The Courtyard Rehabilitation And Healthcare Center
THE COURTYARD REHABILITATION AND HEALTHCARE CENTER in VICTORIA, TX — inspection on May 28, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Observation on 05/27/2026 at 2:12 pm of incontinent care received by Resident #1 revealed her right hip area where she had a wound had healed.
She spoke nonsense to the aides and was not interview able.
During an interview on 05/26/2026 at 10:46 am, the MDS nurse stated she did not know how she missed Resident #1's wound infection on the quarterly MDS.
She stated she missed it due to human error, and MDS accuracy was important because the MDS reflected a picture of the residents, their condition, care requirements and needs which could get missed.
During an interview on 05/26/2026 at 11:51 am, the DON stated MDS accuracy was important to show what the resident needed for care and inaccuracy could lead to missed care.
She stated the facility did not have a policy and procedure for MDS accuracy because they followed the RAI manual.
During an interview on 05/27/2026 at 6:02 pm, LVN A stated Resident #1 had a healed incision line, and the staff was not aware an abscess formed underneath the healed line until she noticed it was red and swollen, reported it immediately to the provider, and Resident #1 was sent to the hospital for treatment and returned on antibiotics.
Record review of the CMS Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, Version 1.20.1, dated October 2025 reflected The RAI process has multiple regulatory requirements.
Federal regulation required the assessment accurately reflects the resident's status.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.