Information & Ratings on Courtyard Gardens Health and Rehabilitation Center, Arkadelphia, Arkansas
This center is a 100-certified bed facility providing services to residents of Arkadelphia and Clark County, Arkansas. The "for-profit" long-term care home is located at:
2701 Twin Rivers DriveFinancial Penalties and Violations
Arkadelphia, Arkansas, 71923
The investigators for the federal government and state of Arkansas nursing home regulatory agencies have the legal authority to impose monetary fines or deny payment for Medicare services if the nursing facility is cited for serious violations of rules and regulations. Within the last three years, investigators levied a massive fine against Courtyard Gardens Health and Rehabilitation Center for $328,149 on January 27, 2017. Also, the facility received eight formally filed complaints of the last 36 months. Additional information about fines and penalties can be found on the Arkansas Adult Protective Services website concerning this nursing facility.
To ensure families are fully informed of the level of care every nursing home provides, the state of Arkansas and Medicare.gov routinely update their long-term care home database system. This information reflects a complete list of incident inquiries, dangerous hazards, opened investigations, health violations, filed complaints, and safety concerns that can be found on numerous sites including AR Department of Public Health.
According to Medicare, this facility maintains an overall rating of one out of five stars, including one out of five stars concerning health inspections, four out of five stars for staffing issues and one out of five stars for quality measures. The Clark County neglect attorneys at Nursing Home Law Center have found serious deficiencies and safety concerns at Courtyard Gardens Health and Rehabilitation Center that include:
- Failure to Develop, Implement and Enforce Policies and Procedures That Prevent Abuse and Neglect
In a summary statement of deficiencies dated August 1, 2018, the state investigator noted the facility's failure "to ensure the facility's abuse prohibition policies and procedures were implemented." The investigator documented the nursing home's failure "to ensure staff immediately reported a suspicion of staff-to-resident abuse to administration, which resulted in a delay in initiating protective measures and initiating an investigation for [two residents] who resided on the Memory Care Unit (MCU) and received care from Certified Nursing Assistants (CNAs)." The survey team documented the facility's "failed practice has the potential to affect eighteen residents who resided on the Memory Care Unit and received care from [these two Certified Nursing Assistants]."
Failure to develop policies that prevent abuse or neglect – AR State Inspector
An incident involving two Certified Nursing Assistants were reported to the Director of Nurses by a Licensed Practical Nurse (LPN) who stated that a CNA "was overheard at the nurse's station that [two other CNAs] had pinched, pulled hair and talked down to residents reside in the Memory Care Unit." The Director of Nurses "reported immediately to the Administrator, and an investigation began."
The reporting CNA stated during an interview that "there are two specific CNAs that I feel how they treat the residents could be inappropriate." the reporting CNA "never sign anything specific, but there is suspicion." The Director of Nurses and the Administrator "immediately started interviewing all staff and alert and oriented residents." Both accused CNAs were suspended as were the Licensed Practical Nurse and the reporting CNA for [their failure to follow the facility's policy and procedure." The facility began performing body audits on all residents in the Memory Care Unit.
- Failure to Timely Report Suspected Abuse, Neglect or Mistreatment to Proper Authorities
In a summary statement of deficiencies dated August 1, 2018, the state investigators documented the facility's failure "to ensure that staff immediately reported a suspicion of staff-to-resident abuse, which resulted in a delay in initiating an investigation and protective measures." This failure involves the incident documented above where to Certified Nursing Assistants were removed from the Memory Care Unit after an allegation of suspicion of abuse was recorded by an associate Certified Nursing Assistant.
- Failure to Ensure Residents Receive Proper Treatment to Prevent New Bedsores or Heal Existing Pressure Sores
In a summary statement of deficiencies dated October 27, 2017, the state investigators documented that the nursing home had failed to "ensure pressure relief devices were applied [by] physician's orders, to relieve pressure and prevent potential deterioration of an existing pressure ulcer to the heel." The incident involved a resident "at risk for pressure ulcer development [who] requires the total assistance of two-plus persons for bed mobility." The resident "had a Stage II pressure ulcer, received pressure ulcer care and had a pressure-reducing device when in bed."
However, the state investigator observed the resident on October 24, 2017, at 10:20 AM, 12:30 PM and 5:30 PM, when "the resident was lying in bed with a regular heel protector on her left heel and no pressure relief device on the right heel." The investigator documented that "the soft heel protector that was in place on the resident's left foot was not a floating heel boot, and the resident's heal, with the protector in place, was resting directly on the mattress, not off-loaded." On that day at 11:50 AM, a Licensed Practical Nurse (LPN) "provided a wound treatment to the resident's left heel pressure ulcer. The wound bed [had a] scant amount of drainage, and measured approximately 1.0 cm x 1.0 cm. After she completed the wound care, the LPN reapplied the soft heel protector to the resident's left heel. The LPN did not place any type of heel protector on the resident's right foot."
Failure to provide proper treatment to prevent the development of a bedsore – AR State Inspector
The following day at 11:20 AM, two Certified Nursing Assistants (CNAs) "assisted the resident back to bed, [and] the resident was repositioned and a sheet and blanket were placed over the resident. The CNAs did not place a heel protector on the resident's right heel [before] leaving the room." The investigator interviewed the facility Director of Nurses later that afternoon and asked: "Can you tell me what is a float boot?" The Director responded, "A boot with a hole in the heel." The investigator then asked the Director if the resident "Had float boots on both feet at this time." The Director stated, "No, but I will make sure she gets them on and educate my staff." The state surveying investigator then asked the Director if the facility had any float boots. The Director responded, "I will check to see." At 5:55 PM that same afternoon, the Director of Nurses "returned and stated, 'Yes, we do [have them], and I had the float boots put on her. I will educate my staff.'"
- Failure to Develop, Implement and Enforce a Program That Investigates, Controls and Keeps Infection from Spreading
In a summary statement of deficiencies dated October 27, 2017, a notation was made by the state surveyor regarding the nursing home's failure to "sanitize hands between blood changes and change gloves between dirty and clean tasks during incontinent care to prevent potential infection or disease." It was also documented that the facility had failed to "ensure items that were in contact with the floor were cleaned/disinfected before use to prevent cross-contamination and potential infection."
The survey team documented the nursing home's failure "to ensure nurses follow clean techniques when handling oral medications, to prevent the potential infection or infection." It was noted by surveyors that "these failed practices had the potential to affect twelve residents who were dependent on incontinent care, and thirty-four residents who resided on the 200 Hall and received medications administered by [the Licensed Practical Nurse (LPN)]."
The state investigator interviewed the facility Director of Nurses and asked: "When staff is doing incontinent care, should they use a hand sanitizer between blood changes?" The Director replied, "Yes, and after three times using a hand sanitizer, they wash their hands." When asked if the facility had a policy and procedure for handwashing, the Director replied that they follow the Lippincott nursing textbook.
- Failure to Develop Policies and Procedures for Influence and Pneumococcal Immunizations to Maximize Patient Health
In a summary statement of deficiencies dated October 27, 2017, the state investigator documented the nursing home's failure to "ensure a pneumococcal vaccine was offered as require, to minimize the potential for contraction of pneumonia." The incident involved one resident "whose pneumococcal vaccination documentation was reviewed. This failed practice has the potential to affect thirty-one residents who had not received a pneumococcal vaccine, as determined by the total census of 70 [residents], minus the 39 residents who had received a pneumococcal vaccine."
The incident involved a cognitively intact resident whose medical records show that there "pneumococcal vaccination was not up-to-date and was not offered. A pneumococcal consent form in the resident's clinical record was [left] blank as of October 26, 2017." The investigator interviewed the facility Director of Nurses and the Registered Nurse MDS Coordinator. During the meeting, the staff members "were asked why the pneumococcal consent form was blank. Both were silent momentarily, then the Director of Nurses stated, 'we only have one nurse over immunizations, and when we realize it had not been given, we addressed it; it will be given today." The investigator asked the Licensed Practical Nurse if they realize that when the resident was admitted to the nursing ome the pneumococcal vaccine consent form was left blank. The LPN responded, "yes, but not until yesterday."
If you and your family have concluded that caregivers victimized your loved one while residing at Courtyard Gardens Health and Rehabilitation Center, contact the Arkansas nursing home abuse attorneys at Nursing Home Law Center at (800) 926-7565 today. Our law firm fights aggressively on behalf of Clark County victims of mistreatment living in long-term facilities including nursing homes in Arkadelphia. Our knowledgeable attorneys have years of experience in handling cases like yours that involve nursing home abuse occurring in private and public nursing facilities. Contact us now to schedule a free case review to discuss how to obtain justice and resolve a financial compensation claim. Let us fight aggressively on behalf of your family to ensure your rights are protected.
Our law firm accepts all nursing home abuse lawsuits, personal injury claims, medical malpractice cases, and wrongful death suits through a contingency fee agreement. This arrangement postpones the requirement to make a payment to our law firm until after we have successfully resolved your claim for compensation through a negotiated out of court settlement or jury trial award. Our law firm offers every client a "No Win/No-Fee" Guarantee, meaning you will owe us nothing for our services if we are unable to obtain compensation to recover your family's damages. Let our attorneys begin working on your behalf today to ensure your family receives adequate compensation from those who caused your harm. All information you share with our law offices will remain confidential.