IV fluids for a resident when needed.	5/19/22	6/20/22	2 - Minimal harm or potential for actual harm	Some
Provide care and assistance to perform activities of daily living for any resident who is unable.	5/19/22	6/20/22	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	5/19/22	6/20/22	2 - Minimal harm or potential for actual harm	Few
Ensure each resident receives an accurate assessment.	5/19/22	6/20/22	2 - Minimal harm or potential for actual harm	Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	5/19/22	6/20/22	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.

Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	5/19/22	6/20/22	2 - Minimal harm or potential for actual harm	Some

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.	5/26/23	5/26/23	4 - Immediate jeopardy to resident health or safety	Some

Detailed result for inspection on 12/17/20

Date of last standard health inspection:	12/17/20Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23	11/16/22Read the full report (PDF) 6/6/22Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23	No infection control inspections
Total number of Health Deficiencies for this nursing home:	8
Average number of Health Deficiencies in Florida:	5.8
Average number of Health Deficiencies in the United States:	8.7

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.	11/16/22	12/16/22	2 - Minimal harm or potential for actual harm	Few

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	6/6/22	6/20/22	4 - Immediate jeopardy to resident health or safety	Few
Provide care and assistance to perform activities of daily living for any resident who is unable.	12/17/20	1/13/21	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure each resident receives an accurate assessment.	12/17/20	1/13/21	2 - Minimal harm or potential for actual harm	Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	12/17/20	1/13/21	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Allow resident to participate in the development and implementation of his or her person-centered plan of care.	11/16/22	12/16/22	2 - Minimal harm or potential for actual harm	Few
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	11/16/22	12/16/22	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	12/17/20	1/13/21	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	8/19/24	9/5/24	2 - Minimal harm or potential for actual harm	Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	5/26/23	5/26/23	4 - Immediate jeopardy to resident health or safety	Some
Develop and implement policies and procedures to prevent abuse, neglect, and theft.	5/26/23	5/26/23	4 - Immediate jeopardy to resident health or safety	Some
Administer the facility in a manner that enables it to use its resources effectively and efficiently.	5/26/23	5/26/23	4 - Immediate jeopardy to resident health or safety	Some
Develop and implement policies and procedures to prevent abuse, neglect, and theft.	11/16/22	12/16/22	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	6/6/22	6/20/22	4 - Immediate jeopardy to resident health or safety	Few
Allow resident to participate in the development and implementation of his or her person-centered plan of care.	11/16/22	12/16/22	2 - Minimal harm or potential for actual harm	Few
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	11/16/22	12/16/22	2 - Minimal harm or potential for actual harm	Few

Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.

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