A list of the most recent deficiencies for Concordia Village Care Center. 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? |
|---|---|---|---|---|
| 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 | 2023-09-21 | 2023-10-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-21 | 2023-10-10 | 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 | 2023-09-21 | 2023-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-21 | 2023-10-10 | 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 | 2022-10-20 | 2022-11-21 | 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 | 2022-10-20 | 2022-11-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-10 | 2021-11-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-10 | 2021-11-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-10 | 2021-11-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-11-10 | 2021-11-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-11-10 | 2021-11-22 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-11-10 | 2021-11-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-04 | 2021-11-19 | 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 | 2021-11-04 | 2021-11-19 | 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 | 2021-11-04 | 2021-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-11-19 | N |
