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Complaint Investigation

Courtyard Health And Rehabilitation

Inspection Date: August 13, 2025
Total Violations 1
Facility ID 255145
Location MCCOMB, MS
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Manager (TM), Maintenance Supervisor (MS), Licensed Nurse (LPN) #1 and Medical Records Clerk (MRC) and IP. The Root Cause was determined to be that Resident #1 exited door when a visitor was entering.Education:On 8/7/25 and 8/8/25, In-Service education was conducted by the Director of Clinical Services on Elopement Policy, Procedure for Missing Resident , and emphasis on ensuring complete closure of door when letting visitors in/out. This was a 100% mandatory education, and all employees will receive training upon hire and prior to taking assignment.The Facility alleges all corrective actions were completed on 8/8/2025 and the immediate jeopardy was removed on 8/9/2025, prior to the State Agency entrance on 8/11/2025.On 8/13/25 the SA validated through observation, interview and record review that

the facility had completed all corrective actions on 8/8/2025 and the Immediate Jeopardy was removed on 8/9/2025, prior to the State Agency entrance on 8/11/2025.

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📋 Inspection Summary

COURTYARD HEALTH AND REHABILITATION in MCCOMB, MS inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MCCOMB, MS, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from COURTYARD HEALTH AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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