Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Courtland Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
A resident with Alzheimer's disease, severe cognitive impairment (BIMS 0), muscle weakness, and documented total-assist/dependent status for transfers was being moved from a wheelchair to a bed by a single CNA. Despite MDS and therapy documentation indicating the need for full assistance and hands-on support, the CNA attempted the transfer alone. During the transfer, the resident became combative and resisted care, the CNA tripped over the leg rest, and both fell, causing the resident to sustain a facial laceration, a closed nasal bone fracture, and a closed nondisplaced C2 fracture, as confirmed by ED records and nursing notes. The DON and rehab director later acknowledged that the resident required continuous hands-on assistance and/or a second staff member for such transfers.
Two residents were affected when staff failed to provide required notifications of changes in condition and room assignments. One resident with multiple comorbidities and moderate cognitive impairment repeatedly reported feeling ill and awaiting test results for suspected flu and UTI, while documentation later showed negative COVID/flu results and a yeast infection diagnosis that were not promptly communicated to the resident, despite orders for multiple labs and provider involvement. Another resident with severe cognitive impairment and Alzheimer's disease experienced five separate room changes documented in the clinical census, and the DON and Administrator acknowledged that the resident's representative was not notified prior to these moves, contrary to facility expectations.
Failure to Provide Adequate Supervision During Dependent Transfer Resulting in Fall With Injury
Penalty
Summary
Facility staff failed to provide adequate supervision and safe transfer assistance for Resident #98, resulting in a fall with injury during a wheelchair-to-bed transfer. Resident #98 had diagnoses including Alzheimer's disease, essential hypertension, major depressive disorder, and muscle weakness, and was assessed on the MDS as severely cognitively impaired with a BIMS score of 0/15. The MDS Section GG dated 8/15/23 coded the resident as dependent for chair/bed-to-chair transfers, meaning the helper did all of the effort or that assistance of two or more helpers was required. An occupational therapy treatment note dated 8/25/23 documented that the resident required total assist for stand-pivot transfers to a wheelchair. Despite these documented needs, a single CNA attempted to transfer the resident from a wheelchair to the bed. During the transfer, the CNA and the resident lost their balance and both fell to the floor. Post-fall documentation and the CNA’s statement indicated that the resident became combative, resisted care, pushed against the CNA, and the CNA then tripped over the leg rest, leading to the resident falling face forward to the ground. Nursing notes documented that the resident was found on her left side on the floor with blood present and a laceration to the middle of the forehead, was assisted back to bed with a two-person assist, and was sent to the emergency department. Hospital records and subsequent nursing documentation confirmed diagnoses of a facial laceration, a closed fracture of the nasal bone, and a closed nondisplaced fracture of the second cervical vertebra. The DON and Director of Rehabilitation both stated that, given the resident’s dependent/total assist status for transfers, the CNA should have maintained hands-on assistance at all times and/or had assistance from another staff member during the transfer.
Failure to Notify Residents and Representatives of Test Results and Room Changes
Penalty
Summary
Facility staff failed to promptly notify a cognitively impaired resident of diagnostic test results related to ongoing symptoms. The resident, who had diabetes, atrial fibrillation, and renal insufficiency, reported on multiple occasions that she felt unwell, with nausea, lack of appetite, and suspected flu and UTI, and stated she was awaiting test results. Orders dated 1/19/26 included in-house COVID and flu tests, CBC, BMP, urinalysis, and urine culture and sensitivity. On 1/20/26, 1/22/26, and 1/23/26, the resident continued to report feeling ill and not having been informed of her test results or what could be done for her symptoms. An LPN later confirmed she had not been informed of any test results and needed to consult the unit manager to determine whether tests were completed and what the results were. Documentation showed a late entry nurses' note entered on 1/23/26 for 1/19/26, stating that the resident had been assessed per provider order for COVID-19 and influenza swabs, that results were negative, and that the provider was notified of the negative results. The NP stated it was the responsibility of direct care nurses, not the NP, to notify the resident or representative of test results. The NP also stated she added an addendum to her 1/19/26 progress note on 1/23/26 to document that the nurse had notified her of the test results on 1/19/26. The resident later reported that, after the 1/23/26 conversation, a nurse informed her that she had a yeast infection, would be started on medication, and that she did not have COVID-19 or the flu, indicating a delay in communicating test findings and diagnosis to the resident. Facility staff also failed to notify a resident representative of multiple room changes for a severely cognitively impaired resident with Alzheimer's disease and prostate cancer. The DON reported that this resident had five room changes and that the resident representative was not notified of any of them. Clinical census documentation confirmed room changes on five separate occasions, with moves between different units and room numbers. During a final interview, the Administrator stated that a resident or resident representative needs to be notified prior to a room change, confirming that required notification did not occur in these instances.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Courtland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southampton Memorial Hosp | 6.7 mi | — | 0 | 0 |
| Windsor Grove Health And Rehabilitation | 18.7 mi | — | 0 | 0 |
| Waverly Rehabilitation And Healthcare Center | 22.8 mi | — | 0 | 0 |
| Lake Prince Woods, Inc | 24.7 mi | — | 3 | 0 |
| Autumn Care Of Suffolk | 25.5 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.