A list of the most recent deficiencies for Concordia Village of Tampa. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-28 | 2022-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-08-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-24 | 2022-07-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-25 | 2022-05-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-25 | 2022-05-25 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-11-05 | 2021-12-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-05 | 2021-12-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-05 | 2021-12-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-05 | 2021-12-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-05 | 2021-12-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-05 | 2021-12-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-27 | 2021-09-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-27 | 2021-09-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-13 | 2021-05-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-20 | 2020-03-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-20 | 2020-03-21 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-20 | 2020-03-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-20 | 2020-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-20 | 2020-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-20 | 2020-03-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-20 | 2020-03-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-20 | 2020-03-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-02-20 | 2020-03-21 | N |
| 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. | Health | 2020-02-20 | 2020-03-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-20 | 2020-03-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-20 | 2020-03-21 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-20 | 2020-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-20 | 2020-03-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-20 | 2020-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-03-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-02-19 | 2020-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-28 | 2019-01-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-28 | 2019-01-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-30 | 2018-12-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-11-30 | 2018-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-30 | 2018-12-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-11-30 | 2018-12-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-11-30 | 2018-12-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-30 | 2018-12-30 | N |
| 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. | Health | 2018-11-30 | 2018-12-30 | N |
| Dispose of garbage and refuse properly. | Health | 2018-11-30 | 2018-12-30 | N |
| Keep all essential equipment working safely. | Health | 2018-11-30 | 2018-12-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-11-30 | 2018-12-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-28 | 2018-12-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-28 | 2018-12-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-28 | 2018-12-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-28 | 2018-12-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-28 | 2018-12-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-28 | 2018-12-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-28 | 2018-12-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-28 | 2018-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-28 | 2018-12-30 | N |
