1 Report
Inspection Report — Sep 16, 2025
Date: Sep 16, 2025
Visit Reason
The report covers the inspection history of Courtyard Plaza, including routine and complaint visits with outcomes of deficiencies cited or corrected.
Findings
Across 72 visits from September 5, 2012 to September 16, 2025, 89 deficiencies were recorded with 12 serious (Class 1 and 2). The state imposed 31 legal actions with fines totaling $142,450.
Citations (89)
Resident Care - Rights & Facility Procedures — cited October 25, 2024, corrected March 17, 2025
Medication - Assistance With Self-admin — cited October 25, 2024, corrected March 17, 2025
Physical Plant - Safe Living Environ/other — cited October 25, 2024, corrected March 17, 2025
Records - Facility — cited October 25, 2024, corrected March 17, 2025
Records - Resident — cited October 25, 2024, corrected March 17, 2025
Emergency Mgmt - Plan Implementation — cited October 25, 2024, corrected September 16, 2025
Lmh - Training — cited October 25, 2024, corrected March 17, 2025
Resident Care - Arrangement for Health Care — cited May 23, 2024, corrected July 1, 2024
Medication - Storage and Disposal — cited May 23, 2024, corrected July 1, 2024
Resident Care - Supervision — cited March 20, 2023, corrected August 16, 2023
Resident Care - Rights & Facility Procedures — cited December 15, 2022, corrected March 20, 2023
Staffing Standards - Staff — cited December 15, 2022, corrected March 20, 2023
Fiscal - Resident Trust Funds — cited December 15, 2022, corrected March 20, 2023
Physical Plant - Safe Living Environ/other — cited December 15, 2022, corrected March 20, 2023
Records - Resident — cited December 15, 2022, corrected March 20, 2023
Resident Contracts — cited November 21, 2021, corrected December 14, 2022
License Required; Display — cited November 21, 2021, corrected December 14, 2022
Admissions - Continued Residency — cited October 6, 2021, corrected November 17, 2021
Resident Care - Activities of Daily Living — cited October 6, 2021, corrected November 17, 2021
Resident Care - Elopement Standards — cited October 6, 2021, corrected March 20, 2023
Medication - Administration — cited October 6, 2021, corrected November 17, 2021
Records - Facility — cited October 6, 2021, corrected November 17, 2021
Resident Care - Supervision — cited June 23, 2021, corrected November 17, 2021
Resident Care - Arrangement for Health Care — cited June 23, 2021, corrected October 22, 2021
Resident Care - Rights & Facility Procedures — cited April 9, 2021, corrected November 17, 2021
Food Service - Dietary Standards — cited April 9, 2021, corrected June 18, 2021
Physical Plant - Safe Living Environ/other — cited April 9, 2021, corrected November 17, 2021
Emergency Mgmt - Plan Implementation — cited April 9, 2021, corrected June 18, 2021
Lns - Resident Care Standards — cited April 9, 2021, corrected June 18, 2021
Pharmacy & Dietary; Uncorrected Deficiencies — cited June 10, 2020, corrected August 14, 2020
Physical Plant - Safe Living Environ/other — cited January 7, 2020, corrected June 10, 2020
Background Screening; Prohibited Offenses — cited January 7, 2020, corrected June 10, 2020
Resident Refund Policy — cited November 20, 2019, corrected June 10, 2020
Resident Care - Elopement Standards — cited October 25, 2019, corrected January 7, 2020
Records - Resident, Penalties for Alteration — cited October 25, 2019, corrected January 7, 2020
Resident Care - Supervision — cited September 30, 2019, corrected January 7, 2020
Resident Care - Arrangement for Health Care — cited September 30, 2019, corrected January 7, 2020
Resident Care - Third Party Services — cited September 30, 2019, corrected October 16, 2019
Staffing Standards - Levels — cited September 30, 2019, corrected October 16, 2019
Physical Plant - Safe Living Environ/other — cited September 30, 2019, corrected October 16, 2019
Records - Resident — cited September 30, 2019, corrected January 7, 2020
Risk Mgmt & Qa; Adverse Incident Report — cited September 30, 2019, corrected January 7, 2020
Results of Screening & Notification in File — cited September 30, 2019, corrected October 16, 2019
Resident Care - Supervision — cited August 27, 2019, corrected January 7, 2020
Resident Care - Rights & Facility Procedures — cited August 27, 2019, corrected January 7, 2020
Medication - Assistance With Self-admin — cited August 27, 2019, corrected January 7, 2020
Medication - Records — cited August 27, 2019, corrected January 7, 2020
Medication - Storage and Disposal — cited August 27, 2019, corrected August 14, 2020
Medication - Labeling and Orders — cited August 27, 2019, corrected January 7, 2020
Risk Mgmt & Qa; Adverse Incident Report — cited August 27, 2019, corrected January 7, 2020
Right of Inspection; Inspection Reports — cited August 27, 2019, corrected January 7, 2020
Resident Care - Rights & Facility Procedures — cited February 1, 2019, corrected April 11, 2019
Emergency Environmental Control — cited February 1, 2019, corrected April 11, 2019
Background Screening-compliance Attestation — cited February 1, 2019, corrected April 11, 2019
Medication - Assistance With Self-admin — cited October 31, 2018, corrected April 11, 2019
Medication - Storage and Disposal — cited October 31, 2018, corrected April 11, 2019
Staffing Standards - Staff — cited June 13, 2018, corrected August 23, 2018
Food Service - Dietary Standards — cited June 13, 2018, corrected August 23, 2018
Resident Care - Elopement Standards — cited March 28, 2018, corrected June 13, 2018
Medication - Storage and Disposal — cited March 28, 2018, corrected June 13, 2018
Records - Facility — cited March 28, 2018, corrected June 13, 2018
Records - Resident, Penalties for Alteration — cited March 28, 2018, corrected June 13, 2018
Medication - Over the Counter (Otc) Products — cited August 11, 2017, corrected November 8, 2017
Risk Mgmt & Qa; Adverse Incident Report — cited June 26, 2017, corrected November 8, 2017
Results of Screening & Notification in File — cited June 26, 2017, corrected August 11, 2017
Resident Care - Rights & Facility Procedures — cited May 9, 2017, corrected August 10, 2017
Medication - Assistance With Self-admin — cited May 9, 2017, corrected August 10, 2017
Staffing Standards - Staff — cited May 9, 2017, corrected August 10, 2017
Training - Assis Self-admin Meds & Med Mgmt — cited May 9, 2017, corrected August 10, 2017
Physical Plant - Safe Living Environ/other — cited May 9, 2017, corrected November 8, 2017
Resident Care - Supervision — cited March 9, 2017, corrected August 11, 2017
Records - Resident — cited March 9, 2017, corrected August 10, 2017
Lmh - Training — cited March 9, 2017, corrected August 10, 2017
Background Screening; Prohibited Offenses — cited September 21, 2016, corrected March 9, 2017
Admissions - Continued Residency — cited September 21, 2016, corrected August 10, 2017
Medication - Storage and Disposal — cited September 21, 2016, corrected March 9, 2017
Medication - Labeling and Orders — cited September 21, 2016, corrected March 9, 2017
Resident Care - Supervision — cited February 3, 2016, corrected May 3, 2016
Risk Mgmt & Qa; Adverse Incident Report — cited February 3, 2016, corrected May 3, 2016
Resident Care - Supervision — cited July 24, 2015, corrected September 3, 2015
Staffing Standards - Administrators — cited July 24, 2015, corrected September 3, 2015
Staffing Standards - Staff — cited July 24, 2015, corrected September 3, 2015
Alzheimer's/other Disorders - Special Care — cited July 24, 2015, corrected September 3, 2015
Risk Mgmt & Qa; Adverse Incident Report — cited July 24, 2015, corrected September 3, 2015
Resident Care - Nursing Services — cited July 3, 2013, corrected October 17, 2013
Resident Care - Rights & Facility Procedures — cited July 3, 2013, corrected October 17, 2013
Medication - Assistance With Self-admin — cited July 3, 2013, corrected October 17, 2013
Medication - Records — cited July 3, 2013, corrected October 17, 2013
Unlicensed Activity — cited July 3, 2013, corrected October 17, 2013
Report Facts
Inspections: 72
Visits with deficiencies: 33
Clean visits: 23
Deficiencies: 89
Serious deficiencies: 12
Legal actions: 31
Total fines: 142450
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