The Courtyard Rehabilitation And Healthcare Center

Penalties

• Sep 19, 2025 — Fine ($17,992)

Inspection findings

1. May 28, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jun 12, 2026 · CMS health inspection

2. Sep 19, 2025 Health · 8 findings
   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

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

     Corrected Sep 22, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Sep 22, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 22, 2025 · CMS health inspection

   • Serious Scope/severity K

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Sep 22, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Sep 22, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Sep 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0916 Gas, Vacuum, and Electrical Systems Deficiencies

     Have a battery powered remote alarm panel in a location accessible by operating personnel.

     Corrected Oct 2, 2025 · CMS fire safety

3. Aug 23, 2024 Health · 11 findings
   • Not serious Scope/severity D Complaint

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Sep 3, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0557 Resident Rights Deficiencies

     Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

     Corrected Sep 3, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Sep 3, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Sep 3, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Sep 3, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0801 Nutrition and Dietary Deficiencies

     Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

     Corrected Sep 3, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Sep 3, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 3, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Aug 21, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Aug 21, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Aug 24, 2024 · CMS fire safety

4. Jan 10, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0839 Administration Deficiencies

     Employ staff that are licensed, certified, or registered in accordance with state laws.

     Corrected Jan 11, 2024 · CMS health inspection

5. Jun 30, 2023 Health · 8 findings
   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Jul 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Jul 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jul 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

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

     Corrected Jul 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jul 20, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0200 Egress Deficiencies

     Meet other general requirements.

     Corrected Aug 12, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Jul 27, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Jul 27, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BURNAM, SOON — corporate officer, NOT APPLICABLE, since 04/01/2017
• GANN, KODY — corporate officer, NOT APPLICABLE, since 02/01/2021
• JAIN, ARUN — adp of the snf, NOT APPLICABLE, since 11/01/2021
• JAIN, ARUN — managing control - governing body, NOT APPLICABLE, since 11/01/2021
• JAIN, ARUN — operational/managerial control, NOT APPLICABLE, since 11/01/2021
• KEETCH, CHAD — corporate officer, NOT APPLICABLE, since 03/01/2011
• VILLANUEVA, ANTHONY — managing control - governing body, NOT APPLICABLE, since 08/06/2018
• VILLANUEVA, ANTHONY — adp of the snf, NOT APPLICABLE, since 08/06/2018
• VILLANUEVA, ANTHONY — operational/managerial control, NOT APPLICABLE, since 08/06/2018
• CARETRUST GP LLC — adp of the snf, NOT APPLICABLE, since 04/01/2017
• CARETRUST REIT INC — adp of the snf, NOT APPLICABLE, since 04/01/2017
• CHAPARRAL HEALTHCARE, INC — operational/managerial control, NOT APPLICABLE, since 04/01/2017
• CHAPARRAL HEALTHCARE, INC — adp of the snf, NOT APPLICABLE, since 10/03/2025
• CTR PARTNERSHIP LP — adp of the snf, NOT APPLICABLE, since 04/01/2017
• ENSIGN SERVICES INC — adp of the snf, NOT APPLICABLE, since 08/24/2012
• GUADALUPE COUNTY HOSPITAL BOARD — 5% or greater direct ownership interest, 100%, since 04/01/2017
• GUADALUPE HEALTH HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 04/01/2017