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Courtenay Springs Village

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About Courtenay Springs Village

General Information

Legal Business NameMerritt Island Rhf Housing, Inc
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 4, 1984 (33 years)
Capacity96
Residents75
Percent Occupied78%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Courtenay Springs Village

Courtenay Springs Village
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Florida Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 31, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

April 17, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

November 6, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.

November 3, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.

May 14, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
GFewActual HarmComplaintEnsure that residents are safe from serious medication errors.
GFewActual HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

May 12, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$115,000 fine
---Payment DenialPayment denial for 33 days
JFewImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
JFewImmediate JeopardyComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
JFewImmediate JeopardyComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Courtenay Springs Village require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 20min
2hr 25min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
1hr 15min
1hr 5min
ReportedExpected
RN
5hr 20min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
93.2%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
94.4%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
51.4%
Q1 2015Q2 2015Q3 2015FL
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
23.7%
16.1%
13.1%
18.9%
Q1 2015Q2 2015Q3 2015FL
Received an Antipsychotic Medication
17.5%
5.4%
14.6%
14.1%
Q1 2015Q2 2015Q3 2015FL
Need for Help with ADLs has Increased
2.0%
0.0%
2.4%
5.6%
Q1 2015Q2 2015Q3 2015FL
Self Report Moderate to Severe Pain
18.0%
5.3%
6.3%
7.6%
Q1 2015Q2 2015Q3 2015FL
Lose Too Much Weight
0.0%
0.0%
1.9%
5.8%
Q1 2015Q2 2015Q3 2015FL
High Risk Residents With Pressure Ulcers
0.0%
0.0%
3.3%
1.9%
Q1 2015Q2 2015Q3 2015FL
Have Depressive Symptoms
6.6%
3.5%
17.5%
5.2%
Q1 2015Q2 2015Q3 2015FL
With a Urinary Tract Infection
1.6%
0.0%
4.8%
2.8%
Q1 2015Q2 2015Q3 2015FL
Experiencing One or More Falls with Major Injury
2.5%
0.0%
3.4%
2.7%
Q1 2015Q2 2015Q3 2015FL
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015FL
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
100.0%
100.0%
87.2%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Pneumococcal Vaccine
100.0%
100.0%
100.0%
84.9%
Q1 2015Q2 2015Q3 2015FL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
9.3%
7.9%
21.2%
14.3%
Q1 2015Q2 2015Q3 2015FL
Self Report Moderate to Severe Pain
5.4%
0.0%
0.0%
2.6%
Q1 2015Q2 2015Q3 2015FL
Newly Received an Antipsychotic Medication
0.9%
1.4%
1.6%
0.7%
Q1 2015Q2 2015Q3 2015FL
With Pressure Ulcers That Are New or Worsened