Most Recent Deficiencies for CURIS AT CONCORD NURSING & REHABILITATION CENTER

Updated as of July 01, 2020

The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

The tables below are too small to fit on a phone. More information can be seen using a larger device such as a tablet, laptop, or desktop computer.

Deficiency Deficiency Date
Establish emergency prep training and testing. 2020-02-28
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. 2019-06-06
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 2019-06-06
Install proper backup exit lighting. 2019-06-06
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. 2019-06-06
Have approved installation, maintenance and testing program for fire alarm systems. 2019-06-06
Inspect, test, and maintain automatic sprinkler systems. 2019-06-06
Have properly installed electrical wiring and gas equipment. 2019-06-06
Have simulated fire drills held at unexpected times. 2019-06-06
Have generator or other power source capable of supplying service within 10 seconds. 2019-06-06
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. 2018-04-26
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. 2018-04-26
Properly install and monitor supervisory attachments on automatic sprinkler systems. 2018-04-26
Inspect, test, and maintain automatic sprinkler systems. 2018-04-26
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 2018-04-26
Have generator or other power source capable of supplying service within 10 seconds. 2018-04-26
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. 2017-06-15
Have generator or other power source capable of supplying service within 10 seconds. 2017-06-15
Ensure each resident?s drug regimen must be free from unnecessary drugs. 2020-02-28
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. 2019-11-14
Assist a resident in gaining access to vision and hearing services. 2019-11-14
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2019-10-03
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 2019-04-18
Ensure medication error rates are not 5 percent or greater. 2019-04-18
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 2020-02-28
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. 2020-02-28
Assess the resident when there is a significant change in condition 2020-02-28
Assure that each resident?s assessment is updated at least once every 3 months. 2020-02-28
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. 2020-02-28
Ensure each resident receives an accurate assessment. 2020-02-28
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted 2020-02-28
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2020-02-28
Provide safe and appropriate respiratory care for a resident when needed. 2020-02-28
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. 2020-02-28
Administer the facility in a manner that enables it to use its resources effectively and efficiently. 2020-02-28
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 2020-02-28
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. 2020-02-28
Provide and implement an infection prevention and control program. 2020-02-28
Develop and implement policies and procedures for flu and pneumonia vaccinations. 2020-02-28
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 2020-02-28
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. 2018-11-02
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. 2019-04-18
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. 2019-04-18
Assure that each resident?s assessment is updated at least once every 3 months. 2019-04-18
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. 2019-04-18
Ensure each resident receives an accurate assessment. 2019-04-18
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 2019-04-18
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. 2019-04-18
Provide safe, appropriate pain management for a resident who requires such services. 2019-04-18
Post nurse staffing information every day. 2019-04-18
Dispose of garbage and refuse properly. 2019-04-18
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 2019-04-18
Have a plan that describes the process for conducting QAPI and QAA activities. 2019-04-18
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 2019-04-18
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 2019-04-18
Honor the resident's right to organize and participate in resident/family groups in the facility. 2018-03-23
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. 2018-03-23
Ensure each resident receives an accurate assessment. 2018-03-23
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 2018-03-23
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. 2018-03-23
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 2018-03-23
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. 2018-03-23
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2018-03-23
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 2018-03-23
Ensure services provided by the nursing facility meet professional standards of quality. 2018-03-23
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. 2018-03-23
Ensure medication error rates are not 5 percent or greater. 2018-03-23
Keep all essential equipment working safely. 2018-03-23