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Deficiency Records for Concordia Manor
A list of the most recent deficiencies for Concordia Manor. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Concordia Manor. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-23 | 2025-05-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-23 | 2025-05-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-23 | 2025-05-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-23 | 2025-05-12 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2025-03-07 | 2025-04-07 | Y |
| Keep all essential equipment working safely. | Health | 2025-03-07 | 2025-04-07 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-07 | 2024-06-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-05-07 | 2024-06-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-07 | 2024-06-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-07 | 2024-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-07 | 2024-06-09 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-05-07 | 2024-06-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-07 | 2024-06-09 | N |
| Meet other general requirements. | Fire Safety | 2024-05-07 | 2024-06-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-07 | 2024-06-09 | N |
| Develop a communication plan. | Fire Safety | 2024-05-07 | 2024-06-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-05-07 | 2024-06-09 | N |
| Keep all essential equipment working safely. | Health | 2024-05-09 | 2024-06-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-09 | 2024-06-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-05-09 | 2024-06-09 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-05-09 | 2024-06-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-09 | 2022-04-09 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-09 | 2022-04-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-09 | 2022-04-09 | 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 | 2021-03-05 | 2021-04-05 | N |
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